Bleeding_First_Trimester Flashcards
What are common reasons women in early pregnancy seek medical attention?
Bleeding in the first trimester is a common reason women in early pregnancy seek medical attention.
What are the main differential diagnoses for bleeding in the first trimester?
The main differential diagnoses are miscarriage, ectopic pregnancy, implantation bleeding, and miscellaneous conditions such as cervical ectropion, vaginitis, trauma, and polyps.
Why is ectopic pregnancy considered the most important cause of bleeding in the first trimester?
Ectopic pregnancy is considered the most important cause because missed ectopics can be potentially life-threatening.
What is implantation bleeding and how is it diagnosed?
Implantation bleeding is a diagnosis of exclusion.
What are some miscellaneous conditions that can cause bleeding in the first trimester?
Miscellaneous conditions include cervical ectropion, vaginitis, trauma, and polyps.
What symptoms suggestive of an ectopic pregnancy warrant immediate referral to an early pregnancy assessment service?
If a woman has a positive pregnancy test and any of the following symptoms: pain and abdominal tenderness, pelvic tenderness, or cervical motion tenderness, she should be referred immediately to an early pregnancy assessment service.
What should be done if a woman > 6 weeks gestation has bleeding?
If the pregnancy is > 6 weeks gestation (or of uncertain gestation) and the woman has bleeding, she should be referred to an early pregnancy assessment service.
What is the most important investigation to identify the location of the pregnancy and whether there is a fetal pole and heartbeat?
A transvaginal ultrasound scan is the most important investigation to identify the location of the pregnancy and whether there is a fetal pole and heartbeat.
How should women with < 6 weeks gestation and bleeding but no pain or risk factors for ectopic pregnancy be managed?
If the pregnancy is < 6 weeks gestation and the woman has bleeding but no pain or risk factors for ectopic pregnancy, she can be managed expectantly.
What advice should be given to women with < 6 weeks gestation and bleeding but no pain or risk factors for ectopic pregnancy?
Women should be advised to return if bleeding continues or pain develops, to repeat a urine pregnancy test after 7-10 days and return if it is positive, and that a negative pregnancy test means the pregnancy has miscarried.
