By Aaron B. Caughey, Tamara L. Callahan
Blueprints Obstetrics and Gynecology presents scholars with a concise overview of content material for his or her ob/gyn rotations and the forums. every one bankruptcy is short and contains pedagogical good points resembling bolded key phrases, tables, figures, and Key issues. New good points during this version contain a picture financial institution and a For The forums part, which offers four medical vignettes with 3-5 sequential merchandise set-style questions on the finish of every bankruptcy. also, a hundred bonus board-format questions with solutions and rationales look on the finish of the e-book; one other 50 bonus questions are supplied on-line.
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Extra resources for Blueprints Obstetrics and Gynecology (6th Edition)
Because you do not know yet if this is an IUP, it would be premature to send the patient for routine prenatal care (a). Vignette 1 Question 3 Answer A: The most common site of implantation in a tubal pregnancy is the ampulla (70%), followed by the isthmus (12%) and fimbriae (11%). While an ectopic pregnancy may implant in the cervix or ovary, this is rare. Vignette 1 Question 4 Answer d: The patient’s β-hCG level did not rise by more than twothird in 48 hours, which is suggestive of an abnormal pregnancy.
Vignette 1 Question 3 Answer A: The most common site of implantation in a tubal pregnancy is the ampulla (70%), followed by the isthmus (12%) and fimbriae (11%). While an ectopic pregnancy may implant in the cervix or ovary, this is rare. Vignette 1 Question 4 Answer d: The patient’s β-hCG level did not rise by more than twothird in 48 hours, which is suggestive of an abnormal pregnancy. This in conjunction with the adnexal mass on ultrasound is highly suggestive of an ectopic pregnancy. She should proceed with treatment.
2-5). Placement of the elective cerclage is similar to that of the emergent cerclage (with either the McDonald or Shirodkar methods being used), usually at 12 to 14 weeks’ gestation. The cerclage is maintained until 36 to 38 weeks of gestation if possible. At that point it is removed and the patient is followed expectantly until labor ensues. Both types of prophylactic cerclage are associated with 85% to 90% successful pregnancy rate. In patients for whom one or both of the vaginal cerclages have failed, a transabdominal cerclage (TAC) is often the next management offered.