Abortion
Abortion
Abortion
流产
Ⅰ. Definition
Abortion is termination of pregnancy bfore
28 weeks of gestation and the fetal weight is
less tan 1000g.
Abortion : spontaneous: 10%~18%
artificial
The early abortion: occurs before 12w
The late abortion: occurs after 12w
The miscariage abortion: occurs in 13~28w
2.Etiology
(1)Heredity factors
Abnormal gene is the commonest cause of S
pontaneous abortion.
Abnomalities of chromosomes:
number: autosomal trisomies polyploidy
structural: monosomy X
Early abortion 50%~60% is caused by chrom
osomal abnormalities.
(2)Toxic factors:
lead, mercury, DDT, radiation, X-ray
(3)Maternal factors
(4)Immunologic factors
5~10w: hpl≤0.01mg/L
③ measurement of E2(estroid)
E2<740pmol/L
④measurement of pregnanediol
broad-spectrum antibiotiss
second D&C
bleeding is sever: we are eryher contract infect
ion or curettage.
※The producte of conception from the cerv
ix are removed with a sponge holder.
Don’t used curette to curettage curettage ute
rine wall prevent infection
avoid hematogeous dissemination od the inf
ection.