Early Pregnancy Flashcards
How many days after fertilisation does the blastocyst implant?
8-9 days
What are the three main disorders of early pregnancy?
Miscarriage
Ectopic preganany
Gestational trophoblastic disease
Define recurrent miscarriage
How common is it?
Three of more consecutive miscarriages
1% of women
What is the chance the the next pregnancy will be viable after recurrent miscarriage?
75%
What investigations are carried out for recurrent miscarriage?
Thrombophillia screen
Anti phospholipid antibodies
Genetics of parents
USS - intrauterine fibroids
If the woman is found to have anti phospholipid antibodies what treatment can be given in future pregnancies?
Aspirin + heparin
What are the 4 types on miscarriage?
Threatened
Inevitable
Missed
Complete
How many threatened miscarriages will proceed to miscarry?
50%
How long should you wait with expectant management of miscarriage?
14 days
What drug is used is medical management of miscarriage?
What are the side effects?
Misoprostol 800 micrograms
Increased pain, bleeding, nausea
What part of the embryo forms the placenta?
Trophoblast
