Friday, March 7, 2008

Spontaneous abortion clinical types

By spontaneous abortion at different stages of development, is divided into the following clinical types. 1. Threatened abortion (threatened-abortion) means before 28 weeks of pregnancy. first when a small number of vaginal bleeding, often dark red or bloody Leucorrhea were discharged without pregnancy, Under the one paroxysmal abdominal pain or low back pain. Cervical I gynecological examination before the opening of the membrane has not been broken, uterine size and stopped by a few weeks in line. After rest and treatment, symptoms may continue to pregnancy; If vaginal bleeding or an increase in the volume of lower abdominal pain exacerbated, as inevitable abortion. 2. Inevitable abortion (inevitable abortion) means inevitable abortion. In threatened abortion on the basis of the volume increase in vaginal bleeding under paroxysmal abdominal pain exacerbated, or vaginal fluid (fetal membrane rupture). Gynecological examinations I have cervix dilated, sometimes visible embryo or fetal sac cervical plug in the mouth. Uterine size and stopped by a few weeks in line or slightly smaller. 3. Incomplete abortion (incomplete abortion) inevitable abortion continue to develop, Part of pregnancy were excreted that some residues in intrauterine or cervical incarcerated in the mouth, the impact of uterine contraction and lead to massive bleeding and even hemorrhagic shock. Gynecological examinations see cervix has dilated mouth, I have cervical pregnancy and continuing blockage of blood outflow, the uterus is less than stopped by a few weeks. 4. Complete abortion (complete abortion) means all pregnancy material has been ingested, gradually cease vaginal bleeding, abdominal pain gradually disappeared. Gynecological examinations mouth closed cervix, uterus near normal size. In addition, abortion three special circumstances. 1. Missed abortion (missCd abortion) means embryos or fetal death has not yet stranded intrauterine natural discharges persons. Embryos or fetal death after hysterectomy increases but not narrow, early reaction disappeared. If any of the medium-term pregnancy, maternal abdominal not increased, the FM disappear. I gynecological examination before the opening of cervical, uterine than a few weeks menopausal small, soft texture not, and did not hear a fetal heart rate. 2. Habitual abortion (habitual abortion) consecutive spontaneous abortion three times or more as customary Abortion. In recent years, international common recurrent abortion (rccurrent abortion) to replace the habitual abortion, 2nd row instead of spontaneous abortion. Every time abortion occurred in the same month of pregnancy, their clinical course and the same general abortion. Early abortion common cause of embryonic chromosomal abnormalities, abnormal immune factors, luteal insufficiency, hypothyroidism. Late abortion for the common cause of uterine malformation or dysplasia, cervical relaxation within the mouth, such as uterine fibroids. I cervix were lax in pregnancy, often in the second trimester, fetal growth, amniotic fluid increased, intrauterine pressure. the pregnancy within the white population prominent cervix, cervical progressively shorter expansion. Patients have no symptoms, once the fetal membranes rupture, fetal rapid discharge. 3. Abortion infection (scptic abortion) abortion process, if vaginal bleeding long time, Organized residues in the uterine cavity or illegal abortion, which may lead to uterine infection, serious infection can be expanded to pelvic, Intraperitoneal even then, with pelvic inflammatory disease, peritonitis, sepsis and septic shock, and so on abortion infection.

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