abortion.pptx............................

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MuhammadKhalil858111

Maternity Nursing

Health & Medicine

Duhok Polytechnic University
Department of Nursing
3rd stage/1st Semester
Maternal and neonatal health
Presented By:
Banaz Yaseen
Rozheen Abduljabar
Zahra Abdulaziz
Supervisor:
Dr Robar Anwar
Majeed
Ph.D in Maternity Nursing

Introduction
Classification
Cause
Manifestation
Diagnosis
Complication
Management
Prevention Banaz Rozheen Zahra

Itisdefinedasthe
terminationofapregnancy
byremovalorexpulsionofan
embryoorfetus.Any
interruptionofpregnancy
before24thweekof
gestationorthedeliveryofa
fetus
Banaz Rozheen Zahra

spontaneous
induced
spontaneous
1.Threatened
2.Inevitable
3.Complete
4.Incomplete
5.Missed
6.recurrent
1.therapeutic
2.Elective
Banaz Rozheen Zahra

a vaginal bleeding during pregnancy that does
not meet diagnostic criteria for spontaneous
abortion.
Threatened
viable or not that can not proceed onward
and is destined to miscarry.
inevitable
Banaz Rozheen Zahra

is defined by clinical
presence of an opened
cervical os and bleeding.
Incomplete
all products of conception
have been passed without
the need for surgical or
medical intervention.
Complete
is an in utero death of
embryo or fetus with
retained conception
products.
Missed
Banaz Rozheen Zahra

Banaz Rozheen Zahra
1.Ovo-fetal
factors
Congenital
malformations.
Chromosomal
abnormalities

2. Maternal factors
Banaz Rozheen Zahra
Trauma Toxins
Viral infection

3. Cervico-uterine factors
Cervical
incompe-
tence
Retroverted
uterus
Sperm defects
Immunological
defect Poor maternal
nutrition
Blood
incompatibility.
Drug abuse
Banaz Rozheen Zahra

Banaz Rozheen Zahra
Uterine cramps
Bleeding discharge
Backache
Low abdominal pain
Brownish vaginal discharge
Colicky pain
Hypothermia
Closed external OS.

Banaz Rozheen Zahra
Pelvic examination Blood test Chromosomal test:

Haemorrhage
septic shock
Peritonitis
Deep vein thrombosis
Death
Banaz Rozheen Zahra

Monitor vital signs
Bed rest
light diet
Antibiotic therapy
Fluid replacement and blood
transfusion
Banaz Rozheen Zahra

Avoid all substances during pregnancy
including cigarettes, alcohol, medicines
and caffeine .
Control high blood pressure.
Reduce risk of trauma.
Prevent folic acid and vitamin D
deficiency .
Blood coagulation .
Banaz Rozheen Zahra

Banaz Rozheen Zahra
https://abortion.ca.gov/index.html
https://medicine.missouri.edu/centers-
institutes-labs/health-ethics/faq/abortion
ꕤ𝕷𝖎𝖋𝖊 𝖉𝖔𝖊𝖘𝖓'𝖙 𝖈𝖔𝖒𝖊 𝖜𝖎𝖙𝖍 𝖆 𝖒𝖆𝖓𝖚𝖆𝖑; 𝖎𝖙 𝖈𝖔𝖒𝖊𝖘 𝖜𝖎𝖙𝖍 𝖆 𝖒𝖔𝖙𝖍𝖊𝖗ꕤ

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The students will be able to *define abortion *Identify the difference between various types of abortion *Perform medical induction for abortion *Describe various surgical techniques used for abortion *Detect the consequences that occur by abortion and provide appropriate care Abortion or pregnancy loss is accounts to spontaneous events or through legal termination. The first large scale study on abortions and unintended pregnancies conducted by The Lancet in 2017 said one in three of the 48.1 million pregnancies in India end in an abortion with 15.6 million taking place in 2015. *Definition *Types of abortion- Spontaneous, Induced, Complete abortion, Incomplete abortion, Missed abortion, Recurrent abortion, Induced abortion *Risk factors, *etiology, mechanism, * clinical manifestations of each type *Management – medical & surgical Nursing management Abortion is the expulsion or extraction from its mother of an embryo or fetus weighing 500 gm or less when it is not capable of independent survival -WHO The 500gm of fetal development is attained approximately at 22 weeks(154 days of gestation). The expelled embryo or fetus is called abortus Abortion is the cause for bleeding in early pregnancy. Abortion occurring without medical or mechanical means to empty the uterus is referred to as spontaneous. Another widely used term is miscarriage. 10-20% of cases of all clinical pregnancies end in miscarriage. About 75%miscarriages –before 16th week About 80% occur –before 12th week of pregnancy. Increases with parity Increased maternal and paternal age The frequency of abortion increases from 12% in women younger than 20 years to 26% in those older than 40 years Women conceiving within 3 months following a term birth, have a higher incidence of abortion Anembryonic Gestational sac - Positive HCG test as placenta secretes HCG and stops later Presents in first few weeks of pregnancy Removal through medical or surgical induction Uncommon causes of abortion in human Listeria monocytogenes Clamydia trachomatis Mycoplasma hominis Ureaplasma urealyticum Toxoplasma gondii Diabetes mellitus Celiac sprue Cause both male and female infertility and recurrent abortions ENDOCRINE ABNORMALITIES Hypothyroidism Thyroid autoantibodies → incidence of abortion is high Diabetes mellitus Poor glucose control → incidence of abortion increased Progesterone deficiency Luteal phase defect Insufficient progesterone secretion by the corpus luteum or placenta DRUG USE AND ENVIRONMENTAL FACTORS Recurrent pregnancy loss patients : 15% Antiphospholipid antibody : most significant LCA (lupus anticoagulant), ACA (anticardiolipin Ab) ALLOIMMUNE FACTORS - Inherited thrombophilia Uterine synechiae (Asherman syndrome) Partial or complete obliteration of the uterine cavity by adherence of uterine wall The retention power of the cervix(Internal os) may be impaired functionally and or anatomically in an incompetent cervix Etiology Previous trauma during pregnancy

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