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Repro Exam 1 > Early Pregnancy Loss and IFD > Flashcards

Early Pregnancy Loss and IFD Flashcards

1
Q

What is the definition of an abortion?

A

Unexpected, unplanned, spontaneous loss of a pregnancy before the fetus is ready to survive outside the uterus. Must occur within 20weeks gestation.

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2
Q

What is an unexpected loss of pregnancy called if it occurs after 20 weeks but before 37 weeks gestation?

A

Preterm Birth

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3
Q

What is an Intrauterine Fetal Demise (IFD)?

A

Fetal Death after 20 weeks gestation but before the onset of labor.

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4
Q

What is a threatened abortion?

A

Vaginal bleeding before the 20th week and cervical os is closed.

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5
Q

What is an inevitable abortion?

A

Vaginal bleeding before the 20th week and cervical os is open.

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6
Q

What is an incomplete abortion?

A

Vaginal bleeding before the 20th week, cervical os open, passage of some products of conception.

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7
Q

What is a complete abortion?

A

Vaginal bleeding before the 20th week, cervical os open, passage of all the products of conception.

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8
Q

What is a missed abortion?

A

Fetus has died within the uterus with no bleeding and no symptoms within the first 20 weeks gestation.

(Exact same thing is called an IFD if it occurs after 20 weeks)

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9
Q

What is a Therapeutic or Elective Abortion?

A

Elective termination of a pregnancy.

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10
Q

What is a septic abortion?

A

Any spontaneous or therapeutic abortion with an intrauterine infection.

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11
Q

What is a reccurent abortion?

A

Three Successive Abortions

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12
Q

Most common cause of spontaneous abortion.

A

Genetic Abnormality of the conceptus (denotes the embryo and its adnexa)

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13
Q

3 most common systemic disorders that cause spontaneous abortion.

A

Diabetes
Hypothyroidism
SLE

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14
Q

What is Asherman Syndrome?

A

Endometrial adhesions preventing the growth of the fetus. Can be caused by previous D&C or scarring.

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15
Q

What is the management strategy for a threatened abortion?

A

Ultrasound, rest, reassurance

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16
Q

What is the management strategy for an inevitable abortion?

A

hospital admission, analgesia, maybe D&C, PGs, cytotec (misoprotol or PG E1)

17
Q

What is the management strategy for an incomplete abortion?

A

hospital admission, analgesia, definite D&C, PGs, cytotec

18
Q

What is the management strategy for a missed abortion.

A

D&C, cytotec, PGs, Laminaria (pellet that absorbs fluid)

19
Q

What is the management strategy for a complete abortion?

A

Supportive

20
Q

What is the management strategy for a septic abortion?

A

IV antibiotics and evacuation

21
Q

What is the management strategy for a recurrent abortion?

A

Cultures, labs for Abs, chromosomal studies

22
Q

How is IFD diagnosed?

A

Ultrasound: confirms lack of movement and absence of fetal heart tones

23
Q

What is Spalding Sign?

A

Overlapping of fetal skull bones on X-ray due to liquefaction of the fetal brain

Repro Exam 1 (18 decks)

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