Abortion Part 1 Flashcards
Infections causes recurrent abortion(true/false)
False
Kassowitz law
Prognosis of abortion is directly proportional to no of pregnancy in syphilis patient
Seen in congenital syphilis
M/c cause of isolated abortion
Chromosomal anomaly ( both in 1st and 2nd trimester)
M/c cause of Recurrent abortion
Endocrine>Uterine( group causes)
APLA ( single major cause)
M/c endocrine cause of Recurrent abortion
Hypothyroidism
M/c cause of recurrent T2 abortion
Uterine causes
M/c chromosomal anomaly causing Recurrent abortion
Balanced translocation
Classification of uterine causes of Recurrent abortion
Congenital causes (septate uterus >Bicornuate uterus)
Acquired causes (Cervical incompetence,sub mucous fibroid,Ashermann syndrome)
M/c acquired uterine cause of abortion
Cervical incompetence (only causes painless T2 abortions)
In diagnosis of cervical in competence in non pregnant women
the passage of Hagar dilator number___ and passage of Foley catheter number_____ with bulb filled with ____ml water confirms cervical incompetence
1)8
2)16
3)1ml
Investigation of choice of cervical incompetence in pregnancy
Transvaginal scan <2.5cm confirms
Pregnant female <____weeks +dilated cervix can undergo emergency cerclage
24weeks
Sutures applied between 14-24weeks
Removed at 37th week
To prevent preterm labour, which drug is used when it is started, and when it is stopped
Progesterone is used
Started at 12 to 14 weeks
Stop that 36 week
What are the three prerequisites of emergency cerclage
Cervix <4 cm dilated
Membranes intact without rupture(Can be done even if membranes are bulging)
No evidence of infection
Another name of exo cervix
Portio vaginalis
2types of vaginal cerclage
McDonald cerclage
Shirodkar cerclage
Drugs used in cerclage
1)tocolytics (in emergency cerclage)
2)antibiotics( when doing emergency cerclage with bulging membrane)
