ºÝºÝߣ

ºÝºÝߣShare a Scribd company logo

Abortion.pptx

?Download as PPTX, PDF?
?
Y
YaseenNor

Abortion is the termination of a pregnancy before 24 weeks. It can be spontaneous (natural) or induced (elective/therapeutic with intervention). There are several types of miscarriage: threatened (50% chance of miscarriage, mild bleeding and pain), inevitable (cannot be halted, moderate to severe bleeding and pain), complete (all pregnancy tissue expelled), incomplete (some tissue remains, requires medical management), missed (no signs until diagnosed, dark brown bleeding without pain), septic (accompanied by infection), and habitual (3 or more consecutive miscarriages). A missed miscarriage would present with dark brown vaginal discharge and a negative pregnancy test.

1 of 17
Download to read offline
*ABORTION* (miscarriage)
Facebook: Nursing Notes - Simplified Twitter: @NNotesSimplifi_ Discord: https://discord.gg/U7bcKqxTEX *Insert NNS logo here* Support Us
Abortion is the termination of a pregnancy by removal or expulsion of an embryo or fetus before the age of viability (16-24 weeks). Spontaneous ¨C without intervention, natural. Induced (elective/therapeutic) ¨C with intervention
*TYPES* ? Threatened ? Inevitable ? Complete ? Incomplete ? Missed ? Septic ? Habitual
REMEMBER: Cervix, pain & bleeding.
*Threatened* ? 50/50 ? Cervix: closed ? Bleeding: spotting ? Pain: mild ? Teaching: no coitus (2 weeks), no strenuous activity, ? Meds: Tocolytics (if +contractions).
*Inevitable* ? Aka imminent abortion ? Cervix open, can¡¯t be halted ? Bleeding: moderate to severe ? Abdominal pain: moderate to severe ? Assess for bleeding: number of pads (saturating more than one pad per hour is abnormally heavy bleeding).
*Complete* ? All POC ? Cervix: dilated
*Incomplete* ? Early pregnancy failure ? Some POC, moderate to heavy bleeding (due to..) ? Mgt: oxytocin, D&C
*Missed* ? Early pregnancy failure ? No signs of pregnancy (n/v) & miscarriage until the doctor diagnosed it. ? Bleeding: +/-, dark brown, ? (-)pain, ? No FHT
*Habitual* ? Aka recurrent abortion ? 3 or more consecutive pregnancies.
*Septic* ? Sepsis means ¡°infection¡± ? (+) infection ? Risk in self-aborted cases
*Miscarriage * ASSESSMENT THREATENED IMMINENT MISSED INCOMPLETE COMPLETE Cervix os Closed Open --- Open Closed Bleeding Mild Moderate to Heavy Present/Absent Dark brown Moderate to heavy Absent/mild Pain Mild Moderate to severe Absent Present Present Others: No FHT
*Miscarriage * THREATENED IMMINENT MISSED INCOMPLETE COMPLETE Cause Unknown (possibly chromosomal or uterine abnormalities). Unknown Unknown Unknown (possibly chromosomal or uterine abnormalities). Unknown (possibly chromosomal or uterine abnormalities). Caution No tampons. Moderate to Heavy Present/Absent Dark brown Moderate to heavy Absent/mild Management Bed rest. No strenuous activity. No coitus (2 weeks). D&C, assess/monitor bleeding Misoprostol (Cytotec), D&C, assess/monitor bleeding D&C, assess/monitor bleeding. Assess for bleeding.
*Shock* BLOOD LOSS Dec. intravascular volume Increased HR Vasoconstriction Increased RR Cold, clammy skin, BP decreased. Hypoperfusion: renal, uterine and brain. Hypoperfusion: renal, uterine and brain. RENAL FAILURE. Maternal and Fetal Death
*Question* In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy tests? A) Threatened B) Imminent C) Missed D) Incomplete
Thank You!

More Related Content

Abortion.pptx

  • 2. Facebook: Nursing Notes - Simplified Twitter: @NNotesSimplifi_ Discord: https://discord.gg/U7bcKqxTEX *Insert NNS logo here* Support Us
  • 3. Abortion is the termination of a pregnancy by removal or expulsion of an embryo or fetus before the age of viability (16-24 weeks). Spontaneous ¨C without intervention, natural. Induced (elective/therapeutic) ¨C with intervention
  • 4. *TYPES* ? Threatened ? Inevitable ? Complete ? Incomplete ? Missed ? Septic ? Habitual
  • 6. *Threatened* ? 50/50 ? Cervix: closed ? Bleeding: spotting ? Pain: mild ? Teaching: no coitus (2 weeks), no strenuous activity, ? Meds: Tocolytics (if +contractions).
  • 7. *Inevitable* ? Aka imminent abortion ? Cervix open, can¡¯t be halted ? Bleeding: moderate to severe ? Abdominal pain: moderate to severe ? Assess for bleeding: number of pads (saturating more than one pad per hour is abnormally heavy bleeding).
  • 8. *Complete* ? All POC ? Cervix: dilated
  • 9. *Incomplete* ? Early pregnancy failure ? Some POC, moderate to heavy bleeding (due to..) ? Mgt: oxytocin, D&C
  • 10. *Missed* ? Early pregnancy failure ? No signs of pregnancy (n/v) & miscarriage until the doctor diagnosed it. ? Bleeding: +/-, dark brown, ? (-)pain, ? No FHT
  • 11. *Habitual* ? Aka recurrent abortion ? 3 or more consecutive pregnancies.
  • 12. *Septic* ? Sepsis means ¡°infection¡± ? (+) infection ? Risk in self-aborted cases
  • 13. *Miscarriage * ASSESSMENT THREATENED IMMINENT MISSED INCOMPLETE COMPLETE Cervix os Closed Open --- Open Closed Bleeding Mild Moderate to Heavy Present/Absent Dark brown Moderate to heavy Absent/mild Pain Mild Moderate to severe Absent Present Present Others: No FHT
  • 14. *Miscarriage * THREATENED IMMINENT MISSED INCOMPLETE COMPLETE Cause Unknown (possibly chromosomal or uterine abnormalities). Unknown Unknown Unknown (possibly chromosomal or uterine abnormalities). Unknown (possibly chromosomal or uterine abnormalities). Caution No tampons. Moderate to Heavy Present/Absent Dark brown Moderate to heavy Absent/mild Management Bed rest. No strenuous activity. No coitus (2 weeks). D&C, assess/monitor bleeding Misoprostol (Cytotec), D&C, assess/monitor bleeding D&C, assess/monitor bleeding. Assess for bleeding.
  • 15. *Shock* BLOOD LOSS Dec. intravascular volume Increased HR Vasoconstriction Increased RR Cold, clammy skin, BP decreased. Hypoperfusion: renal, uterine and brain. Hypoperfusion: renal, uterine and brain. RENAL FAILURE. Maternal and Fetal Death
  • 16. *Question* In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy tests? A) Threatened B) Imminent C) Missed D) Incomplete