pregnancy

Question 1

ectopic pregnancy

Answer 1

TOP 3
*previous ectopic strongest RF
*hx of PID (one of the MC)
*IUD use

*others: previous abdominal or tubal surgery (d/t adhesions), hx of tubal ligation, endometriosis, assisted reproduction (e.g., IVF), infertility, hx of genital infections, multiple partners, smoking

Question 2

cervical pregnancy

Answer 2

hx of D&C

Question 3

gestational diabetes

Answer 3

*family or prior hx or gestational diabetes, spontaneous abortion, hx of infant >4000g at birth (macrosomia), multiple gestations
*obesity, >25yrs
*non-Caucasians: AA (highest), Hispanic, Asian or Pacific islander, Native Americans

Question 4

GTD

Answer 4

prior molar pregnancy, <20yrs or >35yrs, Asian

Question 5

incompetent cervix

Answer 5

*#1 previous cervical trauma or procedure (LEEP, conization)
*DES exposure in utero
*collagen d/o (Ehlers-Danlos), congenital (mullerian)

Question 6

chorioamnionitis

Answer 6

prolonged length of labor, PROM

Question 7

placental abruption

Answer 7

prior abruption most significant RF
*maternal HTN MC (e.g., chronic, preeclampsia, eclampsia)
*smoking, alcohol use, cocaine, folate deficiency, advanced maternal age, abdominal trauma, multiple gestation, PPROM, chorioamnionitis
*trauma – all pts involved in MVA, fall, or traumatic event should be evaluated
*more common in AA

Question 8

placenta previa

Answer 8

*major: previous placenta previa, previous c-section, multiple gestations
*increasing age & previous uterine surgery
*smoking

Question 9

uterine rupture

Answer 9

uterotonic drug exposure (oxytocin, PGs), high parity, uterine anomaly, AMA, dystocia, macrosomia, multiple gestation, placenta accreta/previa

Question 10

preeclampsia

Answer 10

preexisting HTN, nulliparity, maternal age <20yrs or >35yrs, diabetes, chronic renal disease, autoimmune disorders

Question 11

gestational HTN

Answer 11

*mother: stroke, MI, CVD, renal disease
*fetus: IUGR, preterm delivery