PVB in Pregnancy History

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

211

Pages:

4
Author:

Mariam A. A.

PVB in Pregnancy History When did the bleeding begin? Is the bleeding continuous? Have you had anything like this before? How much blood is there? What colour is the blood? Are there any clots? Have you passed anything else? Is there any associated pain? Is there any vaginal discharge of fluid leak? Do you have a shortness of breath? Do you feel more tired? Is this your usual colour? Do you have a fever? Do you have tachycardia? Is there nausea and vomit? Any complications in this pregnancy? Was this a spontaneous pregnancy or assisted? What pregnancy number is this? Any previous abortions or miscarriages? If have previous pregnancies -> any complications Menstrual cycle history Date of LMC Regularity Age of menarche Amount Issues Medical conditions Medications Miscarriage – inevitable, partial, threatened, septic, complete Ectopic pregnancy Molar pregnancy Cervical ectropion 0 bleeding from cervix or vagina Based on the results it seems that the most likely diagnosis is a threatened miscarriage Two cannulas IV Hartman Three options Expectant Medical treatment – impatient management -> until all POC has been passed Mifepristone followed by Misoprostol Surgical -> D and C Surgical risks are associated with it. I understand that this is very emotionally distressing. You did not do anything wrong. 20% of pregnancies end in miscarriage and 80% of those happen before 12 weeks of gestation. This is not something Common reasons include: Unknown Chromosomal abnormalities Poorly controlled diabetes or thyroid disease Uterine abnormalities -> bicornuate uterus and uterus septa Uterine pathologies -> endometriosis, fibroids and polyps Trauma Infections and alcohol Antiphospholipid syndrome It wont increase the risk of having another In future pregnancies, it would be highly recommended to undergo early U/S and U/S surveillance It is also recommended to take folate three months prior to pregnancies Also undergo screening for infections such as rubella, syphilis, HIV, HPV It is good to wait 4 to 6 weeks before getting pregnancy again to allow your body to recover Since there is no three consecutive miscarriages, then there is no need for us to investigate the cause Follow up recommended in 4 to 6 weeks