Scribd Logo
Upload

Welcome to Scribd!

  • Abortion and Miscarriage Both Refer To First Trimester Pregnancy Losses ( 500g or 20 Wks EGA Limits of Viability)

    Uploaded by

    HaSan Z. Mustafa
    8 views1 page
    1) Miscarriage, also known as spontaneous abortion, refers to pregnancy losses that occur in the first trimester and is the most common complication of pregnancy, with an incidence of 15%. Risk increases with maternal age. 2) Chromosomal abnormalities in the embryo are responsible for 60% of first trimester miscarriages, with trisomies being the most common cause. Other potential causes include endocrine issues, anatomical abnormalities, infections, and systemic diseases. 3) There are differences between threatened, inevitable, incomplete, and missed abortions. Threatened abortions involve bleeding but a closed cervix, while inevitable and incomplete abortions involve cervical dilation and passage of fetal tissue. Missed abortions occur when

    Original Description:

    Original Title

    Abortion

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    1) Miscarriage, also known as spontaneous abortion, refers to pregnancy losses that occur in the first trimester and is the most common complication of pregnancy, with an incidence of 15%. Risk increases with maternal age. 2) Chromosomal abnormalities in the embryo are responsible for 60% of first trimester miscarriages, with trisomies being the most common cause. Other potential causes include endocrine issues, anatomical abnormalities, infections, and systemic diseases. 3) There are differences between threatened, inevitable, incomplete, and missed abortions. Threatened abortions involve bleeding but a closed cervix, while inevitable and incomplete abortions involve cervical dilation and passage of fetal tissue. Missed abortions occur when

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    8 views1 page

    Abortion and Miscarriage Both Refer To First Trimester Pregnancy Losses ( 500g or 20 Wks EGA Limits of Viability)

    Uploaded by

    HaSan Z. Mustafa
    1) Miscarriage, also known as spontaneous abortion, refers to pregnancy losses that occur in the first trimester and is the most common complication of pregnancy, with an incidence of 15%. Risk increases with maternal age. 2) Chromosomal abnormalities in the embryo are responsible for 60% of first trimester miscarriages, with trisomies being the most common cause. Other potential causes include endocrine issues, anatomical abnormalities, infections, and systemic diseases. 3) There are differences between threatened, inevitable, incomplete, and missed abortions. Threatened abortions involve bleeding but a closed cervix, while inevitable and incomplete abortions involve cervical dilation and passage of fetal tissue. Missed abortions occur when

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Definition of "abortion" and "viability" Abortion and miscarriage both refer to first trimester pregnancy losses (<500g or 20 wks

    EGA = limits of viability) II. Incidence and possible etiologies of "spontaneous abortion" A. Miscarriage is the most common complication of pregnancy, 15% incidence among clinically recognized pregnancies, prevalence inc. with maternal age (12% < 20 YO, 50% >45 YO) B. Embryonic factors: abnormal germ cells, defective implantation of normal trophoblast, injury to developing embry C. Chromosomal abnormalities: 60% of first trimester losses, dec. to 7% @ 24 weeks (autosomal trisomies 16/21/22 > monsomy X > triploidy > tetraploidy > translocations > mosaics) and parental factors (balanced translocations) D. Endocrine:luteal phase defect (no pregesterone secretion by corpus luteum or deficiency of progesterone receptors in endometrium. Hypothyroidism E. Anatomical abnormalities of uterus: cervical incompetence, uterine structural/formation defects F. Infectous dz: rubella, herpes, CMV, toxo G. Systemic dz; nutritional deficiency, DM, SLE (40% SAB rate) III. Difference between: A. Threatened abortion: Cervix closed and uneffaced, first trimester bleeding in 25% of pregnancies. No convincing evidence that treatments influence outcome, be sympathetic. Bedrest, progesterone, no sex, evacuation of uterus if bleeding excessive/persistent, cerclage B. Inevitable abortion: bleeding or SROM with pain and cervical dilation, it's inevitable; deliver or D&C C. Incomplete abortion: partial passage of products of conception (POC), evacuate uterus to prevent further hemorrhage or infection, follow with methergine/pitocin, always check pathology (mole) D. Missed abortion: expulsion does not occur for prolonged period after fetal death (>6wks). Suction curretage in first trimester, D&E in second trimester (laminaria pre-op) or prostaglandin E2. IV. Appropriate plan of management for each clinical situation V. Definition of "induced abortion" A. Caused by iatrogenic intervention VI. Definition of "habitual abortion" A. Recurrent spontaneous abortion (RSA): three or more consecutive first-trimester losses. Check for uterine abnormalities and rare Ab (lupus anticoagulant, anticardiolipin Ab)

    You might also like