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OBJECTIVES
1. Termination of pregnancy
before 28/40
2. Delivery of a fetus of
weight less than 500
grams
STATISTICS OF ABORTIONS
1. Induced
2. Threatened
3. Inevitable
4. Incomplete
5. Complete
6. Septic
7. Missed
8. Recurrent
1. INDUCED ABORTION
Intentional medical or surgical
termination of a pregnancy
Types
Elective: if performed for a
womans desires
Signs
Stable general condition
Fundal height corresponds to
GA
Cervix closed
Management of threatened abortion
1. Bed rest
Avoid strenuous exercises
2. If GA > 16/40 give - tocolytics
3. INEVITABLE ABORTION
Symptoms
Moderate to severe vaginal bleeding
Severe abd pain
Significant draining of liquor
Signs
Dilatation of cervix with evidence of
imminent expulsion of the PoC
Fundal height corresponds to GA
Presence of contractions
Management of Inevitable abortion
1. Resuscitation
IV fluids: RL, NS
2. Insert urethral catheter
Monitor Input/output
3. Blood grouping & Cross matching
4. Antibiotics:
Preferably cephalosporins, if not available
ampicilin and metronidazole
5. Evacuation
6. Haematenics
6. RECURRENT PREGNANCY LOSSES
Other names:
habitual abortions
habitual miscarriage
recurrent abortions
recurrent miscarriages.
Aetiology of RPL
Aetiology: Can be established in only 30%
Genetic Factors
Endocrine Factors
Anatomic Causes
Congenital anomalies, in competencies,
Infectious causes
Immunologic problems