hemoregic complication of pregnancy

8/7/2019 HEMOREGIC COMPLICATION OF PREGNANCY

1/16


2/16

ABORTION IS TERMINATION OF

PREGNANCY BEFORE 20TH WEEKS OF

PREGNANCY. OR DELIVARY OF FETUS WEIGHING LESS

THAN 500g.


3/16

SPONTANIOUS ABORTION (miscarriage).

Generally occurs 1to3 weeks after death of

the embryo.

CLINICAL PICTURE

*bleeding due to separation of the

fertilized ovum from uterine attachmentpersist for weeks.

*uterine cramps.


4/16

CAUSES OF SPONTANEOUS ABORTION

*inherent defect in the products of

conception (abnormal embryo, ortrophoblast, or both)

*severe acute infections (pneumonia,

pyelitis, and typhoid fever)*endocrine disorders


5/16

Induced abortion

Is artificially induced for therapeutic or

other reasons.


6/16

1-Threatened abortion

Vaginal bleeding or spotting with or

without cramps. Closed cervix

2-invitable abortion

Bleeding is moderate to copious

Uterine cramping (moderate to severe)

Membrane may or may not ruptured

The cervical canal dilating


7/16

3-incomplete abortion

Part of products has been passed, but

placenta is remained in the uterus

Heavy bleeding

Uterine cramping is severe

Cervix is open with tissue present


8/16


9/16

Regression in uterine growth and breastchanges are present

Malaise, headache, and anorexia Hypofibrinogenemia may result

Fundal height fails to increase or fetalheart tones are absent (discover)

6-recurrent abortion

Spontaneous abortion in successivepregnancy (three or more)


10/16

7-Illegal abortion (termination of

pregnancy by no physician abortionists)

The method may involve ingestion of drugs

(quinine, castor oil, or placement of foreignbody) which can lead to severe

infection, often with shock and renalfailure, may result.


11/16

Ultra sound can be used to differentiate

between a live fetus and a pregnancy

that will end in spontaneous abortion.


12/16

Depending on the symptoms and the

description of the bleeding a woman

gives, the physician or nurse-midwife

will decide whether she needs to be seen

and, if so, seen in an ambulatory setting

or the hospital.


13/16

Bed rest and sexual abstinence.

Sedatives are ordered to promote

relaxation. In copious bleeding with cramps

hospitalization should be recommended.

IV therapy for fluid replacement or bloodtransfusion as necessary.


14/16

In incomplete, or missed abortion the aid

is to empting the uterus; because of

danger of maternal hemorrhage. Oxytocin may administered.

If its not effective surgical management

(ovum forceps, dilatation and curtageD&C, OR vacuum extraction.


15/16


16/16

hemoregic complication of pregnancy

Documents