Review Article
Volume 11 Issue 7 - 2022
Review of the Current Concepts in the Management of Abortion
Dorcas Salime Onuminya*
Department of Obstetrics and Gynaecology, Kogi State Specialist Hospital, Lokoja, Nigeria
*Corresponding Author: Dorcas Salime Onuminya, Department of Obstetrics and Gynaecology, Kogi State Specialist Hospital, Lokoja, Nigeria.
Received: May 23, 2022; Published: June 29, 2022




Abstract

This current concepts review was carried out to elucidate the problems of abortion and their management.

Abortion may be defined as expulsion or extraction of pregnancy before the age of viability or when the foetus weighs less or equal to 500g. It is classified into spontaneous, induced and tubal abortions. The common presentation of abortion is that of amenorrhoea, vaginal bleeding, lower abdominal pain and expulsion of wholly or partly product of conception. Spontaneous abortion may be threatened, inevitable, complete, incomplete, missed, septic and recurrent in nature. Ultrasound scan where available is the investigation tool of choice to determine the type of abortion, albeit speculum and vaginal examination remains the standard method of assessment. The main stay of treatment depends on the type of abortion, mode of presentation and clinical findings. There is room for conservative management in threatened abortion with the aim of treating the cause of the abortion. Recurrent abortion due to cervical incompetence may require cervical cerclage. Incomplete, missed and inevitable abortions will require evacuation of the retained product of conception. Tubal abortion often goes unnoticed or may end up as abdominal pregnancy. Post - abortion sepsis and secondary infertility due to mismanagement are major complications. Counselling and support are important tools in the prevention and management of abortion.

Keywords: Abortion; Management; Complications; Prevention; Counselling; Review; Nigeria

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Citation: Dorcas Salime Onuminya. “Review of the Current Concepts in the Management of Abortion”. EC Gynaecology 11.7 (2022): 25-30.

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