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Women's Health > Early Pregnancy Risk > Flashcards

Early Pregnancy Risk Flashcards

1
Q

Most common pregnancy complication?

A

Spontaneous abortion

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2
Q

What is threatened abortion?

A

Bleeding from uterus <20 week of viable pg.

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3
Q

Inevitable abortion?

A

Bleeding from uterus < 20 weeks + dilation of cervix.

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4
Q

Missed abortion?

A

Non-viable pg still in uterus. No passage of products.

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5
Q

Maternal risk factors for SA?

A

Infections (herpes, CMV)

Endocrine disorders (thyroid, DM, cardio, renal, autoimmune)

Uterine/cervical anomalies (distorted size, shape, hx. of taking DES, fibroids)

Asherman’s syndrome: scar tissue from D&C

Toxic (drugs, alcohol, cocaine)

Trauma

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6
Q

Anembryonic pg?

A

Embryo fails to develop
Clinically similar to missed/threatened abortion.
Dx: US

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7
Q

Unusually large uterus with “swiss cheese” or “snow storm” pattern?

A

MOLAR PREGNANCY

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8
Q

Treatment of SA?

A 
D&amp;C (good timing, no retained parts)
Expectant management (allows spontaneous passage, avoid surgery)
Medication option (Misoprostol)
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9
Q

3 or more consec pg loss <20 weeks?

A

Recurrent pg loss

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10
Q

Intrauterine infection of endometrium + conception?

A

Septic Abortion

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11
Q

Pg implanted outside of uterus? Most common is fallopian tube (tubal pg).

A

Ectopic pg

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12
Q

Intrauterine + ectopic pg concurrently?

A

Heterotopic pg

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13
Q

Risks of ectopic pg?

A 
PID
Endometriosis
Fibroids
Abnormal tubal anatomy (DES exposure)
Previous tubal surgery
IUDs
ART (assistive reproductive technology)..think IVF
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14
Q

Symptoms of ectopic pg?

A

Pain
Bleeding
Amenorrhea
Signs of syncope

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15
Q

Signs of ectopic pg?

A 
Abd tenderness
Uterus can undergo normal changes (softening)
B-HCG positive 
B-HCG rises abnormally
<5 progesterone lvl
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16
Q

HCG discriminatory zone?

A

1500-2000

17
Q

Management of ectopic?

A

Wait and watch (expectant): usually in asymptomatic patients whose baseline hCG <200 and decreasing.

Med: Methotrexate (inhibits folic acid). Measure HCG at day 4 and 7 after treatment. Check weekly until 0.

Surgery: Salpingectomy (remove fallopian tube)

18
Q

Fetotoxic Agents.

A

Viruses (CMV, rubella)
Environmental (radiation, hyperthermia)
Chemicals (mercury)
Drugs (ACE, Warfarin, valproic acid..etc)

19
Q

When to give steroids in those at risk for pre-term labor?

A

24-34 weeks

Women's Health (5 decks)

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