First trimester bleeding - PowerPoint PPT Presentation

FIRST TRIMESTER BLEEDING

FIRST TRIMESTER BLEEDING. SPONTANEOUS ABORTION ?30%, usu self-limited ECTOPIC PREGNANCY ?1%, most dangerous MOLAR PREGNANCY 0.1%, cookbook. SPONTANEOUS ABORTION. SPONTANEOUS LOSS, PRE-VIABLE &lt;20 WKS, &lt;500 GM 30% PREVALENCE 80% 1 ST TRIMESTER-”EARLY”. RISK FACTORS. AGE

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First Trimester Bleeding

First Trimester Bleeding. ACR Appropriateness Criteria Bruce Hall, M.D. Expert Panel on Women’s Imaging. Involved experts from 17 academic centers, including MGH, Brigham, Dartmouth-Hitchcock. Double decidual sign Intradecidual sign. Intrauterine Fluid Collection.

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Incomplete abortion, treat as indicated

Figure 1. Evaluation of First Trimester Bleeding. Bleeding in desired pregnancy, &lt; 12 weeks gestation. Physical exam. Peritoneal signs or hemodynamic instability. Non-obstetric cause of bleeding identified. Products of conception (POC’ s) visible on exam.

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214 views • 2 slides

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