Early pregnancy problems Witrak Flashcards Preview

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Flashcards in Early pregnancy problems Witrak Deck (10):
1

What are the two main categories of what can go really wrong in the first trimester?

Spontaneous abortion/miscarriage
Ectopic Pregnancy

2

What are the very vague symptoms associated with spontaneous abortions?

Abdominal pain
Amenorrhea
Vaginal bleeding

3

What are some associations of spontaneous abortions?

PCOS
Chromosome abnormalities
Structural uterine abnormalities
Cervical incompetence
Systemic maternal disease
Thrombophilias (Factor V Leiden, Anti-phospholipid syndrome)
Smoking/EtOH

4

Were is the most common location of an ectopic pregnancy?

In the tubes (90%)

5

What are the risk factors for having an ectopic pregnancy?

Prior tubal injury (PID, endometriosis, pelvic surgery)
IUD placement

6

What symptoms are associated with ectopic pregnancies?

Abdominal pain
If tubal ruptures → hemoperitoneum, shock, death

7

How can an ectopic pregnancy be diagnosed?

Serum hCG and transvaginal ultrasound
Endometrial curettage

8

What is seen with serum hCG levels in women with an ectopic pregnancy?

< 50% hCG increase every 2 days...normal is > 50% increase in same time

9

When is an endometrial curettage performed?

If there is a slow hCG rise

10

What are some treatment options for ectopic pregnancy?

Salpingectomy
Salpingostomy
Methotrexate