Page 7 - OB Risks - Delivering the Goods (Part Two)
P. 7

SVMIC Obstetrics Risks: Delivering the Goods


                   is no final diagnosis, and the pregnancy is assumed to have

                   spontaneously resolved. However, until a definitive diagnosis
                   can be made, the patient should be followed closely.  There can
                                                                                          5
                   be many causes for PUL, and it is important to note that PUL is
                   not necessarily an ectopic pregnancy. Many women with a PUL

                   will present with vaginal bleeding and/or abdominal pain, and
                   a PUL may be indicated by passing of pregnancy tissue and/

                   or other symptoms related to pregnancy loss.  In determining
                                                                                 6
                   a PUL and resulting treatment, sonographic evaluation and

                   interval serum hCG draws are crucial before undertaking any
                   medical or surgical treatment.
                                                            7



                   Ectopic Pregnancy


                   Transvaginal sonography is normally the method of choice

                   for the detection/evaluation of early pregnancy.  An initial
                                                                                    8
                   transvaginal ultrasound usually results in four possibilities:


                       •  No sign of pregnancy anywhere

                       •  A likely ectopic pregnancy


                       •  An Intrauterine pregnancy but too early to make the

                          diagnosis

                       •  A likely miscarriage caused by conception products in the

                          endometrial cavity
                                                   9









                   5      Id.
                   6      Id.
                   7      Id.
                   8      https://obgyn.mhmedical.com/content.
                          aspx?bookid=1414§ionid=76389938#:~:text=Transvaginal%20sonography%20(TVS)%20
                          has%20become,the%20presence%20of%20heart%20motion
                   9      https://trmbaby.com/providers/provider-resources/pregnancy-of-unknown-location/

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