Management in molar pregnancy and Management for miscarriage.

Safira -
Q : Management in molar pregnancy and Management for miscarriage.

A : -The uterus shud be evacuated asap.
-missed abortion, th WHO suggest misoprostol 800mcg vaginally/sublingual dosw of 600mcg.
-This dose may be repeated twice at 3 hour intervals if needed.

If uterus is
 <12w gestation, suction evavuation with prior priming with PGE1 tablet can be attempted.

>12w PGE1 tablet(misporostol/gemeprost) is used to induce expulsion.

-Can be augmented with Oxytocin drip.

-Surgical of theres retained of POC

Summary
 Threatened abortion
-Conservative

Inevitable abortion
-D&C

Complete abortion
-Wait and watch

Incomplete
-D&C

Missed
-D&C

Septic miscarriage
-Broad spectrum of antibiotics
(Patient is stabilized first if shock)

Source: obstoday
[10/27, 7:11 AM] Safira: From jibah

General management
*Resuscitation*


EXPECTANT MANAGEMENT

MEDICAL MANAGEMENT
-Gemeprost n misoprostol(PG analogues)
-Mifepristone: anti progesterone

SURGICAL MANAGEMENT
-D&C
-Cervical prep first to reduce complication
-Antibiotic prophylaxis
Athirah - 7)How to monitor pt after induce with PGE1?
-ctg because uterine hyperstimulation can cause bradycardia
-monitor uterine contraction