Disorders of early pregnancy

​Objectives:

​- To understand the main characteristics of ectopic pregnancy and spontaneous abortion

​

- Recognize the risk factors of each disease.

​

- ​Solve the clinical cases pertaining to the diseases.

Multiple Choice

A 25-year-old woman at 9 weeks gestation presents to the emergency department with abdominal cramping and vaginal bleeding. She denies fever and vaginal discharge. Her vital signs are all within normal limits. What is the most likely cause of her symptoms?

• Ruptured ectopic pregnancy

• Hemorrhagic ovarian cyst

• Spontaneous abortion

• Pelvic inflammatory disease

Multiple Choice

Spontaneous abortions occur most commonly before:

• 38 weeks

• 14 weeks

• 22 weeks

• 12 weeks

Multiple Choice

Most second-trimester spontaneous abortions are caused by

• maternal endocrine factors

• physical defects of the uterus

• ascending infections

• fetal chromosomal anomalies

Multiple Choice

Can an ectopic pregnancy affect future pregnancies?

• True

• False

Multiple Choice

All of the following raise the risk of ectopic pregnancy EXCEPT

• Peritubal Scarring

• Presence of Intrauterine contraceptive device

• Fetal chromosomal anomalies

• Prior Pelvic Inflammatory disease