Types Of Spontaneous Abortion Flashcards

1
Q

What are the symptoms of complete spontaneous abortion

A

 Products of conception is expelled
Pain stops but spotting may persist

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2
Q

How to diagnose complete spontaneous abortion

A

Closed OS
ultrasound shows Empty uterus

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3
Q

What are the symptoms of incomplete spontaneous abortion

A

Some products of conception is expelled
bleeding and cramping

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4
Q

How to diagnose incomplete spontaneous abortion

A

Open OS
ultrasound shows retained fetal tissue

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5
Q

How to treat in complete spontaneous abortion

A

Manual uterine aspiration or D and C

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6
Q

What are the symptoms of threatened spontaneous abortion

A

No POC is expelled
uterine bleeding with or without abdominal pain

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7
Q

How to diagnose threaten spontaneous abortion

A

Closed OS
intact membranes
fetal cardiac motion on ultrasound

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8
Q

How to treat threatened spontaneous abortion

A

Pelvic rest and follow up by ultrasound

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9
Q

What are the symptoms of inevitable spontaneous abortion

A

No POC is expelled but there’s Uterine bleeding and cramps

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10
Q

How to diagnose in inevitable spontaneous abortion

A

Open OS plus or minus range of motion

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11
Q

How to treat inevitable spontaneous abortion

A

Misoprostol
D and C
manual uterine aspiration

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12
Q

What are the symptoms of mist spontaneous abortion

A

No POC is expelled
No fetal cardiac motion
no uterine bleeding
brown vagina discharge

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13
Q

How to diagnose missed spontaneous abortion

A

Closed OS
no fetal cardiac activity
Retained fetal tissue on ultrasound

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14
Q

What is the treatment for missed spontaneous abortion

A

Manual uterine aspiration
D and C 
Misiprostol

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15
Q

What are the symptoms of septic spontaneous abortion

A

Endometritis leading to septicemia

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16
Q

How to diagnose septic spontaneous abortion

A

Hypotension
hypothermia
increase WBC count

17
Q

What is the treatment of septic spontaneous abortion .

A

Manual uterine aspiration D& C IV antibiotics

18
Q

What are the symptoms of intrauterine fetal demise

A

Absence of fetal cardiac activity

19
Q

How to diagnose intrauterine fetal demise

A

Uterus is small
no fetal heart tones or movement on ultrasound

20
Q

How to treat intrauterine fetal demise

A

Induce labor
evacuate the uterus

21
Q

 what are the symptoms of recurrent spontaneous abortion 

A

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

22
Q

How to diagnose reoccurring spontaneous abortion

A

Karyotype of both parents
hypercoagulability of mother
evaluate for uterine abnormality

23
Q

What is the treatment for reoccurrent spontaneous abortion

A

Surgical cerclage procedure
restriction of activities