妇产科学教学（重庆医科大学）9.2abortion.pptVIP

* It is difficulty to get an exact incidence, many of them are misunderstood as menstration. * * DELIA.LIN DELIA.LIN Case presentation A woman, 26y, G2P0, menstruation: 5-6/28d Chief complaint: 6 weeks of menopause, vaginal spotting for 3 days with slight lower abdominal pain Pregnancy test (Urine HCG)：positive What is happening? Managements? Take history - Physical examination - Assistant detection Diagnosis - Differential diagnosis - Treatment * ABORTION * Tian Gao ? The department of obstetrics and gynecology? The First Affiliated Hospital, Chongqing Medical University  Normal/Abnormal Pregnancy Normal Pregnancy：normal duration normal location Abnormal Pregnancy: abnormal duration abnormal location * Definition Abortion：spontaneous termination of pregnancy before the 28th week of gestation, the weight of fetus less than 1000g early abortion (before 14th week) late abortion (14th ~ 28th week) * Incidence frequency of spontaneous abortion is about 10%-15% Approximately 80% is occurring during the first 14 weeks of pregnancy，in which 2/3 are clinically silent abotion * Etiology * hysteroscopy * Normal Uterine cavity uterus septum Intrauterine Adhesion Submucous myoma PATHOLOGY The process of abortion is the separation and expulsion of pregnancy tissue from uterus death of the embryo hemorrhage in the decidua basalis c. uterine contraction cervical dilatation pregnancy tissue detach exclude * clinical presentations amenorrhea vaginal bleeding lower abdominal pain * Clinical categories threatened abortion inevitable abortion incomplete abortion