OBGYN: Ectopic Pregnancy

OBGYN: Ectopi c Pregna

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Front Back
Ectopic pregnancy caused how many maternal deaths in 1992?
9%
How is ectopic pregnancy changing over the years?
More common
What are 6 risk factors for ectopic?
1. Previous ectopic 2. Previous PID 3. Previous IUD 4. Infertility tx 5. Tubal ligation 6. Tubal surgery
Most common site of ectopic
Ampulla of ovarian tube
Safest spot for ectopic
Fimbrial part of ovarian tube
Sx of ectopic pregnancy
1. Abdominal pain**** 2. Amenorrhea 3. Irregular vaginal bleeding 4. Palpable adnexal mass
What is the adnexa?
Any structures close to the uterus
What are 4 sites of ectopic pregnancy (in order of frequency)?
Tubal implantation (>90%) Ovarian (6%) Abdominal implantation Cervical implantation
What are two diagnostic blood tests for ectopic?
HCG Progesterone
What is the normal hCG for normal preg?
Doubles every two days
What is the normal level of progesterone?
>25
When is an ectopic pregnancy likely to rupture?
As it gets bigger (hCG higher)
What are three diagnostic tools to ectopic?
Ultrasound Culdocentesis Surgery
When is abdominal U/S best?
IUP visable with hCG > 6500
What is the best U/S? When can you use it?
Vaginal hCG > 1200-1500