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.
Reference
https://nurseslabs.com/abortion/