High Risk Bleeding
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Threatened miscarriage/abortion characteristics: | Mild cramping, little spotting, NOT PASSING ANY TISSUE, cervix is NOT DILATED
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| Management of threatened miscarriage | Put her on bedrest. If first trimester (80% of miscarriages occur then) won't stop it since cannot
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| Inevitable abortion characteristics: | Cramping, MODERATE bleeding, cervix is DILATING, has NOT PASSED any POC/tissue yet but may start soon
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| Inevitable abortion management | Watch how much POC is there; if POC expelled does bleeding ease off afterward? If cont. to bleed heavily after POC expelled, will do a D
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| Incomplete abortion characteristics | HEAVY/PROFUSE BLEEDING, has dilation, MOST OF TISSUE has been passed but NOT EVERYTHING
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| Incomplete abortion management | Emergent D&C d/t risk of bleeding out. If 1st trimester = D&C. 2nd tri = D
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| Complete abortion characteristics | Uterus EMPTY, everything evacuated. If truly complete, bleeding will go down, pain will resolve
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| Complete abortion management | No further interventions unless cont. to bleed.
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| Missed abortion characteristics | Fetus has EXPIRED; NO SIGNS of miscarriage. Absent fetal heartbeat during prenatal visit. Retained expired fetus a RISK FACTOR for DIC
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| Missed abortion management | 1st trimester = D&C. End of 2nd - 3rd tri = induce labor to allow body to empty uterus. Make sure good pain control. If mother septic, then D&E + antibiotics
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| Habitual abortion definition | Woman has 3+ recurring miscarriages; unable to maintain pg
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| Habitual abortion management | Check hormone levels; if cervix dilates too quickly then cerclage (suture) cervix closed and release as nearing 3rd tri
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Created by:
choel
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