Medicine an Surgery notes

Apr 24th, 2015
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Preventive medicine inobstetrics regardingpregnancy lossDr. Mohammed AbdallaDomiat General HospitalCan Pregnancycomplications such as Recurrent abortion, Preterm labour, Still birth, Preeclampsia.be preventedIn the past the obstetrical artfocused mainly on how todeal with complications .but now by the remarkableadvance in modernobstetrics ,immunology, andhematology, the goal ishow to prevent them.Maternal risk assessmentMaternal riskassessment can befirstly identified fromMaternal risk assessmentRecurrent pregnancyloss is not just a BadLuck and must beinvestigated .Maternal risk assessmentBut on other handsome conditions needno recurrence to bealarming, and to beinvestigated.one unexplained fetaldeaths after ten weeksof pregnancyone preeclampsia orplacental insufficienciesoccurring before 34weeksOne previous pretermbirthone or more confirmedepisodes of venous orarterial thrombosis.any of these must invitea big question mark?Maternal risk assessmentThe initial attempts to predictpreterm delivery inasymptomatic patientsinvolved the use ofrisk factor assessment.Risk Factors for PretermBirth -Prior cone biopsy or (LEEP)-Greater than or equal to 3 first trimester losses-Any second trimester loss-Prior preterm delivery (PTD)-Prior myomectomy-Cervical cerclage-Uterine AnomaliesRisk Factors for PretermBirthThe diagnosis is usuallybased on a history of latemiscarriage, preceded

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