Abortion
Upcoming SlideShare
Loading in...5
×
 

Abortion

on

  • 297 views

Abortion

Abortion

Statistics

Views

Total Views
297
Views on SlideShare
296
Embed Views
1

Actions

Likes
0
Downloads
18
Comments
0

1 Embed 1

http://www.leadlms.com.sg 1

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Abortion Abortion Presentation Transcript

  • ABORTION
  • Abortion  Induced    Therapeutic Criminal Elective
  • Abortion  Spontaneous    20 -25% of pregnancies terminate spontaneously Usually due to embryo abnormalities May also result from infection, unfavorable intrauterine environment, cervical incompetence
  • Abortion  Spontaneous     Threatened Inevitable Complete Incomplete
  • Abortion  Threatened  Vaginal bleeding, mild or absent contractions, closed cervix    20% of women bleed in early pregnancy 50% go on to abort Any bleeding in early pregnancy is dangerous and abnormal
  • Abortion  Inevitable      Vaginal bleeding Moderately severe contractions Possible amniotic sac rupture Cervix effacement and dilation Changes are irreversible
  • Abortion  Completed  Products of conception expelled     fetus placenta decidual lining Signs, symptoms     Profuse vaginal bleeding Passage of tissue, clots Continuing mild contractions Possible hypotension
  • Abortion  Incomplete   Products of conception retained Signs, symptoms      Profuse bleeding Passage of tissue/clots Severe contractions Hypotension, shock Sepsis
  • Abortion  Missed   Fetus dies in utero before 20th week Retained at least 2 months afterwards
  • Abortion  Missed  Signs/Symptoms    Continued amenorrhea History of bleeding without cramping Decrease in uterine size  Resorption of fluid  Calcification of products of conception
  • Abortion  History    Confirmed or suspected pregnancy Abdominal pain, cramping Bleeding, passage of tissue
  • Abortion  Physical Exam   Orthostatic vital signs (tilt test) Examine for amount of vaginal bleeding, presence of tissue
  • Abortion  Management       High concentration oxygen IV or IV’s with LR MAST if indicated Do NOT pack vagina Save any tissue passed Transport