Early Pregnancy Problems Flashcards
What is the Expected date of delivery (EDD)?
280 days (40 weeks) from the 1st day of last menstrual period (LMP)
What is the definition of miscarriage?
Any pregnancy loss before 24 weeks gestation
What is the definition of stillbirth?
Any fetus born dead at or after 24 weeks gestation
What is the definition of livebirth?
A fetus which shows sign of life after delivery at any gestation
What is the definition of a threatened miscarriage?
Bleeding with continuing intrauterine pregnancy
What is the definition of a inevitable miscarriage?
Bleeding with non-continuing intrauterine pregnancy
What is the defintion of an incomplete miscarriage?
Incomplete passage of pregnancy tissue
What is the defintion of a complete miscarriage?
All pregnancy tissue expelled and uterus now empty
What is the definition of delayed/missed (silent) miscarriage?
aka early embryonic demise
Fetus has died in-utero prior to 24 weeks gestation
What is the defintion of a septic miscarriage?
Miscarriage complicated by intrauterine infection
What is the defintion of recurrent miscarriage?
3 or more consequetive miscarriages
What is the risk of miscarriage?
20% of pregnancies
What are the risk factors for miscarriage?
- Older maternal age
- Previous miscarriages
- Chronic conditions
- Smoking, alcohol and illicit drug use
Describe the clinical presentation of miscarriage?
- Positive pregnancy test
- Asymptomatic
- Pelvic pain
- Vaginal bleeding
Describe the investigastions into miscarriage?
- Ultrasound scan
- Transabdominal
- Transvaginal
- Examination of products of conception
- Serum hCG
- FBC, cross matching
