miscarriage Flashcards Preview

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Flashcards in miscarriage Deck (21):
1

definition

loss of pregnancy before 24 weeks gestation

2

how does it present

bleeding PV

3

questions to ask in early pregnancy bleeding

is she shocked, has it been worse thana a period, have products of conception been seen, is the os open, uterine size appropriate for dates, bleeding from cervical lesion or uterus, blood group

4

what is a threatened miscarriage

mild symptoms, cervical os closed

5

associations threatened miscarriage

risk preterm rupture of membranes, pre term delivery

6

what is an inevitable miscarriage

symptoms severe and os is open

7

what is an incomplete miscarriage

products have already been passed

8

what drug can you give if bleeding is profuse

ergometrine

9

when is an evacuation of retained products of conception indicated

when pain or bleeding is so severe, or if a lot of retained products seen on US

10

what is a missed miscarriage

fetus dies but is retained.

11

signs missed miscarriage

bleeding and uterus is small for dates

12

management missed miscarriage

medical- mifepristone and misoprostol. surgical evac

13

what is a mid trimester miscarriage due to

mechanical- cervical incompetence, uterine abnormalities, chronic maternal disease- DM, SLE

14

what can be done with incompetent cervix

strengthened by suture at 14wks, removed before labour (in patient 3+ prem deliveries/mid trimester losses)

15

what are early miscarriages due to

aneuploidy, abnormal fetal development, maternal illness

16

what can 2nd trimester miscarriage be due to

infection eg CMV

17

what does miscarriage with infection present like

acute salpingitis- co amoxiclav and metronidazole

18

what is recurrent spontaneous miscarriage

3 or more consecutive pregnancies before

19

causes recurrent spontaneous miscarriage

PCOS, BV, uterine abnormalities, antiphospholipid- terminate in 1st trimester, thrombophilia, alloimmune

20

recommendations for recurrect

test for antiphospholipid, test for thrombophilia, pelvic ultrasound, karyotype fetal products

21

exclude other causes PV bleeding

ectopic, cervical bleeding- polyps, hydatiform mole; cervical carcinoma