MISCARRIAGE

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MISCARRIAGE

termination of pregnancy up to 22 weeks (life is not possible)

How often does this occur?

10-25% OF ALL REGNANCIES

50% in the first trimester

20% in the second trimester

30% in the third trimester

etiology

Genetic
Anatomical
Endocrine
Immunological
Infectious
Thrombophilic

classification ICD- 10 codes (International Classification of Diseases)

Spontaneous abortion

Failed miscarriage

Threatened abortion
- If the embryo dies, the pregnancy is called non - missed abortion

MISCARRIAGE: classification

– SPORADIC TERMINATION OF PREGNANCY


– HABITUAL MISCARRIAGE – miscarriage - 2-3 or more losses in a row

MISCARRIAGE: classification by time

EARLY (UP TO 12 WEEKS)


EARLY (UP TO 12 WEEKS)

LATE (13-22 WEEKS)

Spontaneous abortion (diagnosis of abortion stages)

THREATENED abortion

Begun spontaneous abortion

ABORTION IN PROGRESS

AN ACCOMPLISHED ABORTION (свершившийся аборт)


- COMPLETE (полный)
- INCOMPLETE (неполный)

Treatment depends on the stage of abortion!

1-For threatened or initiated abortion: progesterone per os or vaginally

2- When isthmicocervical failure (ICN - neck less than 3 cm) - cercles (the seam on the
cervix)

3-When an abortion in progress or incomplete abortion and an undeveloped pregnancy - we


save the mother!

4- High risk of bleeding, hemorrhagic shock, sepsis

5-It is important to empty the uterus quickly! (medical or instrumental abortion)

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