5 Questions
What is the definition of abortion according to the WHO?
Pregnancy loss before foetal viability
At what gestational age does nearly 80% of spontaneous abortions occur?
< 8.0 weeks gestation
What are the common clinical features of clinically recognizable spontaneous abortion?
Vaginal bleeding and lower abdominal pain
What does a threatened abortion describe?
Pregnancies complicated by mild vaginal bleeding < 20 week
What does PV examination reveal in a threatened abortion?
A closed cervix
Study Notes
Abortion Definition
- The World Health Organization (WHO) defines abortion as the termination of pregnancy prior to 22 weeks of gestation or with a fetus weighing less than 500 grams.
Spontaneous Abortion
- Nearly 80% of spontaneous abortions occur before 12 weeks of gestation.
- Clinically recognizable spontaneous abortion presents with common clinical features including:
- Vaginal bleeding, which may be heavy or light
- Abdominal pain or cramping
- Passage of tissue or clots
Threatened Abortion
- A threatened abortion describes a condition where vaginal bleeding occurs during pregnancy, but the cervix remains closed.
- On PV examination, a threatened abortion may reveal:
- Vaginal bleeding or spotting
- A closed cervical os
- Fetal heartbeat detection on ultrasound
Test your knowledge about spontaneous abortion, including its types, aetiological and risk factors, complications, and related conditions such as septic abortion, recurrent abortion, and cervical insufficiency. Understand the definition of abortion according to the WHO and its implications.
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