07 bleeding earlypregnancy

Vaginal Bleeding in Early Pregnancy Managing Complications in Pregnancy and Childbirth

Session Objectives ,[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

Definition ,[object Object],Vaginal Bleeding in Early Pregnancy

General Management of Bleeding in Early Pregnancy ,[object Object],[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

Diagnosis of Bleeding in Early Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

Management of Threatened Abortion ,[object Object],[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy Do not give medications such as hormones (e.g., estrogens or progestins) or tocolytic agents (e.g., salbutamol or indomethacin) because they will not prevent miscarriage.

Management of Inevitable Abortion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

Management of Incomplete Abortion if Pregnancy is Less than 16 Weeks ,[object Object],[object Object],[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

Management of Incomplete Abortion if Pregnancy is Greater than 16 Weeks ,[object Object],[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

Management of Complete Abortion ,[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

Followup After Abortion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

Contraceptive Methods After Abortion Vaginal Bleeding in Early Pregnancy Method Advise to Start Hormonal (pills, injections, implants) Immediately Condoms Immediately IUD Immediately If infection present or suspected, delay insertion until cleared If Hb < 7 g/dL, delay until anemia improves Provide interim method (e.g., condom) Voluntary tubal ligation Immediately If infection present or suspected, delay surgery until cleared If Hb < 7 g/dL, delay until anemia improves Provide interim method (e.g., condom)

Signs and Symptoms of Unruptured Ectopic Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

Signs and Symptoms of Ruptured Ectopic Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

Differential Diagnosis for Ectopic Pregnancy ,[object Object],[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

Immediate Management of Molar Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

Subsequent Management of Molar Pregnancy ,[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vaginal Bleeding in Early Pregnancy

07 bleeding earlypregnancy

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07 bleeding earlypregnancy