You can Support Project Access today!
- Follow us on Facebook
- Follow us on Twitter
Join our mailing list Sign-up
- Support Project Access
- Give Monthly
- Fund a Fellow
- Donor Advised Fund Grants
Your browser is outdated, it may not render this page properly, please upgrade .
Home > Resources > First Trimester Bleeding Presentation
- Share on Facebook
- Share on Twitter
- Send via email
First Trimester Bleeding Presentation
July 01, 2017
Update: July 2017
- ppt First Trimester Bleeding
- ppt First Trimester Bleeding- blue background
- doc Abstract- First Trimester Bleeding
- pdf Facilitator's Guide- First Trimester Bleeding
- pdf Pretest- First Trimester Bleeding
- pdf Pretest with Answers- First Trimester Bleeding
- pdf Participant Cases- First Trimester Bleeding
- pdf First Trimester Bleeding Algorithm
Related Resources
- Early Pregnancy Loss (Miscarriage) Medication Management Consent
- Insights: Using Ultrasound to Diagnose Early Pregnancy Loss
- Training, Education & Advocacy in Miscarriage Management (TEAMM)
Latest Blog Post
The History of Mifepristone
Reproductive Health Access Project
View More Posts on Topic
- Upload Ppt Presentation
- Upload Pdf Presentation
- Upload Infographics
- User Presentation
- Related Presentations
Basic Molecular Genetic Mechanisms
By: JenniferDwayne Views: 808
Anatomy of the Heart and Lungs and Thoracic Surgery
By: JenniferDwayne Views: 1322
Wrist and Hand Anatomy
By: JenniferDwayne Views: 1483
UPPER LIMB RADIOLOGY
By: JenniferDwayne Views: 3072
Guide to Primary Immunodeficiencies
By: JenniferDwayne Views: 814
Carcinoma Cervix
By: FrankMarco Views: 342
Principles of Safe And Effective Hysteroscopy
By: FrankMarco Views: 248
Hypertension in Pregnancy
By: drdwayn Views: 1672
First Trimester Bleeding
By: drdwayn Views: 825
MENOPAUSE and HRT
By: drdwayn Views: 1715
- About : Professor, College of Nursing and Health Sciences
- Occupation : Medical Professional
- Specialty : MD
- Country : United States of America
HEALTH A TO Z
- Eye Disease
- Heart Attack
- Medications
- My presentations
Auth with social network:
Download presentation
We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Bleeding in early pregnancy
Published by Alvin Nichols Modified over 5 years ago
Similar presentations
Presentation on theme: "Bleeding in early pregnancy"— Presentation transcript:
Dr.Suresh Babu Chaduvula Professor Dept. of OBGyn, College of Medicine, KKU, Abha, KSA.
Bleeding in Early and Late Pregnancy
EARLY PREGNANCY PAIN AND BLEEDING
Prenatal Care Fetal/Maternal Assessment Techniques.
Management of Stillbirth Christopher R. Graber, MD Salina Women’s Clinic 27 Jan 2012.
Puerperal fever IG: Sio Cheong Un IG: Sio Cheong Un 2011/4/4 2011/4/4.
Pretem Labor Ramzy Nakad, MD.
Bleeding in early pregnancy Dr. Abdalla H. Alsadig MD.
Ectopic pregnancy: Definition: Any pregnancy accruing outside the uterine cavity incidence 1/100 one cause of maternal death.
Bleeding causes in the first trimester pregnancy
COMMON OBSTETRICAL PROCEDURES
Abortion Abortion is the spontaneous or induced (therapeutic) expulsion of the products of conception from the uterus before 20 weeks gestation At least.
DR. JOHARA AL-MUTAWA ASST. PROF. & CONSULTANT OB/GYNE.
Max Brinsmead MB BS PhD June RCOG Greentop Guidelines “The Management of Early Pregnancy Loss” October 2006 Updated September 2011 NICE Guide.
Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 1 Abnormal Pregnancy CAPT Mike Hughey, MC, USNR.
Unsafe Abortion Post Abortion Care and Ectopic Pregnancy.
RECURRENT MISCARRIAGE GUIDELINES
Lecture 8 ECTOPIC PREGNANCY. ABORTION Prof. Vlad TICA, MD, PhD.
Miscarriage, Abortion and ectopic pregnancy
About project
© 2024 SlidePlayer.com Inc. All rights reserved.
- Preferences
Bleeding in Early Pregnancy - PowerPoint PPT Presentation
Bleeding in Early Pregnancy
Ectopic pregnancy accounts for 10 15% of all maternal death; the mortality rate for ectopic pregnancy is approximately one in 2,500 cases. – powerpoint ppt presentation.
- Dr/ Sahar Elkheshen
- Lecturer of maternity and neonatal nursing
- Faculty of Applied medical sciences
- Type causes of bleeding in early pregnancy.
- Define abortion.
- List different types of abortion.
- Mention clinical picture, prognosis and management of each type.
- Differentiate between all types.
- Define ectopic pregnancy.
- List possible sites for ectopy.
- Mention fate of ectopic pregnancy.
- Define Hydatidiform mole of pregnancy.
- Mention possible causes and prognosis the mole preg.
- Ectopic pregnancy.
- Vesicular mole.
- Local gynaecological lesions e.g. cervical ectopy, polyp, dysplasia, carcinoma and rupture of varicose vein.
- Termination of pregnancy before viability of the foetus i.e. before 28 weeks (in Britain) and before 20 weeks or if the foetal weight is less than 500 gm (in USA and Australia).
- When the abortion occurs spontaneously, the term " miscarriage" is often used.
- Chromosomal abnormalities cause at least 50 of early abortions e.g. trisomy.
- Blighted ovum (anembryonic gestational sac).
- Maternal infections Acute fever for whatever the cause can induce abortion.
- Trauma external to the abdomen or during abdominal or pelvic operations.
- Endocrine causes Progesterone deficiency ,Diabetes mellitus, Hyperthyroidism.
- Drugs and environmental causes
- Maternal anoxia and malnutrition.
- Over distension of the uterus e.g. acute hydramnios.
- Immunological causes
- Systemic lupus erythematosus.
- Antiphospholipid antibodies that are directed against platelets and vascular endothelium leading to thrombosis, placental destruction and abortion.
- Ageing sperm or ovum.
- Uterine defects Septum, Asherman's syndrome (intrauterine adhesions).
- Nervous, psychological conditions and over fatigue.
- Idiopathic.
- Clinical picture
- Symptoms and signs of pregnancy coincide with its duration.
- Vaginal bleeding slight or mild, bright red in colour.
- Pain is absent or slight.
- Cervix is closed.
- Pregnancy test is positive.
- Ultra-sonography shows a living foetus.
- If the blood loss is less than a normal menstrual flow and is not accompanied by pain of uterine contraction there is a reasonable chance for continuing pregnancy. This occurs in 50 of cases while other half will proceed to inevitable or missed abortion.
- Rest in bed until one week after stoppage of bleeding.
- No intercourse as it may disturb pregnancy by the mechanical effect and the effect of semen prostaglandins on the uterus.
- Sedatives if the patient is anxious.
- Treatment of controversy
- Progestogens.
- Gonadotrophins may be of benefit in cases of luteal phase deficiency and those get pregnant with ovulatory drugs.
- Symptoms and signs of pregnancy coincide (match) with its duration.
- Vaginal bleeding is excessive and may accompanied with clots.
- Pain is colicky felt in the suprapubic region radiating to the back.
- The internal os of the cervix is dilated and products of conception may be felt through it.
- Rupture of membranes between 12-28 weeks is a sign of the inevitability of abortion.
- Any attempt to maintain pregnancy is useless.
- Retention of a part of the products of conception inside the uterus. It may be the whole or part of the placenta which is retained.
- The patient usually noticed the passage of a part of the conception products.
- Bleeding is continuous.
- The uterus is less than the period of amenorrhoea but still large in size. The cervix is opened and retained contents may be felt through it.
- Ultrasonography shows the retained contents.
- All products of conception have been expelled from the uterus.
- The bleeding is slight and gradually diminishes.
- The pain ceases.
- The cervix is closed.
- The uterus is slightly larger than normal.
- Ultrasound shows empty cavity.
- Retention of dead products of conception for 4 weeks or more.
- Symptoms of threatened abortion may or may not be developed.
- Regression of pregnancy symptoms as nausea, vomiting and breast symptoms.
- The abdomen does not increase and may even decrease in size.
- The foetal movements are not felt or ceases if previously present.
- A dark brown vaginal discharge may occur (prune juice discharge).
- The uterus fails to grow and becomes firmer and The cervix is closed.
- The foetal heart sounds cannot be heard.
- Investigations
- Pregnancy test becomes negative within two weeks from the ovum death.
- Ultrasound shows either a collapsed gestational sac, absent foetal heart movement or foetal movement.
- Disseminated intravascular coagulation (DIC) may occur if the dead conceptus is retained for more than 4 weeks.
- Superadded infection.
- The dead conceptus is expelled spontaneously in the majority of cases.
- Evacuation of the uterus is indicated in the following conditions
- spontaneous expulsion does not occur within four weeks,
- there is bleeding,
- infection or DIC developed or,
- patient is anxious. Although some gynaecologists advise evacuation of the uterus once sure diagnosis of missed abortion is made.
- If the uterine size is less than 12 weeks gestation vaginal or suction evacuation is done
- If the uterine size is more than 12 weeks' gestation evacuation can be done by
- Prostaglandins given intravaginally (PGE2), intravenously, intra-or extra- amniotic (PGF2a).
- Oxytocin infusion.
- Combination.
- Hysterotomy is rarely indicated in 2nd trimester missed abortion if the medical induction fails initially and after repetition few days later.
- It is any type of abortion, usually criminal abortion, complicated by infection.
- Microbiology
- E.Coli, bacteroids, anaerobic streptococci, clostridia, streptococci and staphylococci are among the most causative organisms.
- General examination
- Pyrexia and tachycardia.
- Rigors suggest bacteraemia.
- A subnormal temperature with tachycardia is ominous and mostly seen with gas forming organisms.
- Malaise, sweating, headache, and joint pain.
- Jaundice and /or haematuria is an ominous sign, indicating haemolysis due to chemicals used in criminal abortion or haemolytic infection as clostridium welchii.
- Abdominal examination
- Suprapubic pain and tenderness.
- Abdominal rigidity and distension indicates peritonitis.
- Local examination
- Offensive vaginal discharge. Minimal inoffensive vaginal discharge is often associated with severe cases.
- Uterus is tender.
- Products of conception may be felt.
- Local trauma may be detected.
- Fullness and tenderness of Douglas pouch indicates pelvic abscess which will be associated with diarrhoea.
- Isolate the patient . Bed rest in semi-sitting position??????????????????.
- An intravenous line is established for therapy.
- Observation for vital signs
- A cervico-vaginal swab is taken for culture and sensitivity,
- Antibiotic therapy.
- Fluid therapy
- Blood transfusion is given if CVP is low (normal 8-12 cm water).
- Oxytocin infusion to control bleeding and enhances expulsion of the retained products.
- Surgical evacuation of the uterus can be done after 6 hours of commencing IV therapy but may be earlier in case of severe bleeding or deteriorating condition in spite of the previous therapy.
- Hysterectomy may be the last choice to safe life
- Therapeutic Abortion
- Abortion induced for a medical indication.
- Criminal Abortion
- Illegal abortion induced for a non-medical indication.
- Recurrent (Habitual) Abortion
- Three (two by some authors) or more consecutive abortions.
- Ectopic means "out of place." In an ectopic pregnancy, a fertilized egg has implanted outside the uterus. The egg settles in the fallopian tubes in more than 95 of ectopic pregnancies. This is why ectopic pregnancies are commonly called "tubal pregnancies.
- Ectopic pregnancy can be difficult to diagnose because symptoms often mirror those of a normal early pregnancy. These can include missed periods, breast tenderness, nausea, vomiting, or frequent urination.
- The first warning signs of an ectopic pregnancy are often pain or vaginal bleeding.
- Tubal abortion
- Tubal rupture
- Abdominal pain occurs in 97 of women with an ectopic pregnancy,
- Vaginal bleeding in 79,
- abdominal tenderness in 91, and infertility in 15.
- Persistent ectopic pregnancy after surgical treatment occurs in 510 of cases.
- Ectopic pregnancy accounts for 1015 of all maternal death the mortality rate for ectopic pregnancy is approximately one in 2,500 cases.
- A hydatidiform mole is a relatively rare condition in which tissue around a fertilized egg that normally would have developed into the placenta instead develops as an abnormal cluster of cells. (This is also called a molar pregnancy.) This grapelike mass forms inside of the uterus after fertilization instead of a normal embryo.
- The cause of hydatidiform mole is unclear
- some experts believe it is caused by problems with the chromosomes
- A mole sometimes can develop from placental tissue that is left behind in the uterus after a miscarriage or childbirth.
- Women with a hydatidiform mole will have a positive pregnancy test and often believe they have a normal pregnancy for the first three or four months.
- However, in these cases the uterus will grow abnormally fast.
- By the end of the third month, if not earlier, the woman will experience vaginal bleeding ranging from scant spotting to excessive bleeding.
- Sometimes, the grapelike cluster of cells itself will be shed with the blood during this time.
- Other symptoms may include severe nausea and vomiting and high blood pressure. As the pregnancy progresses, the fetus will not move and there will be no fetal heartbeat.
- A woman with a molar pregnancy often goes through the same emotions and sense of loss.
- In addition, there is the added worry that the tissue left behind could become cancerous.
- In the unlikely case that the mole is cancerous the cure rate is almost 100. As long as the uterus was not removed, it would still be possible to have a child at a later time.
PowerShow.com is a leading presentation sharing website. It has millions of presentations already uploaded and available with 1,000s more being uploaded by its users every day. Whatever your area of interest, here you’ll be able to find and view presentations you’ll love and possibly download. And, best of all, it is completely free and easy to use.
You might even have a presentation you’d like to share with others. If so, just upload it to PowerShow.com. We’ll convert it to an HTML5 slideshow that includes all the media types you’ve already added: audio, video, music, pictures, animations and transition effects. Then you can share it with your target audience as well as PowerShow.com’s millions of monthly visitors. And, again, it’s all free.
About the Developers
PowerShow.com is brought to you by CrystalGraphics , the award-winning developer and market-leading publisher of rich-media enhancement products for presentations. Our product offerings include millions of PowerPoint templates, diagrams, animated 3D characters and more.
Bleeding in Early Pregnancy
Nov 20, 2014
571 likes | 1.69k Views
Bleeding in Early Pregnancy. Dr/ Sahar Elkheshen Lecturer of maternity and neonatal nursing Faculty of Applied medical sciences MUST. Objectives : at the end of this lecture the student will be able to:. Type causes of bleeding in early pregnancy. Define abortion.
Share Presentation
- ectopic pregnancy
- vaginal bleeding
- early pregnancy
- normal early pregnancy
- 12 weeks gestation vaginal
Presentation Transcript
Bleeding in Early Pregnancy Dr/ Sahar Elkheshen Lecturer of maternity and neonatal nursing Faculty of Applied medical sciences MUST
Objectives: at the end of this lecture the student will be able to: • Type causes of bleeding in early pregnancy. • Define abortion. • List different types of abortion. • Mention clinical picture, prognosis and management of each type. • Differentiate between all types. • Define ectopic pregnancy. • List possible sites for ectopy. • Mention fate of ectopic pregnancy. • Define Hydatidiformmole of pregnancy. • Mention possible causes and prognosis the mole preg.
Causes: • Abortion. • Ectopic pregnancy. • Vesicular mole. • Local gynaecological lesions e.g. cervical ectopy, polyp, dysplasia, carcinoma and rupture of varicose vein.
I - ABORTION
Definition Termination of pregnancy before viability of the foetus i.e. before 28 weeks (in Britain) and before 20 weeks or if the foetal weight is less than 500 gm (in USA and Australia). When the abortion occurs spontaneously, the term " miscarriage" is often used.
Aetiology • Chromosomal abnormalities: cause at least 50% of early abortions e.g. trisomy. • Blighted ovum (anembryonic gestational sac). • Maternal infections: Acute fever for whatever the cause can induce abortion. • Trauma: external to the abdomen or during abdominal or pelvic operations. • Endocrine causes: Progesterone deficiency ,Diabetes mellitus, Hyperthyroidism. • Drugs and environmental causes: • Maternal anoxia and malnutrition. • Over distension of the uterus: e.g. acute hydramnios.
Continued, • Immunological causes: • Systemic lupus erythematosus. • Antiphospholipid antibodies that are directed against platelets and vascular endothelium leading to thrombosis, placental destruction and abortion. • Ageing sperm or ovum. • Uterine defects Septum, Asherman's syndrome (intrauterine adhesions). • Nervous, psychological conditions and over fatigue. • Idiopathic.
Threatened Abortion Clinical picture: • Symptoms and signs of pregnancy coincide with its duration. • Vaginal bleeding slight or mild, bright red in colour. • Pain is absent or slight. • Cervix is closed. • Pregnancy test is positive. • Ultra-sonography shows a living foetus.
Prognosis: • If the blood loss is less than a normal menstrual flow and is not accompanied by pain of uterine contraction there is a reasonable chance for continuing pregnancy. This occurs in 50% of cases while other half will proceed to inevitable or missed abortion.
Treatment: • Rest in bed until one week after stoppage of bleeding. • No intercourse as it may disturb pregnancy by the mechanical effect and the effect of semen prostaglandins on the uterus. • Sedatives: if the patient is anxious. • Treatment of controversy: • Progestogens. • Gonadotrophins may be of benefit in cases of luteal phase deficiency and those get pregnant with ovulatory drugs.
Inevitable Abortion Clinical picture: • Symptoms and signs of pregnancy coincide (match) with its duration. • Vaginal bleeding is excessive and may accompanied with clots. • Pain is colicky felt in the suprapubic region radiating to the back. • The internal os of the cervix is dilated and products of conception may be felt through it. • Rupture of membranes between 12-28 weeks is a sign of the inevitability of abortion.
Treatment • Any attempt to maintain pregnancy is useless.
Incomplete Abortion • Retention of a part of the products of conception inside the uterus. It may be the whole or part of the placenta which is retained.
Clinical picture • The patient usually noticed the passage of a part of the conception products. • Bleeding is continuous. • The uterus is less than the period of amenorrhoea but still large in size. The cervix is opened and retained contents may be felt through it. • Ultrasonography: shows the retained contents.
Complete Abortion • All products of conception have been expelled from the uterus. Clinical picture: • The bleeding is slight and gradually diminishes. • The pain ceases. • The cervix is closed. • The uterus is slightly larger than normal. • Ultrasound: shows empty cavity.
Missed Abortion • Retention of dead products of conception for 4 weeks or more. Symptoms: • Symptoms of threatened abortion may or may not be developed. • Regression of pregnancy symptoms as nausea, vomiting and breast symptoms. • The abdomen does not increase and may even decrease in size. • The foetal movements are not felt or ceases if previously present. • A dark brown vaginal discharge may occur (prune juice discharge).
Signs: • The uterus fails to grow and becomes firmer and The cervix is closed. • The foetal heart sounds cannot be heard. Investigations: • Pregnancy test becomes negative within two weeks from the ovum death. • Ultrasound shows either a collapsed gestational sac, absent foetal heart movement or foetal movement.
Complications: • Disseminated intravascular coagulation (DIC) may occur if the dead conceptus is retained for more than 4 weeks. • Superadded infection.
Treatment: • The dead conceptus is expelled spontaneously in the majority of cases. Evacuation of the uterus is indicated in the following conditions: • spontaneous expulsion does not occur within four weeks, • there is bleeding, • infection or DIC developed or, • patient is anxious. Although some gynaecologists advise evacuation of the uterus once sure diagnosis of missed abortion is made.
Evacuation is carried out as following: • If the uterine size is less than 12 weeks’ gestation: vaginal or suction evacuation is done • If the uterine size is more than 12 weeks' gestation: evacuation can be done by • Prostaglandins: given intravaginally (PGE2), intravenously, intra-or extra- amniotic (PGF2α). • Oxytocin infusion. • Combination. • Hysterotomy: is rarely indicated in 2nd trimester missed abortion if the medical induction fails initially and after repetition few days later.
Septic Abortion • It is any type of abortion, usually criminal abortion, complicated by infection. • Microbiology: • E.Coli, bacteroids, anaerobic streptococci, clostridia, streptococci and staphylococci are among the most causative organisms.
Clinical picture: • General examination: • Pyrexia and tachycardia. • Rigors suggest bacteraemia. • A subnormal temperature with tachycardia is ominous and mostly seen with gas forming organisms. • Malaise, sweating, headache, and joint pain. • Jaundice and /or haematuria is an ominous sign, indicating haemolysis due to chemicals used in criminal abortion or haemolytic infection as clostridium welchii.
Abdominal examination: • Suprapubic pain and tenderness. • Abdominal rigidity and distension indicates peritonitis. • Local examination: • Offensive vaginal discharge. Minimal inoffensive vaginal discharge is often associated with severe cases. • Uterus is tender. • Products of conception may be felt. • Local trauma may be detected. • Fullness and tenderness of Douglas pouch indicates pelvic abscess which will be associated with diarrhoea.
Treatment • Isolate the patient . Bed rest in semi-sitting position??????????????????. • An intravenous line is established for therapy. • Observation for vital signs: • A cervico-vaginal swab is taken for culture and sensitivity, • Antibiotic therapy:. • Fluid therapy: • Blood transfusion: is given if CVP is low (normal: 8-12 cm water).
Continued, • Oxytocin infusion: to control bleeding and enhances expulsion of the retained products. • Surgical evacuation of the uterus can be done after 6 hours of commencing IV therapy but may be earlier in case of severe bleeding or deteriorating condition in spite of the previous therapy. • Hysterectomy may be the last choice to safe life
Other types of abortion Therapeutic Abortion • Abortion induced for a medical indication. Criminal Abortion • Illegal abortion induced for a non-medical indication. Recurrent (Habitual) Abortion • Three (two by some authors) or more consecutive abortions.
Ectopic pregnancy
Definition • Ectopic means "out of place." In an ectopic pregnancy, a fertilized egg has implanted outside the uterus. The egg settles in the fallopian tubes in more than 95% of ectopic pregnancies. This is why ectopic pregnancies are commonly called "tubal pregnancies.
Signs and Symptoms • Ectopic pregnancy can be difficult to diagnose because symptoms often mirror those of a normal early pregnancy. These can include missed periods, breast tenderness, nausea, vomiting, or frequent urination. • The first warning signs of an ectopic pregnancy are often pain or vaginal bleeding.
Most common site
Other sites
Fate of ectopic pregnancy • Tubal abortion • Tubal rupture
Morbidity and Mortality Rates • Abdominal pain occurs in 97% of women with an ectopic pregnancy, • Vaginal bleeding in 79%, • abdominal tenderness in 91%, and infertility in 15%. • Persistent ectopic pregnancy after surgical treatment occurs in 5–10% of cases. • Ectopic pregnancy accounts for 10–15% of all maternal death; the mortality rate for ectopic pregnancy is approximately one in 2,500 cases.
Hydatidiform pregnancy
Hydatidiform Mole • A hydatidiform mole is a relatively rare condition in which tissue around a fertilized egg that normally would have developed into the placenta instead develops as an abnormal cluster of cells. (This is also called a molar pregnancy.) This grapelike mass forms inside of the uterus after fertilization instead of a normal embryo.
Causes • The cause of hydatidiform mole is unclear; • some experts believe it is caused by problems with the chromosomes • A mole sometimes can develop from placental tissue that is left behind in the uterus after a miscarriage or childbirth.
Symptoms • Women with a hydatidiform mole will have a positive pregnancy test and often believe they have a normal pregnancy for the first three or four months. • However, in these cases the uterus will grow abnormally fast. • By the end of the third month, if not earlier, the woman will experience vaginal bleeding ranging from scant spotting to excessive bleeding. • Sometimes, the grapelike cluster of cells itself will be shed with the blood during this time. • Other symptoms may include severe nausea and vomiting and high blood pressure. As the pregnancy progresses, the fetus will not move and there will be no fetal heartbeat.
Prognosis • A woman with a molar pregnancy often goes through the same emotions and sense of loss. • In addition, there is the added worry that the tissue left behind could become cancerous. • In the unlikely case that the mole is cancerous the cure rate is almost 100%. As long as the uterus was not removed, it would still be possible to have a child at a later time.
- More by User
Vaginal Bleeding in Early Pregnancy
Vaginal Bleeding in Early Pregnancy. Managing Complications in Pregnancy and Childbirth. Session Objectives. To review best practices for diagnosis and management of vaginal bleeding in early pregnancy To review strategies for diagnosing ectopic pregnancy. Definition.
2.92k views • 18 slides
problems in early pregnancy
Hyperemesis in early pregnancy. . Hyperemesis in early pregnancy. Vomiting is a normal feature of early pregnancy, especially between 7 and 12 weeks.Severe vomiting may cause weight loss and electrolyte imbalance. In very rare instances jaundice may result - thought to be due to severe protein and vitamin malnutrition.The cause of the vomiting is primarily physiological but psychological factors may affect the apparent severity .
983 views • 27 slides
Vaginal Bleeding in Late Pregnancy
Vaginal Bleeding in Late Pregnancy. Objectives. Identify major causes of vaginal bleeding in the second half of pregnancy Describe a systematic approach to identifying the cause of bleeding Describe specific treatment options based on diagnosis. Causes of Late Pregnancy Bleeding.
1.96k views • 33 slides
BLEEDING IN EARLY PREGNANCY, ABORTION, RECURRENT FETAL LOSS ECTOPIC PREGNANCY
BLEEDING IN EARLY PREGNANCY, ABORTION, RECURRENT FETAL LOSS ECTOPIC PREGNANCY. DR. RAZAQ MASHA,FRCOG Assistant Professor & Consultant Department of Obstetrics & Gynecology.
1.66k views • 25 slides
2. Vaginal Bleeding in Early Pregnancy. Session Objectives. To review best practices for diagnosis and management of vaginal bleeding in early pregnancyTo review strategies for diagnosing ectopic pregnancy. 3. Vaginal Bleeding in Early Pregnancy. Definition. Vaginal bleeding that occurs during firs
948 views • 18 slides
EARLY PREGNANCY PAIN AND BLEEDING
EARLY PREGNANCY PAIN AND BLEEDING. Part 1. Early pregnancy problems. Cornerstones of diagnosis are: history and examination hCG transvaginal ultrasound. Human Chorionic Gonadotrophin ( hCG ).
372 views • 16 slides
Bleeding and pain in early pregnancy
Bleeding and pain in early pregnancy. May 2012 Judith ten Hof. Bleeding and pain in early pregnancy. Introduction What’s new? Recurrent miscarriage. Bleeding & pain in early pregnancy. Any vaginal bleeding / pain in first trimester Variation in presentation Diagnosis:
532 views • 20 slides
Abortion in Early pregnancy
Abortion in Early pregnancy. Surgical Abortion. 90 % of abortions occur in the first trimester. Surgical abortion is very safe and effective. It requires one visit and is over within minutes. It is 10x safer than carrying a pregnancy.
240 views • 6 slides
Issues in Early Pregnancy
Issues in Early Pregnancy . ACOG District I Medical Student Teaching Module 2008. When a woman presents with an early pregnancy…. Ask yourself two questions… Where is this pregnancy? Is it viable?. Where is this pregnancy?.
595 views • 25 slides
VAGINAL BLEEDING IN PREGNANCY
VAGINAL BLEEDING IN PREGNANCY . Craig T. Carter, D.O. Department of Emergency Medicine University of Kentucky. VAGINAL BLEEDING DURING PREGNANCY . 1. DURING PREGNANCY -FIRST 20 WEEKS -SECOND 20 WEEKS. PREGNANCY AND VAGINAL BLEEDING. By the Numbers:
1.24k views • 83 slides
EARLY PREGNANCY
EARLY PREGNANCY. DATING: FROM LMP 280 days Naegler’s rule Short cycle vs. long cycle. HEGAR’S SIGN - soft uterus CHADWICKS SIGN - blue cervix. Which of the following statements best describes the foramen ovale:. a) it shunts blood from right to left
290 views • 11 slides
EARLY PREGNANCY PAIN AND BLEEDING. Part 2: Ectopic Pregnancy. Ectopic Pregnancy. Definition Pregnancy occurring outside the uterus Sites Fallopian tube 93% (ampullary 70%, isthmic 12%, fimbrial 11.1%) Interstitial 2.4% Ovarian 3.2% Abdominal 1.3% Cervical 1%. Ectopic Pregnancy.
736 views • 36 slides
Early pregnancy
Early pregnancy. objectives. To recognise the necessary conditions to become pregnant Define early pregnancy and unwanted pregnancy To bring out the impact of early pregnancies in the community To site the causes of early pregnancy To identify the consequences of early pregnancies.
625 views • 13 slides
Bleeding Late in Pregnancy
Bleeding Late in Pregnancy. When the placenta misbehaves Grace Cavallaro MD, FACOG. Objectives. Identify major causes of vaginal bleeding second half of pregnancy Describe a systematic approach to identify the cause of bleeding Describe specific treatment options based on diagnosis.
1.33k views • 65 slides
Pain and Bleeding in Early Pregnancy
Pain and Bleeding in Early Pregnancy. Max Brinsmead MB BS PhD March 2014.
358 views • 19 slides
VAGINAL BLEEDING IN PREGNANCY . Dr Sattam Alenezi ED Consultant. VAGINAL BLEEDING DURING PREGNANCY . 1. DURING PREGNANCY -FIRST 20 WEEKS -SECOND 20 WEEKS. PREGNANCY AND VAGINAL BLEEDING. By the Numbers: 40% EXPERIENCE BLEEDING IN THE COURSE OF PREGNANCY
1.08k views • 68 slides
Early Pregnancy
Our Early pregnancy 4d scan is to provide reassurance to expectant mothers who are at least 8-weeks pregnant at the time of your scheduled appointment. We only do Trans Abdominal ultrasound and we have internal not scanned (tranvaginal scan).
517 views • 40 slides
Bleeding in Early pregnancy
Bleeding in Early pregnancy. L AL Nuaim. Objectives. By the end of this session, the student will be able to: Define Abortion Understand the importance of bleeding in early pregnancy Identify Types of Abortion Utilize own clinical information
967 views • 52 slides
Management of Bleeding in Early Pregnancy
Management of Bleeding in Early Pregnancy. Best Practices in Maternal and Newborn Care. Session Objectives. To describe best practices for diagnosis of vaginal bleeding in early pregnancy To describe best practices for management of vaginal bleeding during early pregnancy
391 views • 35 slides
Bleeding Disorders of Early Pregnancy
Bleeding Disorders of Early Pregnancy. Bleeding Disorders of Early Pregnancy. Abortion Spontaneous (non-intentional) Abortion A pregnancy that ends before 20 weeks Threatened Abortion Light spotting; cervix is closed & no tissue is passed Inevitable Abortion
447 views • 40 slides
IMAGES
VIDEO
COMMENTS
3. Rupture of tubal pregnancy. 4. Secondary abdominal pregnancy. Symptoms of an ectopic pregnancy are often confused with those of a miscarriage or pelvic inflammatory disease. • The most common symptoms are abdominal and pelvic pain and vaginal bleeding. • Ruptured ectopic pregnancy is a true medical emergency.
First Trimester Bleeding Presentation. ... participants will understand basic management concepts in early pregnancy loss, ectopic pregnancy, and normal pregnancy progression. Update: July 2017. Downloads. ppt First Trimester Bleeding ppt First Trimester Bleeding- blue background doc Abstract- First Trimester Bleeding pdf Facilitator's ...
Presentation Transcript. bleeding in early pregnancy Dr. Abdalla H. Alsadig MD. Causes of early bleeding in pregnancy Ectopic pregnancy Hydatidiform mole Abortion. Abortion/Miscarriage • Definition: any fetal loss from conception until the time of fetal viability at 24 weeks gestation. OR: Expulsion of a fetus or an embryo weighing 500 gm or ...
Presentation Transcript. Bleeding in early pregnancy • 25%bleeding before 20 weeks gestation • -implantation bleed : • spot of blood occur 5-7 days after blast cyst implantation . Causes of bleeding in early pregnancy • 1-miscarriage • 2 -ectopic pregnancy • 3-benign lesion lower genital tract • 4 -hyditidform mole • 5 ...
Slide 29-. Signs and Symptoms Ectopic pregnancy can be difficult to diagnose because symptoms often mirror those of a normal early pregnancy. These can include missed periods, breast tenderness, nausea, vomiting, or frequent urination. The first warning signs of an ectopic pregnancy are often pain or vaginal bleeding.
bleeding_in_early_pregnancy.ppt - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. Bleeding in early pregnancy can be caused by abortion, ectopic pregnancy, or vesicular mole. There are different types of abortion including threatened, inevitable, incomplete, complete, and missed.
Presentation on theme: "Bleeding in early pregnancy and Ectopic Pregnancy"— Presentation transcript: 1 Bleeding in early pregnancy and Ectopic Pregnancy Emad R. Sagr, MBBS, FRCSC, FACOG Consultant OB-Gyn and Gynecology Oncology Security Forces Hospital
Bleeding in early pregnancy. Published byAlvin Nichols Modified over 5 years ago. Embed. Download presentation ... Similar presentations . More. Presentation on theme: "Bleeding in early pregnancy"— Presentation transcript: 1 Bleeding in early pregnancy. 2 -25%bleeding before 20 weeks gestate-implantation bleed :spot of blood occur 5-7 days ...
Bleeding in Early Pregnancy. Description: Ectopic pregnancy accounts for 10 15% of all maternal death; the mortality rate for ectopic pregnancy is approximately one in 2,500 cases. - PowerPoint PPT presentation. Number of Views: 480. Avg rating:3.0/5.0.
Threatened Abortion Clinical picture: • Symptoms and signs of pregnancy coincide with its duration. • Vaginal bleeding slight or mild, bright red in colour. • Pain is absent or slight. • Cervix is closed. • Pregnancy test is positive. • Ultra-sonography shows a living foetus.
Bleeding in Early Pregnancy Slide World - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. This document discusses abnormal bleeding in early pregnancy. It begins by noting that any bleeding in pregnancy should be taken seriously by midwives. After taking a patient history ...
At each of your appointments, tell your health care provider about any vaginal bleeding that you have. Be prepared to tell your provider—. How much blood came out of your vagina. What it looked like. Whether any clots or tissue came out. During your 2nd and 3rd trimesters (weeks 13-40), these are some common causes—.
Bleeding in early pregnancy. Bleeding in early pregnancy is very distressing but it does not always mean that you are having a miscarriage. Miscarriage occurs in 10 to 20% of clinical pregnancies. When your pregnancy progresses after bleeding it does not affect your baby. If the bleeding is caused by a miscarriage, no treatment or therapy can ...