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Abortion Flashcards

Def mgx

1
Q

Abortion

A

< 28 weeks if at < 500gms

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2
Q

If death of >= 500 gm

A

Iud

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3
Q

MTP

A

20 week

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4
Q

Confirmation of abortionv by usg

A

If mean sac Dia >= 25 mm +no cardiac activity

If CRL >= 7 mm + no cardiac activity

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5
Q

Recurrent abortions

A

> = 3 EPI

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6
Q

When does inch should start in abortions

A

After 2 abortions

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7
Q

MCC of single time ist trimester abortion

A

Chromosomal anomaly 50%

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8
Q

MCC single time 2 nd trimester abortion

A

Chromosomal anomaly 35%

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9
Q

Mc time for spontaneous abortion

A

<8weeka

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10
Q

Mc chhromosal anomaly for abortion

A

Aneuiploidy > trisomy > monosomy > trisomy 16

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11
Q

Other causes of spontaneous abortion

A

Pcod
DM
Hypothyroidism
Chr disease

Inf
Teenage
>= 40

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12
Q

MCC of recurrent abortion in 1 St tri

A

Idiopathic

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13
Q

Other cause of recurrent abortion in ist tri in order

A

Idio> aplas> endocrine > chromosomal defect 4%

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14
Q

Mcc among chromosomal cause of reccirent abortion

A

Balanced translocation

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15
Q

MCC of recurrent 2nd tri abortion

A

Cervical incomp

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16
Q

Which inf causes recurrent abortion which is a exception

A

Syphilis

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17
Q

The law in syphilis regarding recc preg loss

A

Kassowitz law

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18
Q

Will syphilis cause early preg loss

A

No

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19
Q

Kassowutz law

A

In syphilis with no of preg loss inc the pog inc

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20
Q

Mc ab in aplas

A

La
Anticardiolipin
Beta 2 glycoprotein 1

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21
Q

Serum which parameter inc

22
Q

Which thromosis is mc on applas

A

Venous > arterial

23
Q

What is conseq of children on aplas mother

A

Iugr
Iud
Stillbirt
Abortion

24
Q

A ortion is mc in which tri in aplas

25
Will the mother be predisposed to pih in aplas
Yes
26
Diagnosis of aplas
Sappario modified At least one clinical + one lab
27
Sappario clinical criteria
Venous / arterial thrombosis >= 1 unexplaine preg loss of morphological n fetus beyound 10 weeks >= Ptl due to placental insufficiency before 34 >= 3 unexplaine consecq abortions <10 weeks
28
Lab criteria in sappario
Lupus anticoug Anticardiolipin Beta2 glycoprotein 1 On on 2 occasions 12 week apart
29
Mg of aplas with arterial and venous thrombosis
Ac before preg preferred heparin continue ion pre with warfarin at 32 weeks switch to heparin and continue after 6 weeks of preg
30
MGT of aplas wth no ho arterial or venous thrombosis
Aspirin+ lmwh ( enoxa 20-40 mg/ day) start as soon | Upt+
31
Cervical incompetence mc in
2nd tri / early 3rd tri
32
Mc time of abortion in cervical incompetence
16_ 24 weeks
33
What are the acquired causes of cervical incompetence
Forcebale Dil of cervix during d and c Conizatipn of cervix Fotgergill opt Cautery use in cervix
34
Come with h/ o recurrent preg loss in 2 nd tri | What will you do in non preg women
Put 8 no hegar dilator without snyvresistance offered by the patient Hysterocervicographyv- dye inti uterus using catheter Multiple xrat
35
In preg women h/ o recuurent preg loss 2 nd tri IOC in cervical incompetence
Tvs
36
What are tvs finding in cervical incomp
Length < = 2.5cm Dil >= 1 cm Shape y
37
Shape order in tvs from n to cervical incomp
T y v u
38
Mgx of c incom
Encirclage
39
Mc route for encerclage
Transvaginal
40
Among transvaginal encerclage mc procedure
McDonald's purse string
41
I the suture used in MacDonald is
Non absorbable
42
Transabdominal circlage name
Benson and durfy circlage
43
Disadv of transabd circlage
Do c/s
44
Prophylactic indi | of circlage
More than or equal 3 abortions of 2 nd tri / ptl
45
Therapeutic indi of circlage
USG indicated h/io 1 abortion of 2 nd tri / ptl + USG indi cervical length <= 2.5 cm
46
Rescue encirclage is
Physical exam indicated
47
Indi for rescue encirclage
iOS open Cx length ,< 4cm Dil Memb not ruptured
48
Best time for circlage
14 weeks Can do upto 24 weeks
49
Law in cerv incomp
As the preg loss inc the pog at which loss occurs | Dec
50
Time for removal of stitch
37weeks
51
Stitch is removed immediately in the case of
Labour Prom Choroioamnionitis
52
Absolute CI of encirclage
Pelvic inf Gross congenit anomalies Rom

Obg (6 decks)

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