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16 Cards in this Set
- Front
- Back
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what are the definition of a spontaneous abortion?
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weight <500 g
gestational age < 22 0/7 SSW |
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what are the definition of an early vs late spontaneous abortion?
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early till 12 0/7 SSW
late 12 1/7 till 22 0/7 SSW |
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what is the definition of habitual miscarriage?
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at least 3 miscarriages in a row
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what is the principal etiology for early miscarriage?
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genetic causes
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what is the principal etiology for earliest miscarriage?
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earliest miscarriage = < 6 0/7 SSW
corpus luteum insufficiency |
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what is the principal etiology for late miscarriage?
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cervical insufficiency
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what is cervical insufficiency often associated with?
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ascending infection in terms of chorioamnionitis
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what are the principal etiologic groups for habitual miscarriage?
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genital
extragenital fetoplacentar |
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what are genital factors for habitual miscarriage?
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disorders of uterus, cervix or endometrium or hypermotility
uterus congenital malformations myoma cervix cervical insufficiency cervicitis endometrium endometrial insufficiency endometritis |
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what are fetoplacental factors for habitual miscarriage?
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chromosomal aberrations
functional trophoblast disorders, ie endocrine insufficiency |
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what are extragenital factors for habitual miscarriages?
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noxa, ie C2, smoking
immunologic: blood group-antibodies, anti-phospholipid antibodies endocrine disorders, eg diabetes, thyroid antibodies infections |
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what is the cutoff in weeks for the different methods of induced abortion?
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8th and 14th week
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what are the methods for induced abortion until the 8th week?
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surgical with cervical dilation and vacuum aspiration
or medicamentous combination |
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what is the medicamentous combination for induced abortion?
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antigestagen, ie progesterone antagonist (Mifepriston)
plus prostaglandin-analogon (Misoprostol) |
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what is the method for induced abortion between the 8th and 14th week?
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exclusively surgical, ie cervical dilation with vacuum aspiration
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what is the method for induced abortion after the 14th week?
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prostaglandin-analogue
+/- anti-gestagane, eg mifepriston |
