Archives

Ectopic Pregnancy

American College of Obstetrics and Gynecology Practice Bulletin – Tubal Ectopic Pregnancy, 2018 Location: >90% of ectopics are fallopian, 1% abdominal, 1% cervix, 1-3% ovarian, 1% c-section scar Heterotopic pregnancy risk 1/4000 – 1/30,000 in general population Heterotopic pregnancy risk in patients receiving in vitro fertilization, up to 1/100 Epidemiology: Incidence is estimated to be 1-2% (25 per 1000 pregnancies per

Read more

Varicella & Pregnancy

Treatment in pregnancy: Chicken Pox Infection Immunized or Hx of past infection: exposure: nothing to do. simple rash: acyclovir 800mg PO 5x/day for 7 days severe infection or pneumonia, admit for IV acyclovir and supportive care. Not Immunized: exposure: consider VZIG, give first dose within 96 hours if possible, and up to 10 days from exposure. simple rash: acyclovir 800mg

Read more

Tranexamic Acid (TXA)

Tranexamic acid is a synthetic form of lysine, an amino acid. It is classified as an “anti-fibrinolytic” which means it is a  pro-coagulant. It binds to receptors on plasmin preventing it from breaking down fibrin clots. Tranexamic acid was originally discovered in 1962 and is currently on the World Health Organization’s list of Essential Medicines.  The drug has been studied

Read more

Preeclampsia

Criteria Pregnancy, 20 weeks gestation up to 6 weeks postpartum, AND Hypertension >140/90 x 2 (at least 4 hours apart) or >160/110 x 2 (minutes apart) in a woman who was previously normotensive AND any one of the following: Proteinuria, defined as urine dipstick >1+ or >0.3 g in a 24-hour period Platelets <100k/mcL Serum creatinine > 1.1 mg/dL Liver transaminases

Read more