Gynaecology - Miscarraige Flashcards
1
Q
Miscarrige?
A
Fetus spontaneously aborted at <24 weeks gestation
Majority <12 weeks gestation
2
Q
Miscarrige?
Causes?
A
Mostly causes are unknown but broad causes, particularly of recurrent miscarrige, maybe remembered as ABC:
A -Antiphospholipid syndrome, increasing Age
B - Bleeding disorders (eg von Willebrand disease)
C - Chromosomal abnormality, Cervical incompetence
3
Q
Miscarrige?
Symptoms?
A
- Inevitable - Heavy vaginal bleeding - Cervical Os open
- Threatened - Light vaginal bleeding, Fetus may survive - Cervical os closed
- Missed - No vaginal bleeding, Fetus no longer avialable - Cervical os closed
4
Q
Miscarrige?
Investigations?
A
- B-hCG levels
- Blood tests:FBC, U&E, group and save, Rhesus status
- Rdiology
- Trans vaginal USS
5
Q
Miscarrige?
Treatment?
A
Treatment:
- Depends on clinical presentaion and type of miscarraige
- Emergencey treatment maybe required if mother haemorrhaging
- Medical - prostoglandins mifepristone
- Surgical - curettage
6
Q
Miscarrige?
Complications?
A
- Infection
- Pyrexia
- Psychological implications including depression
- Complication of surgical curettage (eg risk of GA, uterine perforation, Asherman’s syndrome (interuterine adhesions)