miscarriage + TOP Flashcards
symptoms miscarriage
bleeding, abdo pain, passing clots
invx miscarriage
USS for HB // speculum for os // bHCG not rising
symptoms, os, USS - threatened miscarriage
painless light bleeding (usually 6-9 weeks) // os closed // USS = POC + HB
symptoms, os, USS - inevitable miscarriage
heavy bleeding + clots // os = open // USS = POC +/- HB
symptoms, os, USS - incomplete miscarriage
pain and vaginal bleeding with clots // os = open with POC visible // USS = no HB, may still have some POC
symptoms, os, USS - complete miscarriage
no pain or bleeding // os closed // USS = empty uterus
symptoms, os, USS - missed (delayed) miscarriage
may have light bleeding (no pain) // os = closed // USS = no HB, sac >25 mm, pole >7mm
expectant mx miscarriage
waiting for spontaneous passage // waiting 7-14 days
when is expected miscarriage mx not advised
haemorrhage risk (late first tri, coag risk) // previous pregnancy trauma // infection
medical mx miscarriage
vaginal misoprotsol (NO mifepristone) + antiemetics + pain relief (come back if no bleeding in 24 hours)
surgical mx miscarriage
vacuum or surgical mx
when can a medical TOP be adviced
early = up to 9 weeks // late = 9-12 weeks
medical mx TOP
1 - oral mifepristone (anti-P) –>2 = vaginal misoprostol (PGE) 48 hours later
when can STOP be performed
up until 24 weeks
types of STOP
vacuum (6-14 weeks) // dilation and evacuation (14-24 weeks)
