Early Pregnancy Problems Flashcards
What is hyperemesis gradvidarum?
Excess vomiting
What is mifepristone and what is it used for?
Anti-progesterone
For terminating pregnancy
What is Misoprostol and what is it used for?
Prostaglandin analogue
Used to expel products
What is a molar pregnancy? What symptoms are associated?
Non-viable fertilised egg implants in the uterus → will fail to come to term
Vesicular stuctures on US
Can become cancer unless dealth with - choriocarcinoma
Bleeding, Morning sickness
Why is chlamydia significant in taking a pregnancy history?
Chlamydia → infection → scar tissue
This can affect the peristaltic mechanism or the cilia in the tube → faulty fallopian tube
If someone has a mirena coil in situ and becomes pregnant, what is likely to happen?
Ectopic pregnancy
Where is the most likely region for an ectopic pregnancy?
Ampulla
How is an ectopic pregnancy likely to present?
Pain with guarding in specific area (can be adnexal tenderness), not settling with painkillers (paracetamol)
Some blood
What medical management would be used for an ectopic pregnancy to kil the pregnancy?
Methotrexate - antimetabolite
What are the signs for an ectopic pregnancy?
Uterus ready to receive fertilised egg
Adnexa tender
What is the gold standard investigation for possible Early Pregnancy loss causes?
Laparoscopy
At what bHCG level should you expect to see IUP? And what is a suboptimal rise indicative of?
>1500IU → should see IUP
Rise of >66% over 48h suggests IUP
Suboptimal rise → Ectopic Pregnancy
What is a very high bHCG level indicative of?
Molar pregnancy
