ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Spontaneous Abortion

Updated on November 21, 2009
6 week fetus
6 week fetus

Spontaneous Abortion

1.       What is Spontaneous Miscarriage?

Answer: It is an interruption of pregnancy due to natural causes.

There are two types:

1.       Early miscarriage- occurs before week 16 of pregnancy

2.       Late miscarriage- occurs between weeks 16-24

2. Why is it important to establish the week of pregnancy in spontaneous miscarriage?

Answer: It determines the degree of bleeding expected for example:

Weeks 1-6 of pregnancy- placenta tentatively attached to decidua of uterus so bleeding is hardly severe

Weeks 6-12 of pregnancy- moderate degree of attachment to myometrium, can lead to the most severe bleeding and threat to lives of pregnant women who have a miscarriage during this time

Week 12 and onwards- attachment is penetrating and deep, can also lead to severe/profuse bleeding due to deep implantation, however in this scenario the fetus is expelled just as it is expelled in natural childbirth before the placenta separates, the uterine contraction can then help control postpartal bleeding

        3. What are the causes of  spontaneous miscarriage?

Answer: 

a. abnormal fetal formation secondary to a teratogenic factor or a chromosomal aberration,

b.  immunologic factors which might be “rejecting” the embryo,

c. implantation abnormalities ( 50%) of zygotes are not implanted, inadequate       implantation leads to inadequate fetal nutrition. Causes: inadequate endometrial formation or inappropriate site of implantation

d. failure of corpus luteum to produce enough progesterone to maintain deciduas basalis

e. Infection- rubella, syphilis,poliomyelitis, cytomegalovirus,toxoplasmosis, urinary tract infection

f. ingestion of teratogenic drug like isotretinoin if taken within the first 16 weeks of pregnancy

 4. What will be my assessment priority?

                Answer: Assess for vaginal spotting and history of the bleeding. You need to ask in a non-judgmental manner if the woman has tried to self-abort or if she has done any intervention to stop the bleeding.

5. How is it managed?

Answer:  It depends on the symptoms and the amount of bleeding. If it is a late miscarriage it might end up just like natural childbirth with the fetus and later the placenta being expelled. The products of conception may completely expel but if not a D& C will be done to remove all remaining products of conception.

References:

1.       Flickr photograph of 6 week fetus by jdatoy

2.       Maternal & Child Health Nursing- Adele Pillitteri

Comments

    0 of 8192 characters used
    Post Comment

    No comments yet.

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://hubpages.com/privacy-policy#gdpr

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)