THREATENED ABORTION

Description: Medications:

A threatened abortion, also known 1. Tocolytic Agents – to slow down or

as a threatened miscarriage, is vaginal stop contractions of the uterus
bleeding that occurs in the first 20 weeks 2. Hemostatic drugs – to stop bleeding
and it is a state in which the fetus is still in (Bed Rest is the only method that is
the uterus and the pregnancy is still effective to bring the pregnancy to term)
continuing, but there is a possibility that the
pregnancy can terminate naturally before
the pregnancy reaches a full 20 weeks
Nursing Care:
 Encouraged to increase fluid intake
Factors:  If bleeding is profuse, place the
woman flat in bed on hers side and
 A bacterial or viral infection during
monitor uterine contractions and
pregnancy
fetal heart rate.
 Trauma to the abdomen
 Measure intake and output to
 Advanced maternal age (over age establish renal function and assess
35) the woman’s vital signs to establish
 Exposure to certain medications or maternal response to blood loss.
chemicals  Measure the maternal blood loss
 Undernutrition by saving and weighing the used
pads.
Diagnostic Exam:  Save any tissue found in the pads
because this might be part of the
 Pregnancy test – To confirm products of conception.
pregnancy  Pray for the patient
 Ultrasound - To confirm if the
products of conception are still
intact.
 Blood Test (CBC) – To check for
abnormal hormone levels.
Specifically, the human chorionic
gonadotropin (HCG) and
progesterone which measure the
levels of hormones in the blood.