18 Questions
What is the purpose of a simple purse-string suture around the cervix during pregnancy?
To hold the growing fetus
What is the difference between the Shirodkar Procedure and simple purse-string suture in pregnancy?
The suture in the Shirodkar Procedure is buried beneath the cervical mucosa and is often left in place, leading to delivery via C-section only.
What is the purpose of a Therapeutic Abortion?
To ensure the life of the mother, especially in the presence of cardiorespiratory illnesses that may endanger her life.
What is an Illegal Abortion?
An unwarranted termination of pregnancy that does not endanger the life of the mother or the fetus, and is not permitted by Philippine law.
Define Fetal Demise.
Also called Stillbirth, it refers to the termination of pregnancy after the age of viability.
What are some risk factors associated with Fetal Demise?
Mostly idiopathic, Antiphospholipid syndrome, Maternal diabetes, Maternal trauma, Severe maternal isoimmunization, Fetal aneuploidy, Fetal infection
What is the purpose of immediate assessment of vaginal bleeding during pregnancy?
Confirmation of pregnancy
What is the nature of spontaneous abortion?
Nature’s way of expelling a defective fetus
What is the term for a sonogram finding of a viable pregnancy with vaginal bleeding but no cervical dilatation?
Threatened Abortion
What is the maternal age criterion for spontaneous abortion?
Maternal age of >35 years old
What is induced abortion also known as?
Artificial or therapeutic abortion
Name one common cause of spontaneous abortion related to abnormal fetal development.
Chromosomal aberration
What is the term used to describe vaginal bleeding and uterine cramping leading to cervical dilatation, with some, but not all, products of conception having been passed?
Incomplete Abortion
When is a Missed Abortion diagnosed?
Missed Abortion is diagnosed when products of conception are retained after the fetus has expired.
What term refers to three or more consecutive pregnancies resulting in abortion?
Habitual Abortions
What surgical procedure involves temporary cerclage of the incompetent cervical OS?
McDonald Operation
What procedure is done to prevent further blood loss and anemia in cases of incomplete abortion?
Dilatation and curettage (D&C)
When should a D&C be considered in a Missed Abortion?
After an ultrasound establishes the fetus has no heart rate
Test your knowledge on cervical cerclage procedures including simple purse-string and Shirodkar technique, as well as therapeutic abortion for bioethical reasons to ensure the safety of the mother. Learn about the differences between cerclage for vaginal delivery and C-section.
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