Buscar

Aborto Espontâneo

Faça como milhares de estudantes: teste grátis o Passei Direto

Esse e outros conteúdos desbloqueados

16 milhões de materiais de várias disciplinas

Impressão de materiais

Agora você pode testar o

Passei Direto grátis

Você também pode ser Premium ajudando estudantes

Prévia do material em texto

Aborto Espontâneo
Término da
Gravidez antes da
viabilidade fetal
Antes das 20 ou
22 semanas de
gestação
80% ocorre antes das 12
semanas. 
20% não diagnosticadas
(mulher pode estar
abortando e achar que é
mesntruação).
Antes de 12
semanas é aborto
precoce e depois
das 12 é tardio.
Desencadeado por
fatores fetais e
maternos
Fisiopatologia
Hemorragia decidual
basal (faz com que a
placenta se solte)
Necrose de tecidos
adjacentes
Descolamento do
ovo
Estímulo de contração
uterina e Expulsão
EMBRIONÁRIOSMATERNOS
Malformações
embrionárias
(principalmente no
SNC).
Poliploidia e translocações. 
(50% dos abortos precoces) 
Trissomia do cromossomo 16
Alteração física
no útero
Leiomiomas
submucosos, pólipos, e
malformações uterinas.
Distúrbios endócrinos
(principalmente relacionados
com a fase lútea).
Tireóide
Distúrbios sistêmicos
e imunológicos
Infecções 
STORCH,
Mycoplasma,
Listeria
monocytogenes
5 classificações
para o aborto Aborto espontâneo
Séptico
Aborto E.
Completo
Aborto E.
Incompleto
Aborto E. Retido
Aborto E. Inevitável (quando há um
começo de hemorragia, mas o colo
do utero já se encontra aberto)
Ameaça de aborto (quando
começa uma hemorragia,
mas o colo do útero se
encontra fechado)
 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

Outros materiais