medical notes

Apr 17th, 2015
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THREATENED ABORTIONDefinition: Threatened abortion is a clinically descriptive term that applies to women who are at less than 20 weeks' gestation, have vaginal spotting or bleeding, a closed cervical os, and, possibly, mild uterine cramping. Pathophysiology: Threatened abortions may progress to inevitable, spontaneous, incomplete, or complete abortions. Threatened abortion The bleeding and pain that accompany threatened abortion are not usually intense. The bleeding is temporary and self-limited and probably due to trophoblastic implantation within the decidualized endometrium. Approximately half the women with threatened abortions abort, and the remainder continue to have viable pregnancies. Approximately 15% of clinically recognized pregnancies spontaneously abort, and 75% of the losses occur in the first 8 weeks of gestation. The loss rate is estimated to be 2-3 times higher with very early and, often, clinically unrecognized pregnancies. Threatened abortion is defined by the absence of passing/passed tissue and the presence of a closed cervical os. These findings differentiate threatened abortion from later stages of abortion. Inevitable abortion - Vaginal bleeding is a

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