Thursday, 3 January 2019

Case of threatened abortion , part 2

The ultrasound has given an indication that the pregnancy may not be continued with the findings that the gestational sac is irregular and it is moved to the lower body of the uterus and the Heartbeat was also decreasing.
Even after taking all the medical measures the patient aborted within 1 hour after taking the ultrasound.
The possible causes of abortion here are:
Mild elevation of TSH was noted compared with first trimester pregnancy.
Not maintaining abstinence.

So, once process of abortion is started, sometimes we can not save even after taking all precautions.
The measures that can help to some extent are:
Undergoing all necessary investigations in the first visit itself and taking necessary treatment.
Staring Folic acid supplements at least one month before the pregnancy.
If spotting noted, taking beta hcg and progesterone supplementation.
Strict abstinence and being in rest.
In case of vaginal infection, swab for culture and sensitivity and treating accordingly may help.

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