Types Of Spontaneous Abortion Flashcards
What are the symptoms of complete spontaneous abortion
 Products of conception is expelled
Pain stops but spotting may persist
How to diagnose complete spontaneous abortion
Closed OS
ultrasound shows Empty uterus
What are the symptoms of incomplete spontaneous abortion
Some products of conception is expelled
bleeding and cramping
How to diagnose incomplete spontaneous abortion
Open OS
ultrasound shows retained fetal tissue
How to treat in complete spontaneous abortion
Manual uterine aspiration or D and C
What are the symptoms of threatened spontaneous abortion
No POC is expelled
uterine bleeding with or without abdominal pain
How to diagnose threaten spontaneous abortion
Closed OS
intact membranes
fetal cardiac motion on ultrasound
How to treat threatened spontaneous abortion
Pelvic rest and follow up by ultrasound
What are the symptoms of inevitable spontaneous abortion
No POC is expelled but there’s Uterine bleeding and cramps
How to diagnose in inevitable spontaneous abortion
Open OS plus or minus range of motion
How to treat inevitable spontaneous abortion
Misoprostol
D and C
manual uterine aspiration
What are the symptoms of mist spontaneous abortion
No POC is expelled
No fetal cardiac motion
no uterine bleeding
brown vagina discharge
How to diagnose missed spontaneous abortion
Closed OS
no fetal cardiac activity
Retained fetal tissue on ultrasound
What is the treatment for missed spontaneous abortion
Manual uterine aspiration
D and C 
Misiprostol
What are the symptoms of septic spontaneous abortion
Endometritis leading to septicemia
How to diagnose septic spontaneous abortion
Hypotension
hypothermia
increase WBC count
What is the treatment of septic spontaneous abortion .
Manual uterine aspiration D& C IV antibiotics
What are the symptoms of intrauterine fetal demise
Absence of fetal cardiac activity
How to diagnose intrauterine fetal demise
Uterus is small
no fetal heart tones or movement on ultrasound
How to treat intrauterine fetal demise
Induce labor
evacuate the uterus
 what are the symptoms of recurrent spontaneous abortion 
An early pregnancy it is due to chromosome and abnormalities
in late pregnancy it is due to hypercoagubal states
Incompetent cervix is also a symptom
How to diagnose reoccurring spontaneous abortion
Karyotype of both parents
hypercoagulability of mother
evaluate for uterine abnormality
What is the treatment for reoccurrent spontaneous abortion
Surgical cerclage procedure
restriction of activities
