009妊娠时限限制（009 limitation of pregnancy time）.docVIP

009妊娠时限限制（009 limitation of pregnancy time） Abortion (abortion): pregnancy less than 28 weeks, fetal weight less than 1000g and termination of pregnancy. 12 weeks before the termination of pregnancy, early abortion, pregnancy 12 weeks to less than 28 weeks end, called late abortion. The causes of spontaneous abortion include embryonic factors, maternal factors, abnormal immune functions and environmental factors. Among them, chromosomal abnormalities in embryonic factors are the most common causes of early abortion. Early pregnancy abortion 8 weeks ago, because the placenta development is not mature, and decidua is not reliable, and easy separation of embryonic villi decidua basalis, multiple pregnancy can be completely discharged; late pregnancy abortion after 12 weeks of pregnancy, the placenta has been formed completely, can also be completely discharged; and at 8~12 weeks of gestation placenta hair growth exuberant, and contact the decidua basalis is firm, pregnancy abortion is often difficult to complete discharge. The clinical process of early abortion is manifested by vaginal bleeding and then abdominal pain. The clinical course of late abortion is characterized by abdominal pain and vaginal bleeding The clinical types of spontaneous abortion: 1) threatened abortion: no matter from pregnancy, gynecological examination of the cervix is not open, without rupture of membranes, uterine size and menopausal weeks line; 2) abortion: Based on threatened abortion, vaginal bleeding volume, paroxysmal abdominal pain intensified, the vaginal discharge (or rupture of membranes). Gynecological examination of cervix was dilated, sometimes visible embryo sac or blockage in the cervix; 3) incomplete abortion: partial discharge of intrauterine pregnancy; bleeding; gynecological examination showed cervical mouth has expansion, cervix pregnancy blockage and persistent blood flow, small uterus in menopause weeks; 4) complete abortion: pregnancy has been completely discharged, vag