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ABORTION Screenshot_20201004_113331 - Coggle Diagram
ABORTION 
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PATHOPHYSIOLOGY
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• causing inadequate development of the placenta circulation,
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DIAGNOSTIC TESTS
• Pregnancy test
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TYPES
• Threatened abortion
embryo is already viable, products of conception still intact, cervix closed but there is vaginal bleeding.
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• Complete abortion:
all products of conception are expelled and the embryo is dead. Cervix dilated, mild bleeding.
• Incomplete abortion:
embryo is dead, some products of conception still intact, cervix dilated, severe bleeding.
• Missed abortion:
embryo is dead inside the uterus, products of conception still intact and cervix closed, brown vaginal discharges
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PHARMACOLOGY THERAPY
• Mifepristone: taken orally, drug counters progesterone effect, most effective if taken with cytotec 24/48hrs later
• Misoprostol (cytotec): used in conjunction with mifepristone to induce medical abortion by contractions
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DIET
• iron rich foods
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• avoid: fatty milk, meats, low-fibre starches, sweets and junk
MANAGEMENT
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SURGICAL
• Menstrual aspiration:
manual vacuum aspiration using a small flexible tube and a handheld syringe to suction. 1-3 weeks after missed menstrual period
• Suction abortion:
done up to 14 weeks after 1st day of last menstrual period,1 dose of antibiotics of doxycycline prior.
Cervix id dilated and a rigid hollow tube inserted, an electric pump sucks out contents of the uterus.
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• Abdominal hysterectomy: removal of foetus through an abdominal incision, anaesthesia is used.