Complications During Pregnancy
Early Pregnancy Complications
Now you can......
name 3 signs and symptoms associated with spontaneous abortion, ectopic pregnancy,
and gestational trophoblastic disease? - Perinatal loss
Ectopic pregnancy
Gestational trophoblastic disease
Gestational trophoblastic disease (GTD) is a term used for a group of pregnancy-
related tumours. These tumours are rare, and they appear when cells in the womb start
to proliferate uncontrollably. The cells that form gestational trophoblastic tumours are
called trophoblasts and come from tissue that grows to form the placenta during
pregnancy.
S/S : vaginal bleeding, excessive N/V, abdomianl pain, size/date discrpancy
Management: remove uterin contents
Spontaneous abortion
,Now you can......
name 3 signs and symptoms associate with spontanous abortion, epctopci pregnancy,
and gestational trophoblastic disease? - Before 20 weeks gestation
S/S: bleeding, cramping, abdomial pain, decreased symptoms of pregngncy
Management: D&C
Cervical Insufficiency/Incompetence - Painless dilation and cercical effacement
2nd trimester
Management:
Transvaginal ultrasound cervical lenth assessment
Cerclage (sewing shut)
Bedrest
Ectopic Pregnancy - In fallopian tube
On fallopian tube
On ovary
On cervix
On the abdomial wall
,On the bowel
Factors implicated in ectopic pregnancy - Tubal pathology-problem inside the tube
Previous tubal surgery-endometriosis? Ashermans?
abortion? ALL because of scar tissue
Infertility
Genital or pelvic inflammatory disease
Use of some reproductive technologies
Previous miscarriage
Previous induced abortion
Use of an intrauterine contraceptive device
Previous ectopic pregnancy
Sterilisation
Smoking
Douching
Exposure to diethylstilboestrol : terrible drug that has since
been withdrawn
Diagnostic procedures for suspected ectopic pregnancy - Urine pregnancy test
, Beta-human chorionic gonadotrophin concentrations:
(hCG) is a hormone produced by the embryo after
implantation
Transvaginal ultrasound
Serum progesterone concentrations:
Serum progesterone is a test to measure the amount
of progesterone in the blood. Progesterone is a
hormone produced mainly in the ovaries.
Progesterone plays a key role in pregnancy. It helps
make a woman's uterus ready for a fertilized egg to
be implanted
Dilatation and curettage
Dilation (or dilatation) and curettage (D&C) refers to
the dilation (widening/opening) of the cervix and
surgical removal of part of the lining of the uterus
and/or contents of the uterus by scraping and
scooping (curettage). It is a therapeutic
gynecological procedure as well as the most often
used method of first trimester abortion
Early Pregnancy Complications
Now you can......
name 3 signs and symptoms associated with spontaneous abortion, ectopic pregnancy,
and gestational trophoblastic disease? - Perinatal loss
Ectopic pregnancy
Gestational trophoblastic disease
Gestational trophoblastic disease (GTD) is a term used for a group of pregnancy-
related tumours. These tumours are rare, and they appear when cells in the womb start
to proliferate uncontrollably. The cells that form gestational trophoblastic tumours are
called trophoblasts and come from tissue that grows to form the placenta during
pregnancy.
S/S : vaginal bleeding, excessive N/V, abdomianl pain, size/date discrpancy
Management: remove uterin contents
Spontaneous abortion
,Now you can......
name 3 signs and symptoms associate with spontanous abortion, epctopci pregnancy,
and gestational trophoblastic disease? - Before 20 weeks gestation
S/S: bleeding, cramping, abdomial pain, decreased symptoms of pregngncy
Management: D&C
Cervical Insufficiency/Incompetence - Painless dilation and cercical effacement
2nd trimester
Management:
Transvaginal ultrasound cervical lenth assessment
Cerclage (sewing shut)
Bedrest
Ectopic Pregnancy - In fallopian tube
On fallopian tube
On ovary
On cervix
On the abdomial wall
,On the bowel
Factors implicated in ectopic pregnancy - Tubal pathology-problem inside the tube
Previous tubal surgery-endometriosis? Ashermans?
abortion? ALL because of scar tissue
Infertility
Genital or pelvic inflammatory disease
Use of some reproductive technologies
Previous miscarriage
Previous induced abortion
Use of an intrauterine contraceptive device
Previous ectopic pregnancy
Sterilisation
Smoking
Douching
Exposure to diethylstilboestrol : terrible drug that has since
been withdrawn
Diagnostic procedures for suspected ectopic pregnancy - Urine pregnancy test
, Beta-human chorionic gonadotrophin concentrations:
(hCG) is a hormone produced by the embryo after
implantation
Transvaginal ultrasound
Serum progesterone concentrations:
Serum progesterone is a test to measure the amount
of progesterone in the blood. Progesterone is a
hormone produced mainly in the ovaries.
Progesterone plays a key role in pregnancy. It helps
make a woman's uterus ready for a fertilized egg to
be implanted
Dilatation and curettage
Dilation (or dilatation) and curettage (D&C) refers to
the dilation (widening/opening) of the cervix and
surgical removal of part of the lining of the uterus
and/or contents of the uterus by scraping and
scooping (curettage). It is a therapeutic
gynecological procedure as well as the most often
used method of first trimester abortion
