Hemorrhage In Early Pregnancy

Question 1

Pregnancy with high risk of rupture

Answer 1

1) Pregnancy in rudimentary horn of unicornuate uterus
2) Peegnancy in ninfunctioning horn of bicornuate uterus
3) Caesarian scar ectopic

Question 2

Which type of PID has highest risk of causing ectopic pregnancy and why?

Answer 2

PID caused by Chlamydia
As it produces PROKR2 protein, which promotes tubal implantation.

Question 3

Risk factors of ectopic pregnancy.

Answer 3

1) Prev h/o ectopic
2) Prev h/o PID
3) h/o tubal reconstruction surgery
4) h/o endometriosis
5) IUD
6) Tubal ligation
7) Contraceptive failure
8) H/o infertility
9) IVF/ART
10) Smoking
11) Ovulation inducing drugs such as Clomiphene, Letrozole, Gonadotropins
12) Prev h/o induced abortion