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Abnormal Pregnancy - Abnormal Pregnancy CAPT Mike Hughey MC...

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Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 1 Abnormal Pregnancy CAPT Mike Hughey, MC, USNR
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Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 2 Incidence of Miscarriage 1 in every 6 pregnancies Risk of subsequent miscarriage 1/6 Bedrest will not prevent miscarriage but may postpone it
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Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 3 Causes of Miscarriage 60% chromosome abnormalities 30% placental malformation 10% miscellaneous, but not: -trauma -climbing mountains -intercourse -medication -too much activity, etc.
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Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 4 Threatened Abortion 1 in every 4 pregnancies 1st TM bleeding/cramping Half will abort, Half will be OK Bedrest will not prevent abortion but may postpone it.
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Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 5 Complete Abortion Passage of all tissue Rest for a day or two Ergotrate, Oxytocin Antibiotics Rhogam D&C? 9-week spontaneous complete abortion
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Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 6 Incomplete Abortion: Diagnosis
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