Flashcards in Exam 3 Abortion Deck (19):
Loss < 20 wks or fetus weight <500gm
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
Threatened Abortion is?
Any bleed in early preg w/ closed cervix
Inevitable Abortion is?
Bleed/Ruptured membrane + cervical dilation
Incomplete Abortion is?
Expulsion of some products of conception (POC)
U takes care of self
Complete Abortion is?
DOCUMENTED preg w/ spontaneous expulsion of ALL POC
Missed Abortion is?
If retention > 6 wks, risk of what?
Retention of failed preg for extended period
U > 2 cycles
Absence of uterine growth
Loss of early preg sxs
1st tri: suction curettage
2nd tri: Dilation/Evacuation, PG suppositories
Septic Abortion is?
Fetal death + intrauterine infect
Evacuation + ABX
Recurrent Abortion is?
Caused by? (4)
> 2 consecutive
Spontaneous Abort (SAB) risk factors? (6)
Old mom (most C)
SAB maternal infection C pathogens? (5)
Listeria (from meat)
Toxoplasmosis (cat litter)
SAB maternal endocrine factors? (4)
Luteal insuff (inadequate progesterone)
SAB maternal environmental factors? (4)
SAB maternal uterine factors? (4)
Acherman's (scars/adhes from inf, D&C)
Medical Abortion methods: Pharmaceutical? (3)
Mifepristone (RU 486):
Blocks progest receptors
Used unto 49 days
Causes uterine contrations
Folic acid block
Medical Abortion methods: Surgical? (3)
b/w 6-13 wks
Most C method
Req cervical dilation
Transcervical dilation w/ evac
b/w 14-24 wks
Complications of surgical elective abortions? (5)
Postabortal Synd is?
Large, soft uterus