Obstetrics and Gynaecology Francesca Garnham Scoring Scenarios: 13.1 Vaginal examination, 171; 13.2 Vaginal bleeding, 175;

2009 ◽  
pp. 181-196
Author(s):  
Savita Meena ◽  
Suniti Verma ◽  
R N Sehra ◽  
Suman Choudhary

Background: The outcome of ongoing pregnancies after first trimester vaginal bleeding is of relevance to women and obstetricians for planning antenatal care and clinical interventions in pregnancy. Hence, this study was conducted to identify the risks associated with first trimester bleed which may facilitate decision making regarding mode, place and timing of delivery during management, which may improve maternal and neonatal outcome. Methods: Hospital based comparative prospective study conducted at Department of Obstetrics and Gynaecology, SMS Medical College & associated Hospitals, Jaipur. Results: APH was found in 4 (8.00%) patients of case group and nil in control group. So, APH was found to be more in the case group than control group but was statistically not significant. Pre-eclampsia was found in 4 (8.00%) in case group and 3 (6.00%) in control group with statistically insignificant difference between the two groups.  26 (52.00%) delivered at the gestational age of ?37 weeks, whereas only 8 (16%) of control group delivered at ?37 weeks. So, the gestational age at delivery of control group subjects was found to be higher as compared to case group subjects and the difference was statistically significant (p=0.001). Conclusion: Threatened miscarriage in early pregnancy increases the risk of adverse pregnancy outcome. In our study, these patients were found to be at an increased risk of preterm delivery, PPROM. Keywords: PROM, Miscarriage, Gestational age


Author(s):  
Jonathan P. Wyatt ◽  
Robert G. Taylor ◽  
Kerstin de Wit ◽  
Emily J. Hotton ◽  
Robin J. Illingworth ◽  
...  

This chapter in the Oxford Handbook of Emergency Medicine investigates obstetrics and gynaecology in the emergency department (ED). It reviews gynaecological problems, vaginal discharge, contraceptive problems, genital injury, assault and female genital mutilation, gynaecological pain, and vaginal bleeding. It discusses the pregnant patient and explores prescribing, hyperemesis gravidarum, vaginal bleeding, miscarriage, ectopic pregnancy, vaginal bleeding in later pregnancy, abdominal pain, and medical complications of pregnancy. It also reviews emergency normal delivery, obstetric emergencies, trauma and cardiac arrest in pregnancy, and post-partum problems.


Author(s):  
Jonathan P. Wyatt ◽  
Robin N. Illingworth ◽  
Colin A. Graham ◽  
Kerstin Hogg ◽  
Michael J. Clancy ◽  
...  

Gynaecological problems 564 Vaginal discharge 566 Contraceptive problems 568 Genital injury and assault 570 Gynaecological pain 572 Vaginal bleeding 574 The pregnant patient 576 Emergency normal delivery 578 Difficulties in normal delivery 580 Vaginal bleeding in pregnancy 582 Spontaneous abortion 584 Ectopic pregnancy 586 Vaginal bleeding in later pregnancy ...


2013 ◽  
Vol 7 (1) ◽  
pp. 50-52
Author(s):  
Sian Cooper

We present an unusual case of recurrent ectopic pregnancy in the tubal stump of a previous partial salpingectomy. The patient presented with the classic triad of amenorrhoea, per vaginal bleeding and abdominal pain paired with a void uterus on ultrasonography. Her history was notable for a previous ectopic pregnancy resulting in a laparotomy and salpingectomy-oophrectomy. A positive B-hCG and echogeneic areas in the right adnexa led to a diagnosis of recurrent ectopic pregnancy. On laparotomy, an ectopic pregnancy was found in the right tubal stump. Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 1 / Issue 13 / Jan- June, 2012 / 50-52 DOI: http://dx.doi.org/10.3126/njog.v7i1.8837 


2020 ◽  
Vol 25 (1) ◽  
pp. 45-58
Author(s):  
Radu Chicea ◽  
Anca Lucia Chicea ◽  
Paula Niță ◽  
Maria Livia Ognean

AbstractHysteroscopy is a surgical procedure that allows a direct view of the uterine cavity and the tubular ostium. This procedure can be performed for both diagnostic and curative purposes. Hysteroscopy have several indications including the evaluation of abnormal uterine bleeding, infertility or intrauterine tumours identified by ultrasound. The purpose of this paper is to evaluate the correlation between the diagnosis at admission and the intraoperative aspect of the uterine cavity following the hysteroscopic evaluation. We evaluated the patients admitted to the Obstetrics and Gynaecology Clinic of the Sibiu County Emergency Clinical Hospital during 1.01.2019-07.06.2019 who had the following criteria: age between 15-64 years, patients with infertility, patients who had vaginal bleeding or intrauterine tumours or structure identified by ultrasound.


Author(s):  
Aakarsh Sinha ◽  
Kumar Amit

Bleeding per vaginum in the first trimester of pregnancy is one of the most common obstetric problems. Bleeding in early pregnancy is an indicator of an abnormality interrupting the normal development and is a common cause of hospital admission. If the viability or non viability of pregnancy can be made on USG, then hormonal therapy and hospitalization can be avoided. This is usually impossible with history and clinical examination and can be established only by USG. Hence based on above findings the present study was planned for Assessment of Vaginal Bleeding in First Trimester of Pregnancy by Comparative Study of Clinical and Ultrasonographic Evaluation. The present study was planned in Department of Obstetrics and Gynaecology, Madhubani Medical College and Hospital, Madhubani, Bihar. In the present study 30 females having history of bleeding per vaginum in the first trimester of pregnancy were enrolled. The data generated from the present study concludes that USG is an extremely valuable non invasive tool in the identifying the causes of first trimester vaginal bleeding. It is also helpful in the decision-making algorithm about the safe continuation of the pregnancy and timely intervention for abnormal pregnancy. High incongruity was seen in our study between clinical diagnosis and USG diagnosis. Keywords: Vaginal Bleeding, First Trimester, Pregnancy, Clinical, Ultrasonographic Evaluation, etc.


KYAMC Journal ◽  
2017 ◽  
Vol 7 (2) ◽  
pp. 818-820
Author(s):  
Mst Atia Sultana ◽  
Kh Shahnewaj ◽  
Md Saiful Islam ◽  
Masuma Khatun ◽  
Nure Saba Rahman ◽  
...  

We report a 70 years old postmenopausal lady Mrs Johura Begum presented to us with the complaints of watery and foul smelling per vaginal discharge for 4-5 months, occasional per vaginal bleeding for 2-3 months lower abdominal pain for 15 days, fever for 7 days. On general examination she was restless, her temperature was 1020F and lower abdomen was tender. On per vaginal examination there were foul smelling discharge and a large ulcerated and necrossed mass in the vaginal canal that bleeds on touch. She was managed surgically. Now she is on chemotherapy and well.KYAMC Journal Vol. 7, No.-2, Jan 2017, Page 818-820


Author(s):  
Victoria Stacey

Abdominal pain in women - Ectopic pregnancy - Pelvic inflammatory disease (PID) - Other gynaecological causes of abdominal pain - Abnormal vaginal bleeding - Emergency contraception - Bleeding in pregnancy - Hyperemesis gravidarum - Pre-eclampsia and eclampsia - Rhesus prophylaxis—anti-D immunoglobulin - Emergency delivery - Postpartum haemorrhage - Pregnancy and trauma - SAQs


Sign in / Sign up

Export Citation Format

Share Document