Miscarriage

Question 1

What is miscarriage?

Answer 1

Spontaenous expulsion of POC/pregnancy that occur before the viable gestational age, <22weeks

Question 2

What is the symptoms of threatened miscarriage?

Answer 2

Patient present with pervaginal bleeding, <22 weeks with no cervical dilatation and POC passage.

Question 3

What is the treatment of threatened miscarriage?

Answer 3

• Ward admission for observation
• Bed rest ×3 days
• Progesterone ( maintain pregnancy)
  -Once stable,
  -Discharge with advice - avoid coitus
  -Follow up

Question 4

What is Missed miscarriage’s symptoms?

Answer 4

-fetus already died but still retained in uterusfor viable perios with no os dilatation or passage of POC.
-no fetal heartsound

Question 5

What is the treatment of missed miscarriage?

Answer 5

• induce labour, giving misoprostol
• IUCD ( cx; DIVC)

Question 6

What is the symptoms of incomplete miscarriage?

Answer 6

-Short period of amonorrhea
- present with abdominal pain
- small per vaginal bleeding
- partial expulsion of POC

Question 7

What is the treatment of incomplete moscarriage?

Answer 7

• Resus pateint if in shock
• D&C

Question 8

What is the syptoms of inevitable miscarriage?

Answer 8

-Short period of ammonorhea, present
-Vagianl bleeding
-Abdominal pain
-Cervical dilatation <22weeks
-Expulsion of POC (complete)

Question 9

What is septic miscarriage?

Answer 9

Any miscarriage with clinical evidence of infection uterus and its content

Question 10

What is the treatement of septic miscarriage?

Answer 10

-Resus
-Broad spectrum antibiotic,
-give respective antibiotic after c&s result is out
- wait for 8 to 12 hours ( uterus is still soft, afraid of perforation)
- D&C