ABNORMAL OBSTETRICS : 1st Tri (Abortion, Ecto
Pregnancy), 2nd Tri (H-Mole, Incompetent Cervix
(Placenta Previa, Abruptio Placenta), High-Risk P
(Gestational DM, PIH), RH Incompatibilit
Subject OBSTETRICS
BLEEDING IN PREGNANCY
1ST TRIMESTER
ABORTION FDA PREGNANCY DRUG CATEGORY
termination of pregnancy before the age of viability (20 weeks) A : allowed / safest → folic acid, vitamins (exc
on 1st tri, so pwede na sa 2nd & 3rd tri)
fetal causes maternal causes
B : safe for animal studies (not safe : fetus) →
rejection of the ovum infection : UTI
C : more studies are needed → anti-psychoti
faulty embryonic drug ingestion
D : dangerous to fetus / benefits outweigh the
development (MOST
malnutrition sulfate
COMMON : 80%)
dehydration *** C & D : it could be given if benefits outw
X : highly teratogenic ; contraindicated meds
warfarin, ace inhibitor / aspirin, lithium, tetrac
isotretinoin, retinoid (vit A), thalidomide, iodin
DEHYDRATION
trigger posterior pituitary gland → produ
oxytocin (uterine contraction) = lead to d
*** pregnant woman must be well hydrated!
TYPES OF ABORTION
Induced Spontaneous GENERAL MGT :
— artificially done — naturally occuring → miscarriage bed rest as pres
medications : abortifacient (pampalaglag) NOT NECESSAR
1. THREATENED — cervix is CLOSE
MIFEPRISTONE — anti-progesterone 2. INEVITABLE — cervix is OPEN (hindi na *** strict bed rest →
uterus
*** 3 days after mife, give miso mapipigilan)
med mgt : anti-abortion (pampakapit) + anti- NPO status imm
MISOPROSTOL — prostaglandin → uterus : emergency
progesterone (if may natira)
contract / cervix : soften & dilate
maintain adequa
PROGESTERONE — “proGESTATION” progesterone — HERAGEST
USE : IV Fluids
*** hormone of mother (pregnant) DYDROGESTERONE (DUPHASTON)
monitor the FHR
— maintains the thickness of endometrium 3. COMPLETE — all are expelled
*** earliest time (li
during pregnancy 4. INCOMPLETE — some are retained
*** normal FHR : 12
*** estrogen — thickened the endometrium 5. MISSED / INTRA-UTERINE FETAL DEATH
→ tips CBQ : any co
— all are retained
than 160 → fetal dis
mgt : para malaglag ‘yung retained → THE PHYSICIAN
abortifacient
monitor for cerv
mifepristone
*** any case of blee
misoprostol cause / tri) — NEVE
Pregnancy), 2nd Tri (H-Mole, Incompetent Cervix
(Placenta Previa, Abruptio Placenta), High-Risk P
(Gestational DM, PIH), RH Incompatibilit
Subject OBSTETRICS
BLEEDING IN PREGNANCY
1ST TRIMESTER
ABORTION FDA PREGNANCY DRUG CATEGORY
termination of pregnancy before the age of viability (20 weeks) A : allowed / safest → folic acid, vitamins (exc
on 1st tri, so pwede na sa 2nd & 3rd tri)
fetal causes maternal causes
B : safe for animal studies (not safe : fetus) →
rejection of the ovum infection : UTI
C : more studies are needed → anti-psychoti
faulty embryonic drug ingestion
D : dangerous to fetus / benefits outweigh the
development (MOST
malnutrition sulfate
COMMON : 80%)
dehydration *** C & D : it could be given if benefits outw
X : highly teratogenic ; contraindicated meds
warfarin, ace inhibitor / aspirin, lithium, tetrac
isotretinoin, retinoid (vit A), thalidomide, iodin
DEHYDRATION
trigger posterior pituitary gland → produ
oxytocin (uterine contraction) = lead to d
*** pregnant woman must be well hydrated!
TYPES OF ABORTION
Induced Spontaneous GENERAL MGT :
— artificially done — naturally occuring → miscarriage bed rest as pres
medications : abortifacient (pampalaglag) NOT NECESSAR
1. THREATENED — cervix is CLOSE
MIFEPRISTONE — anti-progesterone 2. INEVITABLE — cervix is OPEN (hindi na *** strict bed rest →
uterus
*** 3 days after mife, give miso mapipigilan)
med mgt : anti-abortion (pampakapit) + anti- NPO status imm
MISOPROSTOL — prostaglandin → uterus : emergency
progesterone (if may natira)
contract / cervix : soften & dilate
maintain adequa
PROGESTERONE — “proGESTATION” progesterone — HERAGEST
USE : IV Fluids
*** hormone of mother (pregnant) DYDROGESTERONE (DUPHASTON)
monitor the FHR
— maintains the thickness of endometrium 3. COMPLETE — all are expelled
*** earliest time (li
during pregnancy 4. INCOMPLETE — some are retained
*** normal FHR : 12
*** estrogen — thickened the endometrium 5. MISSED / INTRA-UTERINE FETAL DEATH
→ tips CBQ : any co
— all are retained
than 160 → fetal dis
mgt : para malaglag ‘yung retained → THE PHYSICIAN
abortifacient
monitor for cerv
mifepristone
*** any case of blee
misoprostol cause / tri) — NEVE
