Abortions - William Flashcards
What is the definition of abortion?
termination of the pregnancy before 20 weeks or fetus bor weighing less than 500 gms
When do most spontaneous abortions (SAB’s)happen?
in the 1st 12 weeks
What are most SAB’s due to?
chromosomal abnormalities
SAB’s increase with?
maternal and paternal age. Also women <20 and >40
What are the fetal factors of SAB?
Aneupold abortions (45X) and Euploid abortions
What are some maternal risk factors for abortions?
infections, chronic disease, endocrine (Hypothyrodism and Diabetes), maternal age, Drug use (Tobacco, alcohol, caffeine, infection from an IUD) and enviornment (radiation, enviornmental toxins), inherited thrombophilias, maternal surgery, uterine defects (acquired or developmental)
What are the types of abortions?
Threatened, inevitable incomplete, missed, septic, therapeutic, elective
What is a threatened abortion?
vaginal bleeding with a closed cervical os
What are some s&s of threatened abortion?
vaginal bleeding, cramping, abd. Pain, low backache, pelvic pressure
What percentage of threatened abortions will actually abort?
50%
What must be ruled out if you suspect a threatened abortion?
ectopic pregnancy
What is an inevitable abortion?
the abortion is iminent
What are the charactersitics of an inevitable abortion?
increased bleeding, painful uterine cramps/contractions, dilated cervix
can the gestational tissue be visualized in an inevitable abortion?
yes
What is an incomplete abortion?
internal cervical os is opened that allows passage of blood and tissue, but the fetus may remaine inside the uterus or partially extrude