OBSTETRICS : - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention



What is the THE ARTIFICIAL ABORTION and how it is treated?



Abortion is allowed only for medical reasons, when continuation of the pregnancy poses a threat to life or threatens serious damage to the health of the pregnant woman, as well as in the presence of inherited severe diseases of the parents, and only in an environment of hospitals and maternity homes.

Medical indications for surgery artificial termination of pregnancy (abortion):

  1. Serious and persistent organic lesions of the heart and blood vessels: endocarditis with anatomical lesions of the valves of the heart, anatomical lesions of the heart valves and muscle damage heart with symptoms of circulatory failure (edema, congestive liver, cyanosis, shortness of breath and persistent hypertension, independent of pregnancy.
  2. Persistent forms of inflammatory, degenerative and sclerotic changes of the kidneys limitations of their functions.
  3. Bilateral nephrolithiasis (established radiographically).
  4. Open forms of pulmonary tuberculosis, and closed TB changes of the lung and pleura with persistent intoxication.
  5. Tuberculosis of the urinary tract, peritoneum, intestines, bones, joints, larynx.
  6. Chronic parenchymal liver disease with severe dysfunction.
  7. Graves ' disease with marked impairment of the cardiovascular system or other persistent intoxication.
  8. Pernicious anemia (birnerova form and malignant anaemia in pregnant women).
  9. Leukemia (leukemia).
  10. Malignant tumors in the past or present.
  11. Epilepsy, certified medical institution.
  12. Retinity or optic neuritis caused by pregnancy, or peripheral vascular system.
  13. Severe diseases of the cornea due to exhaustion or endocrine disorders, pregnancy-induced (e.g., hypopyon, keratitis, keratoconus).
  14. The narrowing of the pelvis with the true conjugate 7.5 cm and below, significant deformation of the pelvis of different origin, as well as significant cicatricial changes of the vagina, preventing the delivery through the birth canal.
  15. Pets abortion, if the mother, father, or one of the children had or has one of the following diseases may be inherited hemophilia, idiocy, Hesse epilepsy; severe form of schizophrenia or manic-depressive psychosis, undergo hospital treatment; severe hereditary eye disease leading to blindness; hereditary deafness; hereditary progressive systemic diseases of the nervous system (progressive muscular atrophy, hereditary ataxia).
  16. Syphilis in infectious form and syphilis in women who do not tolerate specific treatment.

Contraindications to surgery artificial termination of pregnancy (abortion):

  1. The gonorrhea acute and subacute.
  2. Acute vulvovaginitis and bartholinitis of any origin, as well as boils on the genitals.
  3. Erosion in the presence of purulent discharge from the cervix.
  4. The presence of inflammatory processes in the appendages and their surrounding abdominal tissue.
  5. All local pyogenic and common acute infectious diseases.

Note. In the presence of contraindications to abortion medical Commission should map it to the underlying disease, about which it is assumed to have an abortion, and to resolve the issue, carefully weighing what is best for the health of the woman to continue the pregnancy or to terminate it with a known risk.