MOD3-OB2-T5-Bleeding in the First Half of Pregnancy (Abortion, Ectopic Pregnancy, Trophoblastic Diseases).pdf

OB2 OBSTETRICS 2 Bleeding in the First Half of Pregnancy (Abortion, TRANS 5...

OB2 OBSTETRICS 2 Bleeding in the First Half of Pregnancy (Abortion, TRANS 5 Ectopic Pregnancy, Trophoblastic Diseases) MODULE 3 Dr. Vincent Lohengrin A. Fortun, FPOGS, FPSSTD August 8, 2024 LECTURE OUTLINE Table 1. Types of Spontaneous Abortions I Early Complications in Pregnancy Bloody vaginal discharge or bleeding occurs A. Miscarriage or Abortion Threatened through a closed cervical os (cervix) B. Ectopic Pregnancy Miscarriage Management: Observation and by giving 1. Diagnosis Acetaminophen-based analgesia 2. Management Vaginal bleeding follows partial or complete C. Hydatidiform Mole Incomplete placental separation and cervical dilatation 1. Signs and Symptoms Miscarriage Management: dilatation and curettage 2. Diagnosis 3. Management Complete expulsion of the entire pregnancy and Completed subsequent closure of the cervical os II Ectopic Pregnancy Miscarriage Management: Supportive A. Risk Factors for Ectopic Pregnancy 1. Abnormal Fallopian Tube Anatomy Dead products of conception are retained for B. Pathogenesis of Tubal Rupture Missed days/weeks with a closed cervical os C. Clinical Manifestations of Ectopic Pregnancy Abortion Treatment: Medical or surgical evacuation of D. Outcomes of Ectopic Pregnancy uterine contents E. Laboratory Diagnosis F. Surgical Diagnosis Preterm, premature rupture of membranes of Inevitable G. Treatment pre-viable gestational age Miscarriage Treatment: Surgical, medical, expectant III Gestational Trophoblastic Disease A. Clinical Classification of GTDs Infection complicates the miscarriage Septic B. Hydatidiform Mole Treatment: Broad-spectrum antibiotics, Miscarriage 1. Complete Hydatidiform Mole dilatation and curettage 2. Partial Hydatidiform Mole Recurrent 3 or more consecutive pregnancy losses at