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
|