Miscarriage in progress: History is the same.ġ. Further shortening and opening of the cervix. Partial detachment of the fertilized egg (placenta). There may be a decrease in both progesterone and estrogen in the blood (especially in the second and third trimesters). The results of endoscopic examination are the same. In vaginal examination - a slight shortening of the cervix and the opening of the outer eye, the cervix may be slightly stepped with a slightly gaping outer eye. Partial detachment of the fertilized egg due to increased contractility of the myometrium. Decrease in basal (rectal) temperature.ģ. Increased uterine tone, its pain, but the size of the uterus corresponds to the gestation period.Ģ. Stronger lower abdominal pain, low back pain.ġ. Miscarriage that has begun: The anamnesis data are the same.ġ. Signs of isthmic-cervical insufficiency (ICF): a) shortening of the cervix to 3 cm or less b) increase in the diameter of the inner eye of the cervix more than 1 cm in the second trimester: prolapse of the amniotic sac into the cervical canal. The presence of areas of chorionic or placental abruption.Ħ. Absence of corpus luteum of pregnancy in the ovaries.ĥ. Low placement of the fertilized egg (embryo, fetus) in the uterine cavity.Ĥ. Deformation of the contours of the fertilized egg, its indentation due to uterine hypertension.ģ. The presence of local thickening of the myometrium in the form of a roller protruding into the uterine cavity.Ģ. Ultrasound results : ultrasound manifestations of the threat of abortion precede clinical.ġ. pH-metry of secretions> 4.4 ® bacterioscopic, bacteriological examination, scraping of the cervical canal ® detection of antigens to TORCH infection by PCR and the ratio of antibodies by ELISA. T 4, T 3 increased, decreased TSH, increased thyroid-stimulated antibodies (hyperthyroidism).
TRIGAN D IN PREGNANCY FREE
Decrease in free T 4, T 3 at increase of TSH - at a hypothyroidism.ħ. Increase in dehydroepiandrostenediol, cortisol, testosterone, 17-hydroprogesterone, 17-ketosteroids, androsterone in the blood - with hyperandrogenism.Ħ. The presence of changes in the concentrations of placental lactogen, estriol, estradiol, b-fetoprotein.ĥ.
Decrease in the content of progesterone in the blood and the ratio of the content of estrogen and progesterone in the blood plasma (in the physiological course of pregnancy it is equal to 1: 5).Ĥ. Decrease in the content of chorionic gonadotropin in the blood in the first trimester.ģ. Changes in the colpocytogram (estrogenic type of smear, increase in karyopyknotic index to 50% and above.Ģ. The outer eye is closed, but can be opened. At gynecological inspection the sizes of a uterus correspond to a delay period of menstruation, the uterus reacts to inspection by reduction, structural changes of a neck of uterus are absent. In the II trimester: prolapse of the amniotic sac, discharge of amniotic fluid.ġ. Decrease in basal (rectal) temperature in the first trimester to 37 ° and below.ģ. Excitability of the uterus, increasing its tone. The fertilized egg completely retains contact with the uterus.Ģ. Discharge is scanty, dark or brown, sometimes bright on critical days, respectively, the allowable menstruation.ġ. The presence of bloody discharge, but they may be absent. Feeling of heaviness, pressure on the bladder, rectum, vagina, discomfort in the suprapubic area.ģ. Provoking factors (injury, fall, exercise, coitus).ġ. Allergic diseases of a polyvalent nature. Chronic diseases in the anamnesis (including chronic tonsillitis, umbilical sepsis). Transferred TORCH-infections in the reproductive period. Pathological course of previous pregnancies and births. The presence of spontaneous termination of previous pregnancies. Infertility, especially treated with assisted reproductive technologies. Medical abortions, their complications. Diseases of viral etiology and infectious-allergic nature in the pre- and pubertal period in girls. Late menarche and a long period of menstruation. Spontaneous miscarriage (abortion) - termination of pregnancy from conception to 22 weeks of pregnancy. assessment of the general condition of the pregnant woman examination of the cervix in mirrors, bimanual examination
TRIGAN D IN PREGNANCY CODE
Spontaneous miscarriage Code MKH-10 - O06 malignant tumors of the cervix and uterine body. premature detachment of the normally located placenta (PVNRP) concomitant pathology (polyps, erosion, cervical cancer).īleeding in the second half of pregnancy: