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Repro > Fetal Demise > Flashcards

Fetal Demise Flashcards

1
Q

Definition of abortion

A

Unexpected, unplanned, spontaneous loss of pregnancy before fetus is sufficiently developed to survive extrautero
May occur up to 20 weeks

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2
Q

Intrauterine fetal demise

A

Fetal death after 20 weeks but before onset of labor

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3
Q

Threatened abortion

A

Vaginal bleeding before 20th week and cervical os is closed

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4
Q

Inevitable abortion

A

Vaginal bleeding with the cervix open to some degree

Frequently have associated cramping

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5
Q

Incomplete abortion

A

Bleeding, open os, passage of some products of conception

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6
Q

Complete abortion

A

Bleeding, closed os, passage of all the products of conception

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7
Q

Missed abortion

A

Fetus has died and is retained in uterus

No bleeding and usually no symptoms

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8
Q

Septic abortion

A

Any spontaneous or therapeutic abortion with intrauterine infection

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9
Q

Recurrent abortion

A

Three successive abortions

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10
Q

Most common cause of spontaneous abortion

A

Significant genetic abnormality

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11
Q

Common infections that can lead to spontaneous abortion

A

Rubella
Listeria
Mycoplasma
Toxoplasma

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12
Q

Environmental exposures that can cause spontaneous abortions

A

Smoking
Alcohol
Chemicals

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13
Q

Systemic disorders that can cause spontaneous abortions

A

Diabetes
Hypothyroidism
SLE

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14
Q

Uterine abnormalities that can cause spontaneous abortions

A

Cervical incompetence
Fibroids
Septums
Asherman’s syndrome

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15
Q

If pt is Rh negative, what must be given?

A

Rhogam

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16
Q

Dx of intrauterine fetal demise

A

US - confirm lack of movement and absence of fetal heart tones

Spalding’s Sign - overlapping of fetal skull bones on x-ray due to liquefaction of fetal brain

Gas in cardio system

17
Q

What does a dead fetus in the uterus put pts at higher risk of?

A

DIC

18
Q

Common causes of IUFD

A 
Placental & Cord
HTN
Med complications
Infections
Congenital abnormalities
Unknown > 50%
19
Q

Management of IUFD

A

13 to 28 weeks - watchful expectancy or induction

After 28 weeks - pitocin induction

Repro (14 decks)

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