Pregnancy ending in abortion #4

The clinical picture, medical history, and ultrasound are important for the diagnosis of septic abortion.

Septic abortion treatment can sometimes be very difficult.

Broad-spectrum antibiotics are administered after the identification of microorganisms. If there are retained parts in the uterus, cleaning is performed.

In septic shock, hemodynamics are corrected, dopamine is administered as needed, protein solutions, blood, and more are also administered. In case of failure and a complex process, the uterus can be removed.

An abortive pregnancy includes an induced abortion.

Induced abortion includes optional abortion (up to 12 weeks of pregnancy), medical indications (up to 20 weeks of pregnancy), and criminal abortion.

Complications that can be observed during induced abortion:

- early complications - traumatic and inflammatory;

- late complications - menstrual complications, fertility, infertility.

Late complications are mainly associated with Asherman syndrome, described in 1948, which is caused by trauma (interruption, curettage), infection, and retention of fetal parts that damage the endometrium and cause intrauterine adhesions. This is manifested by menstrual disorders, infertility, abortions, premature birth, and placental attachment disorders.

Treatment of complications of artificial abortion.

In case of uterine perforation, laparotomy, suturing of the uterus, hysterectomy.

In case of inflammatory changes, antibacterial therapy is used.

In Ascherman's syndrome, synechiae are removed by curettage of the uterus. The intrauterine device and hormonal contraception are recommended for use for a while.

In case of threatening and incipient abortion, bed rest, vitamin therapy, antispasmodics are used. In the absence or death of the fetus and with progressive, incomplete and complete abortion, uterine curettage is performed.

A miscarriage ending in pregnancy is called a late miscarriage.

Oxytocin administration does not cause uterine contractions.

The diagnosis is carried out using ultrasound by an experienced obstetrician-gynecologist.

Treatment is performed by laparotomy and surgical removal of the fetus.

An attempt to remove the placenta is made only if the doctor is sure that it is possible to stop the bleeding.

For faster placental resorption, some doctors use methotrexate. A number of postoperative complications may also develop, such as acute intestinal obstruction, abscesses, bleeding, and more. Останнім часом все більше українців використовують онлайн-сервіси для замовлення державних послуг, що економить час та зусилля. Це стосується і отримання довідок з Міністерства внутрішніх справ, які раніше вимагали особистої присутності. Тепер такий необхідний мвс україни довідка про несудимість можна замовити через інтернет, надавши скановані копії паспорта та заповнивши заявку на сайті юридичної компанії або через месенджери. Це особливо зручно для жителів віддалених регіонів або осіб з обмеженими фізичними можливостями. Після оформлення документ доставляється кур'єром у зручне для вас місце або ви можете забрати його в офісі.