Week 8-Repro-Pregnancy.txt

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Week 8-Repro-Pregnancy.txt
2012-10-11 19:59:31
Repro Pregnancy

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  1. What is Ectopic Pregnancy
    • An abnormal pregnancy that occurs outsid ethuterus an cannout continue to term; developing fetal cells must be removed to save the mother's life
    • occur 1 in40 to 1 in 100 pregnancies
  2. What are the most common sites for ectopic pregnancy
    • Fallopian tubes
    • Other sites include: ovary, cervix, stomach area
  3. Major complications of ectopic pregnancy
    • Bleeding from rupture of the ectopic pregnancy causeing:
    • 1-Severe, sharp, and sudden lower abdominal pain
    • lightheadness to syncope
    • referred pain in sholder
    • internal bleeding
    • shock
  4. What are causes of Ectopic Pregnancy
    • Fallopian tube scarring, surgery, or birth defect
    • Pelvic inflamatory disease
    • previous extopic pregnancy
    • edometriosis
    • complcations of rutptured appedndix
    • scarring fromprevious pelvic surgeries
  5. What are symptoms of ectopic pregnancy
    • Lower abdominal pain, mild cramping on one side of the pelvis
    • amenorrhea/metorrhea
    • breast tenderness
    • nausea
    • low back pain
  6. What are treatments fro ectopic pregnancy
    • methotrexate (a cytotoxix/immunosuppressive agent) - aids body in reabsorption of pregnancy by decreasing human chronic gonadotropin (HCG)
    • Laparotomy - to stop bleeding and terminate pregnancy
  7. Spontaneous abortion or miscarriage
    Loss of fetus before the 20th week of pregnancy (after 20 weeks preterm delivies) very few miscarriages are preventable
  8. What are causes of spontanous abortion or misacarraiage
    • fetal chromosomal defects
    • hormonal problems
    • indrection
    • reproductive organs defects
    • immune disorgers
    • serious systemic diseases
  9. What are potential risk factors for spontanous abortion or misacarraiage
    • older than 35 years of age
    • previous miscarriages
  10. What are symptoms spontanous abortion or misacarraiage
    • low back pain
    • dull, sharp, or cramping abdominal pain
    • tissue, or clot-like material passing form vagina
    • vaginal bleeding with or without abdominal cramps
  11. What are diagnositic procedures for spontanous abortion or misacarraiage
    • Pelvic exam - to see if cervix has opened (dilation) or thinned (effecement)
    • Abdominal or vaginal ultrasound - to check fetal development, heart beat, or amount of bleeding
    • Blood testing - Blood type (RH compatabilit) complete blood workup (to determine blood loss), HCG (to confirm preg), wbc and differential (to rule out infection)