Exam 3 Abortion Flashcards Preview

Q4 Women's Health > Exam 3 Abortion > Flashcards

Flashcards in Exam 3 Abortion Deck (19):
1

Abortion is?

Loss < 20 wks or fetus weight <500gm

2

Spontaneous Abortion most C when?

Most C cause 1st tri?

Most C cause 2nd tri?

First 12 wks

Chromo abn, U trisomes

Mom's dz or anatomy
Abn placenta

3

Threatened Abortion is?

W/U? (2)

Any bleed in early preg w/ closed cervix

Serial QhCG
TVUS/Pelvic US

4

Inevitable Abortion is?

Bleed/Ruptured membrane + cervical dilation

5

Incomplete Abortion is?

Results in?

Tx?

Expulsion of some products of conception (POC)

Bleed/pain

P D&C
U takes care of self

6

Complete Abortion is?

DOCUMENTED preg w/ spontaneous expulsion of ALL POC

7

Missed Abortion is?

If retention > 6 wks, risk of what?

Presentation? (2)

Tx?

Retention of failed preg for extended period
U > 2 cycles

DIC

Absence of uterine growth
Loss of early preg sxs

1st tri: suction curettage
2nd tri: Dilation/Evacuation, PG suppositories

8

Septic Abortion is?

Presentation? (3)

Tx? (2)

Fetal death + intrauterine infect

Sepsis/Shock
Hemorr
Renal fail

Evacuation + ABX

9

Recurrent Abortion is?

Caused by? (4)

> 2 consecutive

Chromo
Abn uterus
Endocrine (DM)
Thrombophilia

10

Spontaneous Abort (SAB) risk factors? (6)

Old mom (most C)
Prior SAB
Extreme weights
Smoking
Abn uterus
Thrombophilias

11

SAB maternal infection C pathogens? (5)

Listeria (from meat)
Toxoplasmosis (cat litter)
HSV
CMV
Chlamydia

12

SAB maternal endocrine factors? (4)

Luteal insuff (inadequate progesterone)
Untreated thyroid
Untreated DM
SLE

13

SAB maternal environmental factors? (4)

Toxins
High radiation
EtOH/Drugs
Smoking

14

SAB maternal uterine factors? (4)

Leiomyoma
Anatomy
Acherman's (scars/adhes from inf, D&C)
Incompetent cervix

15

Medical Abortion methods: Pharmaceutical? (3)

Mifepristone (RU 486):
Blocks progest receptors
Used unto 49 days

Misostoprol:
Causes uterine contrations

Methotrexate:
Folic acid block

16

Medical Abortion methods: Surgical? (3)

Suction Curett:
b/w 6-13 wks
Most C method
Req cervical dilation

D&E:
Transcervical dilation w/ evac
b/w 14-24 wks

17

Complications of surgical elective abortions? (5)

Infection
Perf/laceration
Hemorr
Incomplete
Ectopic risk

18

Postabortal Synd is?

Presentation? (4)

Uterine atony

Crampy pain
Bleed
Open cervix
Large, soft uterus

19

Postabortal Synd tx? (3)

Oxytocic med
ABX
Repeat D&C