Reproductive Issues

Question 1

Ectopic Pregnancies

Answer 1

fertilized egg grows outside of uterus, typically in the fallopian tubes and occurs within 3% of pregnancies
can be life threatening
typically found in weeks 4-12

Question 2

Risk Factors for Ectopic Pregnancy

Answer 2

history of PID and ectopic pregnancy
current progestin releasing IUD
progestin only BC 
prior pelvic or tubal surgery
procedures used in infertility treatment

Question 3

CM of Ectopic Pregnancies

Answer 3

ab or pelvic pain
irregular periods
missed periods
pain radiating to shoulder and back
urge to poo or pee
occasionally fever

Question 4

Diagnostics of Ectopic Pregnancies

Answer 4

serum pregnancy test
absence of normal intruterine pregnancy means prob spontaneous abortion or ectopic if it has high beta hCG
beta hCG and vaginal US are used
CBC

Question 5

Tx of Ectopic Pregnancies

Answer 5

surgery to remove fetus and may need a removal of a fallopian tube if it ruptures
monitoring bleeding, pain, blood tests, and vitals
pain meds
methotrexate to stop cells of the fertilized egg from growing
Rh D immunoglobin for those who are Rh-ve to prevent an immune response to Rh+ve blood
conservation surgical approach limits damage to the reproductive system