First trimester abortion: Difference between revisions

(Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== ===Complete Abortion=== #<12 weeks + no IUP #Distinguish from ectopic based on decreasing hCG, decreased blee...")
 
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==Differential Diagnosis==
==Differential Diagnosis==
===Complete Abortion===
===Complete Abortion===
#<12 weeks + no IUP
*<12 weeks + no IUP
#Distinguish from ectopic based on decreasing hCG, decreased bleeding
*Distinguish from ectopic based on decreasing hCG, decreased bleeding
#Only need to send hCG if unable to examine POC
*Only need to send hCG if unable to examine POC
===Threatened Abortion===
===Threatened Abortion===
#Closed os + IUP + bloody vaginal dischrage or frank bleeding
*Closed os + IUP + bloody vaginal dischrage or frank bleeding
#If <11wk >90% go to term
*If <11wk >90% go to term
#If between 11 and 20wk 50% go to term
*If between 11 and 20wk 50% go to term
===Inevitable Abortion===
===Inevitable Abortion===
#Open os + contractions/cramps
*Open os + contractions/cramps
===Incomplete Abortion===
===Incomplete Abortion===
###>12 wks + passage of only portion of POC
*>12 wks + passage of only portion of POC
===Missed Abortion===
===Missed Abortion===
###Fetal death at <20wk w/o passage of any fetal tissue for 4wk after fetal death
*Fetal death at <20wk w/o passage of any fetal tissue for 4wk after fetal death
===Septic abortion===
===Septic abortion===
#Evidence of infection during any stage of abortion
*Evidence of infection during any stage of abortion
#Most commonly caused by retained products of conception
*Most commonly caused by retained products of conception


==Workup==
==Workup==

Revision as of 07:00, 26 April 2014

Background

Clinical Features

Differential Diagnosis

Complete Abortion

  • <12 weeks + no IUP
  • Distinguish from ectopic based on decreasing hCG, decreased bleeding
  • Only need to send hCG if unable to examine POC

Threatened Abortion

  • Closed os + IUP + bloody vaginal dischrage or frank bleeding
  • If <11wk >90% go to term
  • If between 11 and 20wk 50% go to term

Inevitable Abortion

  • Open os + contractions/cramps

Incomplete Abortion

  • >12 wks + passage of only portion of POC

Missed Abortion

  • Fetal death at <20wk w/o passage of any fetal tissue for 4wk after fetal death

Septic abortion

  • Evidence of infection during any stage of abortion
  • Most commonly caused by retained products of conception

Workup

Management

Disposition

See Also

Sources