Abortus Imminens

Imminens abortion in Mrs "S"

Mrs "S" is a mother expecting her first child and this pregnancy has been waiting for 7 years. Pregnancy she was very forward looking in later by the mother and family, but in pregnancy Mrs "S" get a constraint, at the age of 6 weeks of pregnancy she meraasa much liquid out of the genital. The liquid form of blood and fluid that does not cease came Mrs "S"  to Rs.Rk. Caritas Palembang. Mrs "S" complaint  other dizziness and weakness is often a sense of painful came on around the stomach.

Imminens abortion is based on the theory of events the occurrence of uteri bleeding in pregnancy before 20 weeks, where the outcome is still in the uterus and conception occurs in early pregnancy. Symptoms in the patient is feeling pain and cramps in the abdomen accompanied by a bloodletting or blood spots from the pubic, limp, and a decrease in blood pressure accompanied by excessive dehydration.

Medical treatment for Mrs "S" is to rest Mrs "S" for a few days and provide nutrition and fluids to Mrs "S" orally or intravenously, the other by providing hormonal treatment and keeping clean kelaminb Mrs "S"  with changing pads every three hours, a lot of fluid out is always replaced by infusion of NaCl and Rl regularly to avoid excessive dehydration.

Based on the theory of abortion imminens handling with break. Sleep lying is an important element in the treatment, because this way causes increased blood flow to the uterus and reduced mechanical stimuli then Do not do excessive physical activity and coitus is prohibited for several weeks and On the hormone progesterone on abortion imminens no correspondence schools. Most of the experts do not agree, and those who approve of states that must decided is progesterone deficiency.

If contemplated that most abortion was preceded by the death of the conceptus and deaths can be attributed to many factors, the administration of progesterone did not last very beneficial and important to the ultrasound examination performed to determine whether the fetus is alive.

Treatment results in Mrs "S"  for the next three days in a natural bleeding is still out but the numbers are not much longer and Mrs"S" still looks looks limp because she did not want to eat. Up to day nursing management Mrs "S"   for continued healing and for maintaining pregnancy she can still keep it.