6779705
Description
Flashcards by Aimee Balch, updated more than 1 year ago
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Created by Aimee Balch
over 7 years ago
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| Question | Answer |
| List possible reasons for bleeding in early pregnancy | - Implantation bleeding - cervical erosion due to high oestrogen levels - Cervical polyps |
| What is the medical terminology and definition of a miscarriage? | a miscarriage is known as a spontaneous abortion and is the loss of a fetus before reaching viability, prior to 20 weeks gestation or a fetus weighing less than 500g |
| Define a spontaneous miscarraige | involuntary loss of the pregnancy prior to 20 weeks gestation |
| Define a threatened miscarriage | Uterine bleeding at any time during the first 20 weeks of pregnancy, where the cervix is open and no products of conception have passed |
| Define an incomplete miscarriage | The cervix is open however not all the products of conception have not passed |
| Define an inevitable miscarriage | Ther cervix is open, there are contractions but no products have passed |
| define a missed miscarriage | the fetus or embryo demised, however the cervix is closed and no products have been passed |
| define a septic miscarriage | An incomplete miscarriage where an infection has ascended into the uterus causing endometritis |
| A blighted ovum or Anembryonic is when... | An embryo has failed to develop |
| Subchorionic haemorrhage... | An ultrasound identifies a collection of blood between the chorion and the uterine wall |
| What are the two different management's of a miscarriage | Expectant and medical |
| Describe expectant management in relation to a miscarriage and what factors need to be considered | Expectant management is a wait and see approach where the woman waits to pass products naturally. - There is increased blood loss - incomplete miscarriage should be watched for risk of infection or heavy bleeding - women should be hemodynamically stable - it may assist in grief and emotional connection - reduced chance of infection/complications |
| describe the options available medical management | -The use of misoprostol to help induce contractions to expel the products - D & C dilatation and curettage (surgical procedure under GA) - reduced blood loss - increased risk of trauma to the cervix/uterus |
| What is an ectopic pregnancy and what are some of the risk factors? | A pregnancy occurring outside of the uterus (often in the fallopian tubes) Risk factors include: smoking, previous hx, pelvic surgery, tubal ligation, AMA |
| What is a possible complication of a tubal ectopic pregnancy? | Tubal rupture: This occurs when invasion of the trophoblastic tissue is uninterrupted, causing tearing of the stretched tissue |
| Define Diabetes Melitus | The inability to produce or use sufficient insulin to metabolize glucose |
| Name the 3 classifications of Diabetes | 1) Type 1: An autoimmune disorder developed pregestational 2) Type 2: Insulin resistance developed pregestational 3) Gestational Diabetes: Carbohydrate intolerance that is identified for the first time during pregnancy |
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