Term
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Definition
Implantation of the fertilized egg outside of the uterus.
Approx 1% of pregnancies due to fertility treatments, STDs and PID and use of IUDs.
Presents with bleeding and unilateral pain.
Dx with palpation of an adnexal mass or US
Tx is surgery pr methotrexate |
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Term
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Definition
AKA miscarriage
Pregnancy ends before 20 weeks gestation
15-20% of all pregnancies |
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Term
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Definition
| Fetus lost before 20 weeks gestation, less than 500g or less than 25 cm |
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Term
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Definition
| Complete expulsion of all products of conception before 20 weeks GA. |
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Term
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Definition
| Partial expulsion of some but not all POC before 20 weeks GA |
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Term
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Definition
No expulsion of POC
Bleeding and dilation of the cervix such that viable pregnancy is unlikely |
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Term
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Definition
Any intrauterine bleeding before 20 weeks GA
No dilation or expulsion |
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Term
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Definition
Death of embryo or fetus
Complete retention of POC |
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Term
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Definition
Most common cause is fetal chromosomal abnormalities
Rule out ectopic pregnancy with hx, PE, labs and US
RhoGam given to all Rh-negative patients with bleeding |
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Term
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Definition
usually secondaryto uterine or cervical abnormalities, trauma, systemic disease or infection
D&E, prostaglandins, oxytocin used for mgmt of spontaneous abortion
Risk of uterine perforation with D&E is greater in 2nd trimester
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Term
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Definition
Painless dilation and effacement often in the 2nd trimester
If previable (pess than 24 weeks) expectant mgmt or termination are options
If viable: strict bedrest, and betamethasone to decrease risk of prematurity.
Tocolysis and cerclage are also available. |
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Term
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Definition
Defined as 3 or more consecutive SABs
Eval includes karyotyping, hysterosalpingogram, screenig for hypoT, DM, SLE, hypercoagulability. |
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