Flashcards in Early pregnancy problems Witrak Deck (10):
What are the two main categories of what can go really wrong in the first trimester?
What are the very vague symptoms associated with spontaneous abortions?
What are some associations of spontaneous abortions?
Structural uterine abnormalities
Systemic maternal disease
Thrombophilias (Factor V Leiden, Anti-phospholipid syndrome)
Were is the most common location of an ectopic pregnancy?
In the tubes (90%)
What are the risk factors for having an ectopic pregnancy?
Prior tubal injury (PID, endometriosis, pelvic surgery)
What symptoms are associated with ectopic pregnancies?
If tubal ruptures → hemoperitoneum, shock, death
How can an ectopic pregnancy be diagnosed?
Serum hCG and transvaginal ultrasound
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
When is an endometrial curettage performed?
If there is a slow hCG rise