Page 378 - Critical Maternity & Newborn Health Nursing

- Complications of pregnancy as abortion and vesicular mole.

- Irregular intake of hormones or contraceptive tablets.

- The presence of intrauterine device.

- Dysfunctional uterine bleeding as in metropathia hamorrhagica and

threshold bleeding.

Causes:

- The exact cause is unknown. The graafian follicle fails rupture and

continue to grow to form a cyst. Large amount of estrogen are produces

which act on the uterus.

Clinical picture

1- Age incidence: more common near the menopause or after menarche.

2- Symptoms

There is sever painless uterine bleeding unrelated to menstruation. It may

continue for several days or weeks. Symptoms of anemia, if bleeding is

sever.

3- Signs

The uterus is slightly symmetrically enlarged abdominally soft. One or

both ovaries may be felt enlarged and cystic.

Treatment

1- General treatment as menorrhagia.

2- Hormonal treatment as menorrhagia.

3- Surgical treatment as menorrhagia.

377 Table of Contents