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ABORTUS

Vihara Dewi Mahendra, S.Ked


201310401011051


SMF ILMU KEBIDANAN DAN KANDUNGAN RSUD JOMBANG
UNIVERSITAS MUHAMMADIYAH MALANG
2014

Abortion
Spontaneous
abortion
Induced
abortion
Abortion
Defined as delivery occurring before the 20th
completed week of gestation
Fetus weighing less than 500g
15% of clinically evident pregnancies
80% of abortions prior to 12 weeks gestation

Etiology
Abnormal karyotype: 50%
Maternal factors: infection (TORCH)
endocrine factors
immunologic factors
maternal systemic disease
anatomic defects
trauma
Toxic factors
anatomic defects
Pathology
Hemorrhage into the decidua basalis
Necrosis and inflammation
Uterine contractions and cervical dilatation
Expulsion of most or all of the products of
conception
Clinical Findings
Amenorrhea
Bleeding
Pain
Clinical Findings
Threatened
Abortion
Inevitable
Abortion
Without cervical dilatation
Without extrusion of
products of conception
Cervical dilatation

Without extrusion of
products of conception
Clinical Findings
Incomplete
Abortion
Complete
Abortion
Expulsion of some, but
not all, of the products of
conception
Expulsion of all of the
products of conception

Bleeding
severe
Clinical Findings
Missed
Abortion
Septic
Abortion
Embryo or fetus death,
products of conception in
utero
Infection of the uterus

Pain
Clinical Findings
Habitual
Abortion
three times
abortion

Laboratory Findings
Ultrasonography
Pregnancy tests
Blood count
Gestational sac and
viable embryo with
heart motion
HCG
Anemic
Complication
Life
threatening
Severe
hemorrhage
Infection
Intrauterine
synechia
Perforation
Diagnosis
Medical history

Physical
examination
Accessory
examination
?
Threatened Abortion
Inevitable
Incomplete Missed
Treatment
Bed rest
Forbid sexual life
Progesterone
D & C
Antibiotics
Cervical Cerclage