Clinical 3 Early Pregnancy Loss

Question 1

Definition of Abortion

Answer 1

Unexpected, unplanned, spontaneous loss of a pregnancy before the fetus is sufficiently developed to survive extrautero.
It may occur up to 20 weeks gestation.

Question 2

Types of Abortion (7)

Answer 2

1. Threatened
2. Inevitable
3. Incomplete
4. Complete
5. Missed
6. Therapeutic or Elective
7. Septic (any of the above with infection)

Recurrent

Question 3

General Categories of Etiology

Answer 3

Infection
Environmental Exposure
Systemic Disorders
Increased Maternal age
Uterine Abnormalities
Fetal/Genetic Abnormalities
Immunologic

Question 4

Most common cause of spontaneous abortion

Answer 4

Genetic abnormality

Question 5

Basic Management of abortions

Answer 5

Rest and reassurance
D&C; D&E
Rhogam

Question 6

Definition of Intrauterine Fetal Demise

Answer 6

Fetal demise after 20 weeks gestation before the onset of labor

Question 7

Etiology of IUFD

Answer 7

Placental & Cord most common
HTN
Then (Medical complications, infections, congenital anomalies)

Question 8

Diagnosis of IUFD

Answer 8

Ultrasound
Spalding sign (overlapping of skull bones)
Gas in CV system

Question 9

Management of IUFD

Answer 9

13-28 wks (watchful expectancy or induction of labor)

28 wks- Pitocin Induction