Bleeding In Early Pregnancy

Question 1

What is Implantation Bleeding

Answer 1

Occurs about 10-14 days after conception. Light bleeding or spotting

Question 2

A threatened miscarriage symptoms?

Answer 2

Light bleeding and mild pain/cramps

Question 3

What management do we do for threatened miscarriage?

Answer 3

Anti D if more than 12 weeks gestation, and avoiding intercourse (pelvic rest)

Question 4

NICE guidelines also recommend what management for Threatened miscarriages before 16 weeks gestation?

Answer 4

Micronized progesterone, 400mg marginally twice daily.

Question 5

incomplete miscarriage clinical signs?

Answer 5

Colicky severe pain. Heavy vaginal bleeding with clots

Question 6

Medical management of Missed Miscarriage

Answer 6

oral mifepristone followed by misoprostol.

Question 7

Medical management of Incomplete Miscarriage

Answer 7

Don’t offer Mifepristone. Offer Misoprostol only.

Question 8

Surgical management of miscarriages

Answer 8

Vacuum aspiration, or Surgical evacuation

Question 9

What are the indication of surgery for miscarriages

Answer 9

Heavy bleeding, failed medical treatment.

Question 10

A patient with first-trimester bleeding and an adnexal mass on ultrasound most likely has?

Answer 10

An Ectopic pregnancy

Question 11

Which patient requires Anti-D immunoglobulin after miscarriage?

Answer 11

Rh-negative woman at 14 weeks gestation

Question 12

Asherman syndrome is a potential sequel/ complication of?

Answer 12

Surgical miscarriage management

Question 13

After a complete miscarriage, what is follow up?

Answer 13

Urine pregnancy test after 3 weeks

Question 15

What is the estimated percentage of pregnancies affected by threatened miscarriage before 20 weeks gestation?

Answer 15

15-20%