Gestational sac
Classification | GA (weeks) |
---|---|
Early preterm | < 24 |
Preterm | 24 ~ 34 |
Late preterm | 34 ~ 37 |
Term | 37 ~ 42 |
Postterm | > 42 |
Condition | Definition |
---|---|
Spontaneous abortion | < 20 weeks / < 500 g |
Intrauterine fetal demise (IUFD) [Stillbirth] | > 20 weeks / > 500 g |
Type | Bleeding | POC Expulsion | Cervical Os | POC Presence | FCA | Management |
---|---|---|---|---|---|---|
Threatened | + | - | Closed | + | + | Pelvic rest |
Inevitable | + | - | Open | + | + | Expectant / Medical / Surgical |
Incomplete | + | + | Open | + | - | Expectant / Medical / Surgical |
Missed | - | - | Closed | + | - | Expectant / Medical / Surgical |
Complete | + | + | Closed | - | - | - |
Complete Mole | Partial Mole | |
---|---|---|
Karyotype | 46,XX / 46,XY | 69,XXX / 69,XXY / 69,XYY |
hCG | ↑↑↑↑ | ↑ |
Uterine Size | ↑ | - |
Choriocarcinoma | 2% | Rare |
Fetal Parts | - | + |
Components | 2 sperms & 0 egg | 2 sperms & 1 egg |
Type | Cleavage | #Placenta | #Sac |
---|---|---|---|
Dichorionic diamniotic (DCDA) | Before Morula | 2 | 2 |
Monochorionic diamniotic (MCDA) | Morula ~ Blastocyst | 1 | 2 |
Monochorionic monoamniotic (MCMA) | After blastocyst | 1 | 1 |
Condition | Management |
---|---|
Mild preeclampsia | Delivery at 37 weeks |
Severe preeclampsia | Delivery at 34 weeks Magnesium sulfate Antihypertensives Corticosteroids |
Eclampsia | Delivery Magnesium sulfate Antihypertensives |
Finding | Definition | Significance |
---|---|---|
Acceleration | ↑ 15/min for 15 seconds ~ 2 minutes | Reassuring |
Early deceleration | ↓ during a uterine contraction Onset to nadir > 30 seconds | Head compression |
Late deceleration | ↓ after a uterine contraction Onset to nadir > 30 seconds | Uteroplacental insufficiency |
Variable deceleration | ↓ 15/min for 15 seconds ~ 2 minutes Onset to nadir < 30 seconds | Cord compression |
Condition | Definition |
---|---|
Oligohydramnios | AFI < 5 cm the deepest vertical pool < 2 cm |
Normal | AFI 5 ~ 25 cm |
Polyhydramnios | AFI > 25 cm |
Mechanism | Medication |
---|---|
PGE1 agonists | Misoprostol |
Oxytocin agonists | Carbetocin |
Mechanism | Medication |
---|---|
- | MgSO4 |
Ca channel blockers | Nifedipine |
β2 agonists | Terbutaline Ritodrine |
Oxytocin antagonists | Atosiban |
COX inhibitors | Indomethacin |
Nitrates | Nitroglycerin |
Degree | Depth |
---|---|
1 | Submucosa |
2 | Perineal body |
3 | Anal sphincter |
4 | Rectal mucosa |
Mnemonic | Etiology |
---|---|
Thrombin | Coagulopathy |
Tone | Uterine atony Uterine rupture |
Tissue | Plancental retention Implantation site bleeding |
Trauma | Genitourinary tract |