Labor in the first trimester often presents as _______. Most abortions occur in the first trimester due to _______.
Labor in the first trimester often presents as severe cramping/pelvic pain. Most abortions occur in the first trimester due to chromosomal abnormalities.
_______ is characterized by a _______ cervix, bleeding per vaginum, and a _______ fetus. Treatment is _______.
Threatened abortion is characterized by a closed cervix, bleeding per vaginum, and a live fetus. Treatment is bedrest.
_______ involves an _______ cervix, bleeding per vaginum, and a _______ fetus. Treatment includes _______ or _______.
Inevitable abortion involves an open cervix, bleeding per vaginum, and a live fetus. Treatment includes dilatation & curettage (D&C) or suction curettage.
_______ is defined by a closed cervix and no passage of uterine contents. USS shows _______. Treatment is _______ or _______.
Missed abortion is defined by a closed cervix and no passage of uterine contents. USS shows intrauterine fetal demise. Treatment is dilatation & curettage (D&C) or suction curettage.
_______ is characterized by a _______ cervix and all products of conception having passed.
Complete abortion is characterized by a closed cervix and all products of conception having passed.
_______ involves an _______ cervix with _______ and variable ultrasound findings.
Incomplete abortion involves an open cervix with passage of clots and variable ultrasound findings.
_______ presents with fever, purulent vaginal discharge, and severe cramping/pain. There may be a laceration on the cervix from self-termination.
Septic abortion presents with fever, purulent vaginal discharge, and severe cramping/pain. There may be a laceration on the cervix from self-termination.
Pelvic inflammatory disease (PID) is treated with _______ PLUS _______ or _______.
Pelvic inflammatory disease (PID) is treated with IM ceftriaxone PLUS oral azithromycin or oral doxycycline.
Chorioamnionitis and endometritis are treated with _______ + _______ + _______.
Chorioamnionitis and endometritis are treated with ampicillin + gentamicin + clindamycin.
_______, occurs in _______ women, while in _______, occurs in _______ women.
Chorioamnionitis, occurs in pregnant women, while in endometritis, occurs in non- pregnant women.
_______ is usually caused by prolonged rupture of membranes (PROM; >18 hours). If ROM <24 weeks gestation, the pregnancy is kept going with _______.
Chorioamnionitis is usually caused by prolonged rupture of membranes (PROM; >18 hours). If ROM <24 weeks gestation, the pregnancy is kept going with tocolysis + antibiotics.
_______ usually occurs post-partum, often after a _______, presenting as diffuse abdominal pain and fever.
Endometritis usually occurs post-partum, often after a C-section, presenting as diffuse abdominal pain and fever.
Group B Strep prophylaxis is considered successful if _______ is given within _______ hours of delivery.
Group B Strep prophylaxis is considered successful if IV penicillin or ampicillin is given within four hours of delivery.
Indications for _______ include:
Indications for GBS prophylaxis include:
_______ give GBS prophylaxis if there was mere colonization in prior pregnancy (i.e., positive on rectovaginal swab).
Do NOT give GBS prophylaxis if there was mere colonization in prior pregnancy (i.e., positive on rectovaginal swab).
_______ can cause _______ syndrome = inflammation/extension into the liver capsule.
Pelvic Inflammatory Disease (PID) can cause Fitz-Hugh-Curtis syndrome = inflammation/extension into the liver capsule.
Labor in the first trimester often presents as severe cramping/pelvic pain. Most abortions occur in the first trimester due to chromosomal abnormalities.
Threatened abortion is characterized by a closed cervix, bleeding per vaginum, and a live fetus. Treatment is bedrest.
Inevitable abortion involves an open cervix, bleeding per vaginum, and a live fetus. Treatment includes dilatation & curettage (D&C) or suction curettage.
Missed abortion is defined by a closed cervix and no passage of uterine contents. USS shows intrauterine fetal demise. Treatment is dilatation & curettage (D&C) or suction curettage.
Septic abortion presents with fever, purulent vaginal discharge, and severe cramping/pain. There may be a laceration on the cervix from self-termination.
Pelvic inflammatory disease (PID) is treated with IM ceftriaxone PLUS oral azithromycin or oral doxycycline.
Chorioamnionitis is usually caused by prolonged rupture of membranes (PROM; >18 hours). If ROM <24 weeks gestation, the pregnancy is kept going with tocolysis + antibiotics.
Endometritis usually occurs post-partum, often after a C-section, presenting as diffuse abdominal pain and fever.
Group B Strep prophylaxis is considered successful if IV penicillin or ampicillin is given within four hours of delivery.
Indications for GBS prophylaxis include:
Do NOT give GBS prophylaxis if there was mere colonization in prior pregnancy (i.e., positive on rectovaginal swab).
Pelvic Inflammatory Disease (PID) can cause Fitz-Hugh-Curtis syndrome = inflammation/extension into the liver capsule.
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