ABORTION

Nursing Care Plan

DefinitionAbortion is the termination of a pregnancy before the fetus reaches the viable age of more than 20 to 24 weeks of gestation or weighs more than 500 grams.

Pathophysiology

Signs and Symptoms

• Abnormal embryonic development, caused by a chromosomal aberration or a teratogenic factor, is the most prevalent cause of abortion

• Another common reason is aberrant zygote implantation, which occurs when endometrial development is inadequate or the zygote is implanted in an incorrect location.

• This would result in a lack of placental circulation development, resulting in insufficient fetal nourishment and, finally, an abortion.

• Vaginal spotting

• Vaginal bleeding

• Cramping/sharp/dull pain in the symphysis pubis.

• Uterine contractions felt by the mother

Types

• Threatened abortion

• Inevitable/Imminent abortion

• Complete abortion

• Incomplete abortion

• Missed abortion

• Recurrent/Habitual abortion

Nursing Interventions

• If the woman is bleeding profusely, lie her flat in bed on her side and use an external monitor to track uterine contractions and fetal heart rate.

• Measure the woman's intake and output to determine her renal function, as well as her vital signs to determine her maternal response to blood loss.

• Save and weigh the used pads to determine the amount of blood loss in the mother.

• Keep any tissue detected in the pads because it could be a part of the conception products.

• The blood pressure of the individual must remain above 100/60 mmHg.

• The fetal heart rate should be 120-160 beats per minute and the pulse rate should be less than 100 beats per minute.