Types of abortion:
There are two main groups and seven subgroups in abortions.
Spontaneous abortions: threatened, inevitable, incomplete,
missed, recurrent
Induced abortions: therapeutic, elective.
Legally induced abortion is a relatively safe procedure,
especially when performed during first 2 months of pregnancy.
In it the risk of death is 0.7/100,000 procedures.
This risk doubles with each 2 weeks of delay after 8 weeks
of gestation.
Threatened abortion:
-
When any bloody vaginal discharge or bleeding appears
during the first half of the pregnancy the possibility of threatened abortion
can be presumed.
-
In it bleeding usually begins first followed by
cramping abdominal pain a few hours to several days later.
-
Threatened abortion is commonly seen in one out of four
or five women with vaginal spotting or bleeding in early pregnancy.
-
Half of these women will abort.
-
The unaborted women will have increased risk of
suboptimal pregnancy outcomes such as preterm delivery, low birth weight and
perinatal death.
-
The risk of malformed infant does not increase usually.
Differential diagnosis:
-
Patient should be carefully examined to rule out the
possibility of dilated cervix., which will make the abortion inevitable.
-
To rule out ectopic pregnancy or torsion of unsuspected
ovarian cyst.
Treatment:
-
Bed rest at home.
-
Analgesia to relieve the pain.
-
If bleeding becomes serious and persistent
reexamination and hematological evaluation should be done.
-
If blood loss is more and causing anemia or hypovolemia
etc. evacuation of the pregnancy is indicated generally.
-
Sometimes slight bleeding may persist for weeks. In
that case vaginal sonography, estimation of serial serum quantitative hCG
levels, serum progesterone levels in alone or in various combinations help in
ascertaining a live intrauterine pregnancy.
-
Rh-ve pregnancy with a threatened abortion should
receive anti-D immunoglobulin. Because more than 10% of such women have
significant fetomaternal hemorrhage.
Hello everyone
ReplyDeleteI am Angelica, 36yrs.I was diagnosed with PCOS/insulin resistance, me and my husband have been trying for more than 12years so we went to the obgyn and he put me on metformin 500mg 1x a day progesterone, Clomid 50 mg first month no ovulation 2nd month he upped the dosage on clomid to 100 that didn't make me ovulate either i am not on my last day of progesterone and will be taking clomid 150mg i am also taking dexamethasone and pregnitude to help me ovulate. my next step was the injections and looking into them they are very costly and steel no positive result then i saw on the internet how people uses herbal herbs from Dr James herbal made medicine to get pregnant and cures all kinds of diseases so i gave a try and here 2017 i got pregnant and got a baby girl and i decided to try again and i contacted Dr James again earlier this year and I'm now 5 weeks pregnant thanks DR James.. if you are in my situation and you are suffering from such diseases like dont go and wast your money on drugs and injections Alzheimer’s disease,Bechet’s disease,Crohn’s disease,Parkinson's disease,Schizophrenia,Lung Cancer,Breast Cancer,Colo-Rectal Cancer,Blood Cancer,Prostate Cancer,siva.Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,Desmoplastic small-round-cell tumor Diabetes ,Coeliac disease,Creutzfeldt–Jakob disease,Cerebral Amyloid Angiopathy, Ataxia,Arthritis,Amyotrophic Lateral Sclerosis,Fibromyalgia,Fluoroquinolone Toxicity
Syndrome Fibrodysplasia Ossificans ProgresS sclerosis,Seizures,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Hiv_ Aids,Herpe ,Copd,Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Lung disease.Enlarged prostate,Osteoporosis.Alzheimer's disease,
Dementia.Lupus.
,Cushing’s disease,Heart failure,Multiple Sclerosis,Hypertension,Colo_Rectal Cancer,Lyme Disease,Blood Cancer,Brain Cancer,Breast Cancer,Lung Cancer,Kidney Cancer, HIV, Herpes,Hepatitis B, Liver Inflammatory,Diabetes,Fibroid,(A just reach him ON : drjamesherbalmix@gmail.com And You can call/WhatsApp dr James on +2348152855846