Abortion: Termination of pregnancy before 24 weeks of gestation either intentionally or spontaneously is called abortion, it is also defined a expulsion of products of conception or expulsion of fetus before 24 weeks. (Developing baby in uterus is called fetus). Abortion can be classified into many types, legal or illegal, spontaneous or induced. Medically is it divided into complete, incomplete, threatened, and septic abortion?
Causes of abortion are many, these include genetic abnormalities of fetus, poor maternal health, infections, trauma or injury to abdomen, hormonal disturbances, cervical incompetence, autoimmune disorders, blood disorders, blood group incompatibilities, severe developmental anomaly of baby on ultrasounds, stress and severe depression, use of irrigative substances which stimulate contraction of uterus, congenital anomalies and fibroids or tumors of uterus.
Hormonal oils and drugs carry out induced abortions, which start severe contractions of uterus, by herbal remedies like drinking castor oil, and by vigorous exercise. Symptoms are pain in lower abdomen progressing to regular contractions, bleeding or leaking from vagina in case of septic abortion fever, rapid pulse rate, decreased blood pressure and foul smelling vaginal discharge is present.
Bleeding may be in form of spotting or it could be severe, on examination cervix is opened, ultrasound detects the most forms of abortion. In case of threatened or impending abortion, preventive measures are done to stop it like be rest, drugs to stop uterine contraction, fluid therapy and nutritional support. In case of complete abortion, products of conception have to be removed by vacuum aspiration or dilatation and curettage or D&C.
Complete abortion usually result in expulsion of whole fetus and placenta, ultrasound is repeated to see any retained products if these products are intact then dilatation and evacuation D&E is performed under anesthesia. Antibiotic cover should be given in all types of abortions.
In this page, we are going to discuss about Abortion and symptoms, diagnosis and treatment in Urdu and Roman Hindi for the people of Pakistan and India.