Early Pregnancy Complications Flashcards
Where do 95-99% of ectopic pregnancies occur?
Fallopian tube
What are the cardinal signs of ectopic pregnancy?
- Vaginal bleeding
- Abdominal pain
- Missed menses
What is the single dose regimen used in treatment of ectopic pregnancy?
50mg/m2 BSA Methotrexate on Day 1
This is described as having no expulsion of products of conception , but vaginal bleeding and dilatation of cervix are present and will unlikely result in pregnancy?
Inevitable Abortion
95% of first trimester abortions are usually due to whatcondition?
Autosomal trisomy
This is painless cervical dilation and effacement , often in the second trimester . What percentage of second trimester losses are due to this condition?
Cervical insufficiency 15%
15% of recurrent pregnancy losses are due to this syndrome?
(APA) Antiphospholipid A Syndrome
This technique in the management of Cervical Insufficiency involves placing a suture at the cervical vaginal junction?
McDonalds Cerclage
Considerations for future pregnancies with previous hx of PROM?
- Cervical length screening
- Progesterone given at 16-24 wks aog
- Cervical cerclage
Method of tampon test in diagnosing PROM?
A dye is injected via amniocentesis and observed if it leaks into the vagina.
Non invasive test to predict preterm borth within 7 days in symptomatic women?
Fibronectin
Criteria for medical management of ectopic pregnancy? (5)
- Stable patient
- B-hCG <1500 iu/L
- Size <3.5 cm
- AOG <6wks
- No fetal heart beat
What type of abortion is associated with a dilated cervix and no expulsion of the products of conception?
Inevitable Abortion
The following signs and symptoms may indicate threatened abortion?
Vaginal bleeding in first trimester with or without cramps
When does 99% of ectopic pregnancy implant located?
Fallopian tube
