Abortion and STI

Aspiration

Most common early method- Procedure; Local anesthetic to cervix-> Cervical dilation. Suction catheter introduced to evacuate uterine contents

Second trimester abortion method

induction of uterine contractions with hypertonic solutions (saline or urea) combined with uterotonic agents 0.8% concentration

Induced abortion

Purposeful interruption of a pregnancy

Spontaneous abortion

miscarriage, loss before 19 6/7wks

Legal treatment of abortion

Dilation and curettage (D&C)

Dilation and evacuation

Can be done up to 20 weeks gestation as cervix is dilated more due to fetal size

D&E Procedure

Osmotic dilators (e.g., laminaria) are placed beforehand to gently dilate cervix

Vacuum aspiration and forceps are then used to evacuate uterus

Third trimester abortion

multiday procedure

Bacterial STDs

Chlamydia, gohnnrea, Syphilis, BV

Bacterial tx

Doxycycline 100 mg BID x 7 days-Azithromycin 1 g single dose

Viral STDs

HPV, HSV, HIV

Viral tx

no cure some antivirals

Protozoal

Trich

Fungal

yeast

Fungal tx

antifungal

Gonorhera and Chlamydia female complications

PID, Spalingitisis, miscarriage

Chlamydia newborn complications

Conjunctivitis and Pneumonia- Leading cause of ophthalmia neonatorum

Gonorhera infant complications

PROM, preterm birth, neonatal sepsis, IUGR, postpartum sepsis,ophthalmia neonatorum

HPV female complications

↑ miscarriage risk

Autoinoculation (lips, breasts, fingers, eyes)

Keratitis → ulcers → blindness

HIV preg tx

Keep viral load low → 2% mother-to-child transmission (US/Europe)

Treat/test infant, no breastfeeding

Trich pregnancy effects

Preterm, low birth wt