abortus

	ABORTUS Definition The process of pregnancy interruption before the fetus can survive outside the womb. Limit use pregnancy as less than 22 weeks or fetal weight less than 500 grams. CAUSE Most of the chromosomal aberration is due to the results of conception. Some Other causes are trauma, and the difference means that the content is not known. Clinical Overview - Establishment of the symptoms of pregnancy (late cramps, nausea / vomiting in the morning) that vagina accompanied by bleeding (starting spot to gather) and / or pain in the lower abdomen, abortus lead to the diagnosis. - Abortus Imminens (Threats miscarriage) vagina marked with a little bleeding, pain or no stomach bit. Currently there are opening serviks - Abortus Insipiens (miscarriage ongoing) vagina many bleeding (can gather up-cob), stomach pain great, there are opening serviks. Sometimes it appears the network results ostium in the draft serviks. - Abortus Inkompletus (abortion is not complete) vagina many bleeding, stomach pain sedangsampai great. Historical out the results of the network concept in part, ostium serviks can still open or start closed. - Abortus Kompletus (complete miscarriage) vagina reduced bleeding starts - stop, no stomach pain, ostium serviks have been closed. Historical results out of the network concept intact, entirely. - Missed Abortion (miscarriage, which endured) Abortus with the results of the draft still detained intra uterin for 2 weeks or more. Historical vagina little bleeding, no stomach pain, ostium serviks still closed. Enlarging uterus is not appropriate (smaller) from the age gestasi that should be. Treatment guidelines in the Basic health 2007 6 Diagnosis - Is menstruation (amenorhea) less than 22 weeks. - vagina bleeding, the results may be accompanied by a network of conception. - Feel pain in the area of the simpisis. - Opening ostium serviks. Dealing In the non-care health centers: Abortus Imminens - lying at least 2 - 3 days (as in-patient) - not coitus - After tirah lying 3 days, re-evaluation of the diagnosis, if still abortus imminens tirah continue lying in the - Mobilization (and sitting - standing - running) starts when believed there is no bleeding pervaginam 24 hours Abortus next level - If possible do with the general stabilization circumstances exempting the road breath, giving oksigenasi (O2 2 - 4 liters per minute), installation of liquids intravenous kristaloid (Ringer Laktat / Ringer acetate / NaCl 0.9%) according resusitasi guidelines. - Patients referred vital signs after the normal limits to health Or hospital treatment At the health center treatment Abortus Imminens - As in the non-health care Abortus Insipiens - Antibiotic profilaksis: Ampisilin iv before kuretase action. - It needs to be done immediately the results of conception and evacuation kavum uteri. Abortus can be done with pliers, spoon curette, and curette HANDICAP - Uterotonika: Oksitosin 10 IU i.m Abortus Inkompletus Needs to be done immediately drain kavum uteri. Can be done abortus with tongs, spoon curette, and curette HANDICAP Treatment guidelines in the Basic health 2007 7 - Immediately on Emergency: 1. Oksigenisasi 2 - 4 liters / minute 2. Giving liquids iv kristaloid (NaCl 0.9%, Ringer Laktat, Ringer Acetate) 3. Transfusion when Hb less than ' 3d 8 g / dl Abortus Kompletus - Evaluation of complications does abortus (anemia and infection) - If found complications, adjusted Dealing - If no complications, does not need special Dealing. Missed Abortion - Evaluation of Hematology routine (hemoglobin, hematokrit, leukosit, trombosit) and hemostasis test (fibrinogen, bleeding time, freezing time). - If interference occurs deed hemostasis and hipofibrinogenemia, immediately refer the in hospitals that are able to transfusion trombosit / Buffy-Coat and other blood components. - The need to construct evacuation from kavum uteri. Implemented after ensure there is no interference function hemostasis.
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