Gestational Pathology 1 Flashcards
What is the most common site of ectopic pregnancy and what is the most important risk factor for?
Lumen of Fallopian tube
Scarring
What two conditions can lead to scarring which would put the patient at risk for ectopic pregnancy?
Endometriosis and PID
What is the classic presentation for ectopic pregnancy?
Woman presents with lower abdominal quadrant pain weeks after missed period
When do spontaneous abortions occur and what are the 3 things a women will present with?
Before 20 weeks
Vaginal bleeding, cramp like pain, and passing of fetal tissue
Most common cause of of abortion?
Chromosomal anomalies
What is placenta Previa and how does it present?
Where the placenta implants in the lower uterus and blocks part or all of the cervical os.
Third trimester bleeding
What is placenta abruption?
When the placenta abruptly detaches from the uterine wall.
2 clinical presentations of placenta abruption?
Third trimester bleeding and fetal insufficiency
Placental abruption is a common cause of what?
Still birth
What is placenta accreta?
When the placenta implants to implants all the way into the myometrium
What are 2 complications of placenta accreta and what does it often require?
Very difficult to deliver the placenta, so it often stays
Staying causes post partum bleeding
Requires hysterectomy
What is preeclampsia?
Pregnancy induced HTN, proteinuria, and edema usually presenting in 3rd trimester
What is the cause of preeclampsia?
Maternal-fetal vascular interface in the placenta
What can be found in the placental blood vessels of a women with preeclampsia?
Fibrinoid necrosis
What is eclampsia?
Preeclampsia with seizures
