February 16, 2014

What is threatened abortion

It is a clinically entity where the process of abortion has started but has not progressed to
a state from which recovery is impossible.

Clinical features -
1. Bleeding :- The bleeding is usually slight and bright red in colour.
2. Pain :- Pain appears usually following haemorrhage.

Investigation - 
Ultrasonography is helpful in observation of fetal status.

Treatment - 
Rest :- 
The patient should be in bed for few days until bleeding stops.

Drugs :- 
Sedation and relief of pain may be ensured by phenobarbitone 30 mg or diazepam 5 mg
tablet twice daily.

General measures :- 
- The patient is advised to preserve the vulval pads and anything expelled out per vaginum,
  foor inspection.
- To report if bleeding or pain.
- Routine note of pulse, temperature and vaginal bleeding.

Advice on discharge -

  • The patient should limit her activities for at least two weeks.
  • Avoid heavy work.
  • Coitus is contraindicated during this period.

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