The termination of pregnancy before it reaches a viable state is known as abortion. A viable fetus is one that has reached twenty four weeks or more. Losing a pregnancy before this stage is attained can happen spontaneously or can be induced. When it is induced, the inducer should be careful to prevent infection and other serious complications. These are some of the key facts about abortion in Canada that need to be put carefully considered.
An abortion occurring spontaneously is usually the result of anomalies in the anatomy of the female reproductive system. The most common anatomical anomaly is that involving the cervix, medically referred to as cervical incompetence, CI. In such cases, the cervical tissues are too weak to sustain the growing amniotic sac and the fetus within.
In cervical incompetence, the tissues are too weak to bear the weight of the fully expanded amniotic sac. As such, the cervix propels the sac contents before the pregnancy even becomes viable. Typically, women with CI experience miscarriages at around the fourteenth week of pregnancy. In milder forms, the water first breaks followed by bleeding. However, in extreme cases, the pregnancy is lost as a whole in one single episode.
Incompetence of the cervix stems from a number of factors. Some women are just born an anatomically defective cervix. Regular instrumentation of the genital tract is among the common acquired causes. Instruments can be inserted as part of routine examination of the reproductive system. Instrumentation may also be indicated to remove retained products of conception. In the long run, the tissues become weak and can no longer function efficiently.
CI can also come about due to what is medically termed precipitate labour, in which case delivery of occurs within a very short time from the time the woman goes into labour. Precipitate labour can result in cervical tears because the tissues become exposed to too much tension and have no time to adjust or adapt. Multiple pregnancies also predispose cervical tissues to future incompetence because of a similar tension mechanism.
In some instances, a mother may lose their baby without them knowing for some time. They may only realize this during one of their routine visits to the antenatal clinic. When they are examined, the abdominal size may be noted to be smaller than what it is expected to be. In addition, even though their cervix may be intact, there could be some foul smell detected.
Radiological examination is the definitive form of diagnosis for a missed abortion. It gets to confirm that there are no longer any signs of life and that the fetus has lost viability. Healthcare providers should find ways of being as empathetic as possible when passing such sensitive information to their clients.
Retained products of conception are usually removed through manual vacuum aspiration after mildly sedating the patient or administering some form of pain relief. Infection prevention measures need to be observed to the latter. The procedure needs to be done under sterile conditions and medication should be given in anticipation of common infections.
An abortion occurring spontaneously is usually the result of anomalies in the anatomy of the female reproductive system. The most common anatomical anomaly is that involving the cervix, medically referred to as cervical incompetence, CI. In such cases, the cervical tissues are too weak to sustain the growing amniotic sac and the fetus within.
In cervical incompetence, the tissues are too weak to bear the weight of the fully expanded amniotic sac. As such, the cervix propels the sac contents before the pregnancy even becomes viable. Typically, women with CI experience miscarriages at around the fourteenth week of pregnancy. In milder forms, the water first breaks followed by bleeding. However, in extreme cases, the pregnancy is lost as a whole in one single episode.
Incompetence of the cervix stems from a number of factors. Some women are just born an anatomically defective cervix. Regular instrumentation of the genital tract is among the common acquired causes. Instruments can be inserted as part of routine examination of the reproductive system. Instrumentation may also be indicated to remove retained products of conception. In the long run, the tissues become weak and can no longer function efficiently.
CI can also come about due to what is medically termed precipitate labour, in which case delivery of occurs within a very short time from the time the woman goes into labour. Precipitate labour can result in cervical tears because the tissues become exposed to too much tension and have no time to adjust or adapt. Multiple pregnancies also predispose cervical tissues to future incompetence because of a similar tension mechanism.
In some instances, a mother may lose their baby without them knowing for some time. They may only realize this during one of their routine visits to the antenatal clinic. When they are examined, the abdominal size may be noted to be smaller than what it is expected to be. In addition, even though their cervix may be intact, there could be some foul smell detected.
Radiological examination is the definitive form of diagnosis for a missed abortion. It gets to confirm that there are no longer any signs of life and that the fetus has lost viability. Healthcare providers should find ways of being as empathetic as possible when passing such sensitive information to their clients.
Retained products of conception are usually removed through manual vacuum aspiration after mildly sedating the patient or administering some form of pain relief. Infection prevention measures need to be observed to the latter. The procedure needs to be done under sterile conditions and medication should be given in anticipation of common infections.
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This article collected, selected and written by: Author Van Hoc
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