Gynecological Disorders in Pregnancy
Explore the effects of gynecological disorders such as cervical cancer and fibroids on pregnancy, labor, and postpartum, along with their diagnosis and treatment options. Learn about potential risks and complications associated with these conditions during pregnancy.
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Presentation Transcript
GYNECOLOGICAL DISORDERS IN PREGNANCY
CA CERVIX WITH PREGNANCY DIAGNOSIS Asymptomatic cases Symptomatic cases EFFECTS OF PREGNANCY ON CA CERVIX Malignant process remain unaffected Rapid spread following vaginal delivery or induced abortion
CA CERVIX WITH PREGNANCY EFFECTS OF CA ON PREGNANCY Abortion Premature labour Secondary cervical dystocia Missed labour Injury to cervix and lower segment PPH Lochiometra and pyometra Uterine sepsis
CA CERVIX WITH PREGNANCY TREATMENT Surgery or radiotherapy First trimester Radical surgery with fetus in situ Radiotherapy external pelvic radiation Second trimester Uterus is to be evacuated Prophylactic antibiotic Radical surgery after 10 -14 days External pelvic radiation followed by intracavity radiation In operable stage Palliative radiotherapy Labour Vaginal delivery not allowed 1. 2. 1. 2. 3. 4.
FIBROID WITH PREGNANCY EFFECTS ON PREGNANCY May be none Pressure symptoms Abortion Malpresentation Non engagement of presenting part Pre term labour and prematurity
FIBROID WITH PREGNANCY EFFECTS ON LABOUR May be unaffected Uterine inertia Dystocia PPH
FIBROID WITH PREGNANCY EFFECTS ON PUERPERIUM Subinvolution Sepsis Secondary PPH Lochiometra Pyometra
FIBROID WITH PREGNANCY EFFECTS OF PREGNANCY ON FIBROID Increase in size Changes in position Changes inn shape becomes flattened Red degeneration Torsion of pedunculated subserous fibroid Infection
FIBROID WITH PREGNANCY DIAGNOSIS USG
FIBROID WITH PREGNANCY TREATMENT DURING PREGNANCY Uncomplicated Usual ANC Impaction in early months Manual correction Acute pain following red degeneration
FIBROID WITH PREGNANCY TREATMENT LSCS Cervical or broad ligament fibroid Associated complicating factors DURING LABOUR Fibroid situated above the presenting part Fibroid situated below the presenting part Alert PPH and retained placenta
FIBROID WITH PREGNANCY RED DEGENERATION Probably vascular origin CLINICAL FEATURES Acute onset of pain Malaise Dry furred tongue Rapid pulse Constipation Tenderness Rigidity over the tumour Leucocytocis
FIBROID WITH PREGNANCY RED DEGENERATION TREATMENT Patient put to bed Ampicillin 500 mg Analgesics and sedatives Laprotomy
