Spontaneous abortion: Difference between revisions
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+ | == Background == |
| + | ===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 10:38, 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
