A 25 years old female repos in the casualty with history of amenorrhoea for two and half months and abdominal pain and bleeding per vaginum for one day. On examination, vital parameters and other systems are normal. On speculum examination, bleeding is found to come from Os. On bimanual examination, uterus is of 10 weeks size, soft and Os admits one finger. The most likely diagnosis is :
Ans. is c i.e. Inevitable aboion Types of Aboions : WTypes of Aboion Definition Threatened Aboion It is a clinical entity where the process of aboion has staed but has not progressed to a state from which recovery is impossible. Inevitable Aboion It is a clinical entity where process of aboion has progressed to a state from where continuation of pregnancy is impossible. Complete Aboion Here the products of conception are expelled en masse. Incomplete Aboion Here the entire products of conception are not expelled but a pa is left inside the uterine cavity. Missed Aboion When the fetus is dead and retained inside the uterus for a variable period, it is known as missed aboion. Clinical features and diagnosis of Different types of Aboions. Aboion 1. Threatened Clinical picture Size Slight bleeding of uterus Corresponds Internal os Ultrasound Closed Live fetus, Subchorionic hemorrhage ? 2. Inevitable Bleeding & pain, Shock Equal or less Open with products felt Dead fetus 3. Incomplete Bleeding Smaller Open Retained products 4. Complete Bleeding stopped Smaller Closed Cavity empty 5. Missed Absent or minimal bleeding Smaller Closed Dead fetus
Threatened aboion
Missed aboion
Inevitable aboion
Incomplete aboion