B8-076 Reproductive Health Flashcards
OTC urine pregnancy tests detect an hCG over […]
25
(she said: so moments pregnant, will be positive)
unintended pregnancy occurs more often in in women of […] SES status
low
most common reason for presenting for abortion after 16 weeks
woman did not realize she was pregnant
surgical method of induced abortion in 2nd trimester
D&E
(most common method in 2nd trimester)
surgical method of abortion in 1st trimester
MUA/D&C
medication method of abortion in 1st trimester
misoprostol + mifepristone
medication method of abortion in 2nd trimester
labor induction
(less common than D&E, usually women with babies with genetic anomalies)
[mifepristone vs. misoprostol]
progesterone receptor antagonist
mifepristone
[mifepristone vs. misoprostol]
necrotizes decidua, softens cervix, increases uterine sensitivity to prostaglandins
mifepristone
[mifepristone vs. misoprostol]
prostaglandin E1 analog
misoprostrol (cytotec)
[mifepristone vs. misoprostol]
stimulates uterine contractions
misoprostrol (cytotec)
misoprostol is taken […] after mifepristone
24 hrs
contraindications to medication abortion [3]
ectopic pregnancy
coagulation disorders
porphyria
serum hCG levels should decrease by at least […]% 6-10 days after taking mife/miso
60
ultrasound with no […] 4-10 days after mife/miso can confirm completion of medication abortion
gestational sac
(thickened endometrium is ok as long as there is no gestational sac)
[…] given before uterine aspiration decreases the risk of post procedure infection
antibiotics
Rhogam should be given to Rh- patients after […] weeks gestational age
12
(so not really needed for first trimester abortion)
[…] million patients per year experience complications from unsafe abortion
7
nearly all of abortion related deaths/injuries occur in what regions?
developing world
about half of all EPL is due to
chromosomal abnormalities
most common trisomy causing ELP
always lethal
trisomy 16
anembryonic gestation or embryonic demise is known as […] abortion
missed abortion
IUP on ultrasound
cervix closed
no tissue passed
threatened abortion
IUP on ultrasound
cervix open
no tissue passed
inevitable
+/- IUP on ultrasound
cervix open
tissue passed
incomplete
no IUP on ultrasound
cervix open
tissue passed
complete
gestational sac with mean sac diameter greater than 25 mm, without evidence of fetal pole
anembryonic gestation
CRL > 7mm with no cardiac activity on US
CRL=crown rump length
embryonic demise
using mifepristone before misoprostrol greatly decreases the risk of needing […] to complete the abortion
(over using misoprostrol alone)
aspiration
best tools for evaluation of ectopic pregnancy
bHCG
US
most common location of ectopic pregnancy
ampulla of uterine tube
greatest risk factors for ectopic pregnancy
previous tubal surgery
previous ectopic pregnancy
medication treatment for ectopic pregnancy
methotrexate followed by serial hCGs
(must have normal bone/liver/renal functioning)
vaginal bleeding in early pregnancy is […] until proven otherwise
ectopic
normal implantation occurs […] days after fertilization
5-7
invasion of the trophoblastic tissue into the decidua results in the production of […]
hCG
risk factors for ectopic pregnancy [3]
hx of PID
previous tubal surgery
previous ectopic
women who are Rh negative should receive Rhogam to prevent
alloimmunization
