Tipos de aborto

1. Dra. Cynthia Luna R1GYO.
Ultrasonografía en el
diagnostico de
aborto

3. Etiología de los abortos.
**Precoces.
**Tardíos.

4. Clasificación y diagnóstico
ultrasonograficos.
Diagnostico diferencial:
**Clínica.
**Nivel sérico cuantitativo de HCG-
B.
**Ultrasonografía.
Clínicamente los abortos pueden ser clasificados como:

5. Amenaza de aborto.

6. Amenaza de aborto.
Ultrasonografía transvaginal identifica:
**Embrión con vitalidad conservada.
**Área de desprendimiento ovular no mayor del
40% del huevo.
Factores pronósticos a tomar en cuenta:
-Mal pronóstico: pacientes con grandes
hematomas subcoriónicos, con más de 35 años
de edad y con STV antes de las 8 seg.
-Mal pronóstico: Áreas de desprendimiento
centrales VS periféricas.
●RECUERDA… La fusión de las membranas
corioamnioticas ocurre alrededor de las 14sdg,
NO CONFUNDIR CON AREAS DE
DESPRENDIMIENTO OVULAR.

7. Amenaza de aborto.

8. Aborto inevitable.

9. Aborto incompleto.
Características:
**Eliminación parcial del contenido gestacional.
**Restos ovulares: contenido amorfo, cantidad
variable, hiperecogenico, localizado a lo largo
de la línea endometrial.
**Sangre contenida de ecogenicidad variable
según el tiempo transcurrido.

10. Aborto completo.
Características:
** Resolución espontanea de una gestación inviable.
**Después del sangrado y eliminación del contenido gestacional no hay dilatación
cervical y restos ovulares.
**Disminución progresiva de la hemorragia genital y dolor abdominal.
**Útero con volumen normal o aumentado discretamente y ausencia de contenido
en cavidad uterina.
**Cuidado!! Dx diferencial Embarazo ectópico.

11. Aborto retenido.
Características:
** Muerte embrionaria seguida de la no eliminación del producto
conceptual por mas de 28 dias.
**Ésta retención prolongada puede ocasionar cuagulopatia e
infección.
**Dx por Us: presencia de embrión si vitalidad o de saco gestacional
anembrionado que aun no ha sido eliminado de forma espontanea.

12. Aborto retenido.

13. Aborto habitual.
Características:
** Repetición de 3 perdidas gestacionales consecutivas o más.
**Primaria o secundaria.
**Causas más frecuentes:
Incompetencia istmico cervical:
**Incapacidad de sostener la gestación debido a presión excesiva del
feto y anexos en dirección al canal cervical.
**Primaria: mujer sin hijos, asociada a malformaciones congénitas o
cervicales.
**Secundaria: antecedente de 1 hijo, secundario a traumatismos
cervicales previos como partos, laceraciones vaginales y cervicales,
curetajes uterinos o cx cervicales.
**Clínica: dilatación insidiosa e indolora de cuello uterino que
evoluciona hacia aborto tardío.
**Us transvaginal: medida del tamaño del cuello uterino y OCI.
Acortamiento longitudinal del cuello uterino por debajo de 25mm
(20mm) sugiere el diagnostico.
-DETECCION US TV MAS COMPRESION FUNDICA DEL CUERPO
UTERINO identifica 19% de las pacientes.

14. Aborto habitual.
Incompetencia istmico cervical:
-Signo del dedo de guante.
-Dilatación del OCI >10mm y
profusión del SG >6mm es señal
de IIC.
**TX cerclaje cervical.
-USTV: estructuras ecogenicas
puntiformes o lineales en la
región cervical, con sombra
acústica posterior.

15. Aborto infectado.
Características:
** Historia de manipulación intrauterina (aborto provocado), señales de
infección materna, hipertermia, secesión vaginal fétida. Uso de DIU.
**El cuadro ultrasonografico varía dependiendo del tiempo de evolución.
**Us: la presencia de restos ovulares y endomiometritis aparece como
imágenes ecogenicas en la pared miometrial y cavidad uterina.

17. 0
1
ABOUT THE
DISEASE

18. Mercury is the closest
planet to the Sun and
the smallest planet of
all
Jupiter is a gas giant
and also the biggest
planet in the entire
Solar System
Mercury Jupiter
ABOUT THE DISEASE

19. A PICTURE
ALWAYS
REINFORCE
S THE
CONCEPT
Images reveal large amounts of data, so
remember: use an image instead of long
texts

20. MORE ABOUT THE DISEASE
Saturn is composed
of hydrogen and
helium
Neptune is the
farthest planet from
the Sun
Venus is the
second planet from
the Sun
Mercury is the
closest planet to the
Sun
0
1
0
2
0
3
0
4

21. “This is a quote. Words full of wisdom
that someone important said and can
make the reader get inspired.”
—SOMEONE
FAMOUS

22. CONCEPTS AND TYPOLOGY
Mercury is the
closest planet to
the Sun
A
Venus has a
beautiful name,
but it’s terribly
hot
Despite being
red, Mars is
actually a cold
place
C
B

23. 5,000
20,000
Neptune is the farthest planet from the
Sun
Despite being red, Mars is a cold
place.
Mercury is the closest
planet to the Sun
50,0
00

24. Despite being red, Mars is
cold. It’s full of iron oxide
dust
Saturn is composed of
hydrogen and helium and
has rings
Jupiter is the biggest planet
in our Solar System by far
Mercury is the smallest and
innermost planet in our
System
PATHOLOGY

25. SYMPTOMS OF THE
DISEASE
Venus has a beautiful
name, but it’s terribly hot
Jupiter is the biggest
planet in the Solar System
Despite being red, Mars is
actually a cold place

26. 04 05 06
01 02 03
Jupiter is the biggest
planet of them all
Saturn is composed of
hydrogen and helium
Neptune is the farthest
planet from the Sun
Mercury is the closest
planet to the Sun
Venus has a beautiful
name but it’s also
terribly hot
Despite being red, Mars
is actually a cold place
DIAGNOSIS

27. PREVENTION
Despite being red,
Mars is actually cold
Mercury is the
closest planet to the
Sun
Describe what the patient should
do
Venus has a beautiful
name, but it’s hot
Describe what the patient should
do
Describe what the patient should
do
Describe what the patient should
do
Describe what the patient should
do
Describe what the patient should
do
0
1
0
2
0
3

28. RISK FACTORS
20,000
Despite being red, Mars is a cold place
To modify this graph, click on it, follow
the link, change the data and paste the
new graph here
Mar
s
Ven
us
Jupi
ter
Sat
urn
Male
Femal
e

29. TREATMENT
0
1
0
2
0
3
0
4

30. PREVALENCE
Venus is the second
planet from the Sun
Venus
Mercury is the
smallest planet in our
System
Mercury

31. A
PICTURE
IS WORTH
A
THOUSAN
D WORDS

32. Big numbers catch your
audience’s attention
easily
1,164.
536

33. You can replace the image
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JENNA
DOE
HELENA
JAMES
JOHN
PATTERS
ON

35. Mercury is the closest
planet to the Sun and
the smallest planet of
all
Jupiter is a gas giant
and also the biggest
planet in our entire
Solar System
Advantage
s
Disadvanta
ges
CONCLUSIONS

36. RECOMMENDATIONS
● AUTHOR (YEAR). Title of the publication.
Publisher
● AUTHOR (YEAR). Title of the publication.
Publisher
● AUTHOR (YEAR). Title of the publication.
Publisher
● AUTHOR (YEAR). Title of the publication.
Publisher
● AUTHOR (YEAR). Title of the publication.
Publisher

37. REFERENCES
Author Year
Title of the
Publication
Jonathan C. 2000 Venus
Marc T. 2001 Mercury
Julianna R. 1992 Neptune

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