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Questions and Answers
What is the definition of abortion according to the WHO?
What is the definition of abortion according to the WHO?
- Pregnancy loss before 28 weeks gestation
- Pregnancy loss before 24 weeks gestation
- Pregnancy loss before 20 weeks gestation and foetal weight < 500 gm
- Pregnancy loss before foetal viability (correct)
At what gestational age does nearly 80% of spontaneous abortions occur?
At what gestational age does nearly 80% of spontaneous abortions occur?
- > 20 weeks gestation
- > 24 weeks gestation
- 12-28 weeks gestation
- < 8.0 weeks gestation (correct)
What are the common clinical features of clinically recognizable spontaneous abortion?
What are the common clinical features of clinically recognizable spontaneous abortion?
- Vaginal bleeding and lower abdominal pain (correct)
- Back pain and headache
- Chest pain and dizziness
- Joint pain and fever
What does a threatened abortion describe?
What does a threatened abortion describe?
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What does PV examination reveal in a threatened abortion?
What does PV examination reveal in a threatened abortion?
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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
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