2 Failed Pregnancy Flashcards
Applies to in utero death of a fetus after 20wks of gestation prior birth
Fetal Demise
This type of abortion requires watchful waiting with little/no interventions indicated.
Threatened Abortion
MC problem associated with PG induced abortions
Retained placental fragments
T/F: caesarean delivery is almost never appropriate for dead fetus
TRUE
Most serious consequence of fetal demise longer than 2 weeks
DIC
Most common congenital cause of ectopic pregnancy
Dielthylstilbestrol
Classic triad of unruptured EP
Amenorrhea
Unilateral pelvic-abdominal pain
Vaginal bleeding
In the presence of unilateral adnexal and cervical motion tenderness, sonography may/not reveal an adnexal mass but _________
Absence of IUP
Specific criteria for EP diagnosis
Failure to see IU gestational sac with B-HCG titer greater than 1,500 mIU
Unruptured EP with pregnancy mass < 3.5cm in dm, (-) FHT, B-HCG <6000 mIU, no hx of FA supplementation
this is a candidate __________ therapy
Methotrexate Therapy
Ruptured EP or those with no desire for further fertility
Salphingectomy
B HCG discriminatory threshold
Abdominal UTZ - 6,500 mIU
TVS - 1,500 mIU