Pregnancy Feild Flashcards
Fetal demise
refers to the loss of a fetus during pregnancy, typically after the 20th week. This can be emotionally devastating for expectant parents. Causes can vary widely and may include genetic abnormalities, placental issues, infections, or maternal health conditions.
Accrue before labor
Antenatal demise
defines death that occurs after the onset of labor.
Intrapartum demise
Fetal demise is most commonly idiopathic. When a cause is identified, risk factors include
antiphospholipid syndrome, overt maternal diabetes, maternal trauma, severe maternal isoim- munization, fetal aneuploidy, and fetal infection.
Clinical Findings of fatal death
Before 20 weeks’ gestation, the most common finding is uterine fundus smaller than dates. After 20 weeks’ gestation, the most common symptom is maternal report of absence of fetal movements.
Diagnosis. Ultrasound demonstration of lack of fetal cardiac activity.
is pregnancy in which implantation has occurred outside of the uterine cavity.
Ectopic pregnancy
The most common predisposing cause of ectopic pregnancy is
previous pelvic inflammatory disease (PID).
اهم أسباب زيادة خطر ال ectopic pregnancy ( تسبب scarring and adhesion ) هي :
1- previous infection ( PID, IUD )
2- post surgical ( tubal ligation , tubal surgery )
3- congenital ( DESS exposure)
Classic tried of un raptured ectopic pregnancies
is amenorrhea, vaginal bleeding, and unilateral pelvic-abdominal pain.
Raptured ectopic pregnancies symptoms
the symptoms will vary with the extent of intraperitoneal bleeding and irritation.
Pain of ectopic pregnancy
Pain usually occurs after 6–8 menstrual weeks.
Uterine enlargement and fever are usually absent.
Sign of ectopic pregnancy
Folate antagonist
Methotrexate
Prevent rapid proliferation tissue include trophoblasts villi
Methotrexate
Prevent rapid proliferation tissue include trophoblasts villi
Methotrexate
