Flashcards in EARLY Pregnancy Problems Deck (33):
Any things prior to 12 weeks is?
What to ask woman who presents to ED with some bleeding from vagina
Possible you're preg?
Any N/&V and go away?
Important about bHCG?
The quantitative amount: should double every 48 hours until week 8.
U/s and early preg?
U/S and bHCG is most useful
-If bHCG hits 1500-3500, will see a gestational sac and yolk sac
-bHCG 20 000 should see 5-10mm embryo at 7 weeks.
When can you see something u/S in early preg?
BHCG needs to be at least 1500 or you may not see anything especially if
Hyperemesis Gravidarum, likely in who?
Hyperemesis Gravidarum is?
Weight loss exceeding 5%, dehydration, keto urea
-onset 4-10 weeks
Test for Hyperemesis Gravidarum?
U/S to exclude multiple
Management of Hyperemesis Gravidarum?
Remove mole if it's mole
Hyperemesis Gravidarum, pharma?
Ondansetron (constipation G)
What is EPAS?
Early pregnancy asessment service
Threatened miscarriage is?
Have some bleeding but a viable fetal heart then only 1-2% miscarriage
All products gone
Some products of conception remains
Used to be When termination was illegal.
Causes of miscarriage?
85% chromosomal abnormalities
Maternal causes of miscarriage
TRAUMA (domestic violence)
What causes miscarraige at 12-20 weeks (midterm)
Bleeding in preg women?
Most are fit ned will compensate until the end.
Why do you get bradycardia and hypotension in miscarriage?
Cervical os is innervated by vagus
Dx of miscarriage?
CRL >7mm with no heart beat
Empty Gestational sac without yolk sac or fetal pole
What is a blighted ovum? When find out?
Empty gestational sac
See at 12 weeks.
Mx of miscarraige?
Expectant: wait and see (70%)
Medical - misoprostol (80%)
Surgical (D&C)uterine perforation
-ABx needed to prevent ascending infection
-No difference in satisfaction if mother chooses
D&C for miscarriage is actually?
dilation and Suction curettage
When is recurrent miscarriage?
3 consecutive miscarriages before investigations
Pregnancy of unknown location is?
Dont' know where it is.
Positive preg test, can't see on U/S with bHCG doubling
When need scan For PUL?
If stable: after 3 BHCG Abnormal= scan
If they're not well, then act now
Commonest reason for ectopic preg is?
Which ectopic pregnancy is worse for bleeding?
Ovary blood supply?
Ovarian artery directly from Aorta
clinical Presentation of ectopic pregnancy?
Acute: low Abdo pain (90%) peritoneal irritation
Vaginal bleeding (50%) shedding decidua
-adenexa L tenderness
Shoulder tip pain
Recurrence of ectopic pregnancy?