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Binti layinatin

Threatened Abortion


A clinical entity where the process of abortion has
started, but has not progressed to a stage where
recovery is impossible

The clinical Diagnosis of threatened abortion is presumed


when a bloody vaginal discharge appears through a close
cervical os during the first half of pregnancy
NEXT….


Threatened Abortion is the most common
complication in the first half of pregnancy

It’s incidence varies between 20-25%

17% of cases are expected to present complications


later in pregnancy
Etiology

 Embryonic Abnormalities
 Maternal Factors
 Anatomic Factors
 Endocrine Factors
 Infectious Factors
 Immunologic Factors
Clinical Features

The Pregnant patient complains of :

Bleeding per vaginum

Pain
Investigations

Blood

Ultrasonography
Complications

 intrauterine growth retardation

 preterm delivery
Fetuses
 low birthweight

 Perinatal death

 Antepartum Hemorrhage

Maternal  Manual removal of the placenta

 Cesaream delivery
Management

Bed Rest

Paracetamol

Progesterone therapy

Thank You

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