early pregnancy complication Flashcards
(20 cards)
abortion
Loss of pregnancy before 20 weeks
Most common cause of abortion in the first trimester?
chromosomal abnormalities (50%)
mostly turner
types of threatened abortion
*threatened
*inevitable
*incomplete
*complete
*missed
cervical os and fetal cardiac activity in threatened abortion and treatment
closed cervical os
there is cardiac activity
tx:observation
cervical os and fetal cardiac activity in inevitable abortion
and treatment
open cervical os
there is or there is not cardiac activity
tx: observation or urgent surgical if heavy bleeding
cervical os and fetal cardiac activity in incomplete abortion
and treatment
open cervical os
no cardiac activity
tx: observation /medical misoprostol/surgical
cervical os and fetal cardiac activity in complete
closed cervical os
no cardiac
cervical os and fetal cardiac activity in missed abortion
and treatment
closed cervical os
no cardiac activity
tx:observation /medical(mifipristone,misoprostol)/surgical (d&c)
Blighted Ovum(Anembryonic pregnancy)
Is a pregnancy in which the embryo failed to develop.
How to diagnose?Anembryonic pregnancy)
US imaging shows an empty gestational sac without a fetal pole.
Blighted Ovum(Anembryonic pregnancy) VS missed abortion
missed occurs after embryonic or fetal demise, meaning after a previously confirmed viable fetus present
Anembryonic pregnancy clinical presentaion
Parallel to threatened and missed mild pain ,bleeding, closed cervix,or asymptomatic.
Recurrent pregnancy loss (RPL)
A diagnosis made after 3 or more consecutive spontaneous losses of a pregnancy before 20 weeks gestation
*The diagnostic workup of couples with recurrent pregnancy loss may be initiated after 2 pregnancy losses
Recurrent pregnancy loss (RPL)
The workup includes:
- Karyotype of abortus specimen
- Karyotyping of couples
- The uterus(mullerian fusion abnormalities)
- Thyroid function, Infectious causes. (chlamydia ,listeria)
uterine anomalies causes abortion
*uterine septum m(most common) (1st trimester loss)
*mullerian fusion
*bicornuate
*unicornuate uterus
infectious causes for abortion
causes(Toxoplasma gondii, Listeria monocytogenes, herpes simplex, and
cytomegalovirus. Check IgM and IgG
fever after abortion ?
septic abortion
septic abortion management ?
emergency->operation room ->d&c
complications of mullerian anomaly
*miscarriage
*premature birth
*malpresentation
