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complications
BC3- maternity, complications
| Question | Answer |
|---|---|
| a synthetic hormone with estrogenic properties, possible cause of incompetent cervix | diethylstilbestrol |
| for patients on bedrest from incompetent cervix to increase circulation, maintain muscle flexability and prevent thrombosis | range of motion exercizes |
| surgical procedure to prevent cervix from premature dilation | cerclage |
| used to keep cervix closed, may be removed to allow vaginal delivery or left intact for c- section | sutures |
| painless dilation causing premature birth, usually around 20 weeks gestation | incompetent cervix |
| located between vagina and uterus | cervix |
| birth that occurs prior to 37 weeks | pre-term, or premature |
| surgical removal of segment of cervix for diagnostic use, to confirm abnormal pap results | cone bioposy |
| shortening of vaginal portion of cervix, thinning of walls | effacement |
| progressive openening of cervix | dilation |
| diethylstilbbestrol (DES) | synthetic hormone with estrogenic properties, used from 1948-1971 to decrease miscarriages.contraindicated now d/t vaginal cancerfor women who were exposed to DES in utero. being a DES daughter can cause an abnormally formed cervix |
| symptoms of incompetent cervix | heavyness/ marginal to large amount of discharge |
| to diagnose incompetent cervix | internal exam or ultrasound |
| to treat incompetent cervix | early detection to prevent miscarriage. bedrest, cerclage, or both if condition is severe |
| cerclage | sutures to close incompetent cervix 85-90 % success. remove at about 37 weeks Gallow vaginal or leave in place for future pregnacies and c section preformed |
| cerclage complications (RARE) | may rupture membranes, uterus may get irritated and start labor, infection of placenta or uterus, cervix can be damaged if contractions tear sutures |
| Nursing iunterventions for incompetent cervix | support group, ROM, sit up after meals reduce heartburn, fiber and fluid to prevent constipation |
| incompetent cervix rule | once diagnosed, NO sex!! due to the prostaglandins in sperm that can cause contractions |
| ectopic pregnancy | inplantation of fertilized egg in site anywhere other than endrometrial lining of uterus |
| risk factors of ectopic pregnacies | tubal damage d/t PID, previous pelvic, abdominal , tubal surgery/ sterilization, IUD presence, HIgh levels of hormones alter motility of egg in tube, ovulation inducing drugs, smoking, douching, STD, >40,exposure to DES |
| fertilized egg implanted in fallopian tube, peritoneal cavity, cervix, uterine cornea, ovary, ampulla of tube (most common place) | ectopic pregnancy |
| s/s of ectopic pregnancy | chadwicks sign (blue discoloration of cervix, soft uterus, HCG in blood or urine, pain lower abdominal, fainting dizziness, referred right shoulder pain, , slower HCG titers than a normal pregnancy |
| laproscopic salpingectomy | removal of tube if it is ruptured or if future child bearing is not an issue |
| laproscopic linear salpingostomy | evaluate pregnacy and gently preserve the tube |
Created by:
goryan
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