Spontaneous abortion: Difference between revisions
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== Background == |
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===Epidemiology=== |
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== Management == |
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==Management== |
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*Management depends on etiology |
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** Incomplete, inevitable, and missed abortion |
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*** If unstable: surgical evacuation |
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** Septic abortion |
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=== Incomplete, Inevitable, and Missed Abortion === |
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*If unstable: surgical evacuation |
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=== Septic Abortion === |
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*Surgical evacuation |
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[[Category:Obstetrical medicine]] |
[[Category:Obstetrical medicine]] |
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Latest revision as of 14:38, 2 August 2020
Background
Epidemiology
- Occurs in 15% of pregnancies
Differential Diagnosis
- Threatened abortion
- Incomplete abortion
- Inevitable abortion
- Ongoing bleeding, dilated cervix, products of conception being expelled
- Missed abortion
- Septic abortion
Management
- Management depends on etiology
Threatened Abortion
- Expectant management until symptoms resolve or abortion progresses
Incomplete, Inevitable, and Missed Abortion
- If unstable: surgical evacuation
- If stable: expectant management, prostaglandins, +/- surgical evacuation (suction curettage)
Septic Abortion
- Blood cultures
- Endometrial cultures
- Broad-spectrum antibiotics
- Surgical evacuation
