Threatened Abortion Clinical Features
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Questions and Answers

What is the definition of missed abortion?

  • An abortion that occurs due to blood group incompatibility
  • A clinical entity where the process of miscarriage has started but recovery is still possible
  • An abortion that is induced legally
  • Involuntary loss of products of conception prior to 28 weeks of gestation (correct)

    • Which of the following is a method used in the management of threatened abortion?

  • Surgical intervention
  • Blood transfusion
  • Antibiotics for infection
  • Drugs for pain relief (correct)

    • What are the clinical features associated with spontaneous abortion?

  • Open cervix and hard uterus
  • Vaginal bleeding and fever
  • Backache and severe uterine tenderness
  • Scanty vaginal bleeding and cramp-like pain (correct)

    • What is a potential complication of a septic abortion?

    <p>Infection leading to septic shock</p> Signup and view all the answers

    What are the clinical features observed in a missed abortion?

    <p>Cessation of uterine growth and non-audibility of fetal heart sound</p> Signup and view all the answers

    What is the management approach for a uterus less than 12 weeks in the case of a missed abortion?

    <p>Expectant management or medical management with prostaglandin E1</p> Signup and view all the answers

    What is considered as septic abortion based on the clinical criteria provided?

    <p>Rise of temperature of at least 100ºF for 24 hours and offensive or purulent vaginal discharge</p> Signup and view all the answers

    What is the method used for induction in cases of missed abortion when the uterus is more than 12 weeks?

    <p>Prostaglandin E1 insertion and oxytocin usage</p> Signup and view all the answers

    What is a characteristic feature of septic abortion?

    <p>Offensive or purulent vaginal discharge</p> Signup and view all the answers

    Which medication is used for medical management in a missed abortion?

    <p>Misoprostol (prostaglandin E1)</p> Signup and view all the answers

    What is the clinical grading for pelvic infection when it spreads to the parametrium, tubes, ovaries, or pelvic peritoneum?

    <p>Grade 2</p> Signup and view all the answers

    Which laboratory investigation is recommended if the patient presents with chills and rigors?

    <p>Blood culture</p> Signup and view all the answers

    What is a significant finding if a patient has a rising pulse rate of 100-120/min or more?

    <p>Spread of infection beyond the uterus</p> Signup and view all the answers

    Which immediate complication can be associated with a septic abortion?

    <p>Haemorrhage related to abortion</p> Signup and view all the answers

    What are some remote complications that can occur after a septic abortion?

    <p>Injury to adjacent structures</p> Signup and view all the answers

    In the management of septic abortion, what is deemed essential for all cases?

    <p>Hospitalization</p> Signup and view all the answers

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