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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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