Threatened Abortion
Threatened Abortion in Early Pregnancy, Anxiety, Depression
A threatened abortion refers to the vaginal bleeding which takes place during early pregnancy and can be a sign of possible miscarriage. It is important to differentiate between the various causes of such bleeding in order to eliminate other causes that may result to this bleeding. The main point is to determine the life-threatening situations which need to be treated urgently and these includes a miscarriage with severe vaginal bleeding, ectopic pregnancy and infected abortions having septic shock signs (Sarmalkar, Singh &Nayak, 2016). Writers who offer medical case study help at Edudorm essay writing service notes that there risk factors that increase the risk of having a threatened abortion which includes a viral or bacterial infection in pregnancy, abdominal trauma , being exposed to some chemical or medications and advanced maternal age. A lot of women who undergo this experience proceed to have delivery of health babies which is more probable if their cervix isn’t dilated already and the fetus is attached securely to uterus’ wall (Sarmalkar, Singh &Nayak, 2016). Threatened abortion can cause anxiety and depression since it is a very stressful experience.
Diagnosing Threatened Abortion
Various methods can be used in the diagnosing this condition. The history of previous miscarriage of the patient can be determined by a physician, which can include the vaginal bleeding which may differ from a slight spot to a life-threatening hemorrhage. Heavy bleeding in early pregnancy if more so when related to abdominal pain can be an indicator for higher miscarriage risk. Physical examination can be done to check the dilation of the uterus cervix, determine evidence of any other problem that may be the cause for bleeding and the condition of amniotic sac. Physical examination may also involve gently palpating the abdomen to test out the distension or tenderness which may show signs of hemorrhage (Kelimele &Aksoy, 2014). An ultrasound can be done to determine if the fetus is present and alive given that it produces accurate results. This test can be helpful in ruling out the possibility of an ectopic pregnancy. Experts who offer nursing case study help at Edudorm essay writing service indicates that the primary diagnosis is better done than differential diagnosis given that it helps in the determination of the condition causing the bleeding the bleeding as a symptom being experienced by the patient. This because there may be other conditions that are leading to the experience the patient is undergoing. This will enable the physician to establish where the majority of the resources will be focused. Differential diagnosis may not lead to the establishment of the principal cause of the medical condition. It involves the distinguishing of a medical condition from another one which has similar symptoms and this may not provide the core causes of bleeding. In addition, there are no laboratory tests to establish depression and anxiety disorders which may be experienced by women with threatened abortion. Anxiety and depression are common psychiatric conditions that can be induced by threatened abortion (Senlan & Qiaoping, 2011). The possibility of losing pregnancy can result to psychological distress since such women are normally unprepared for it.
The primary diagnosis of threatened abortion can be determined through vaginal bleeding and accompanied by abdominal pain of any level or any of the two symptoms. Threatened abortion is rarely indicated by severe bleeding. The conditioned is normally defined by the presence of closed cervical orifice and absence of tissue in the vaginal bleeding (Sarmalkar, Singh &Nayak, 2016). It is also accompanied by cervical canal dilation.
References
Sarmalkar,M., Singh,S. Nayak,A.(2016). Maternal and perinatal outcome in women with threatened abortion in first trimester. International Journal of Reproduction, Contraception, Obstetrics and Gynecology.5.(5). 1438-1445
Senlan,Z., Qiaoping,S.,(2011). pplication of psychological counselling intervention for threatened abortion patients in the first trimester of pregnancy. China Science & Technology Journal Database, EBSCOhost
Kelimele,A., AKSOY,A. (2014). Effect of Threatened Miscarriage on Maternal Mood: A Prospective Controlled ChortStudy.
