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ABDOMINAL PAIN IN
PREGNANCY
SARA AMELLYA BINTI KHAIRUDIN JAFFRY
CONTENT
CAUSES OF ABDOMINAL PAIN IN PREGNANCY
EARLY PREGNANCY LATE PREGNANCY
• Ectopic pregnancy
• Miscariage
• Appendicitis
• Gynaecology causes:
- Adnexal mass
- Ovarian torsion
- Leiomyoma
• UTI
• Constipation
• Placenta abruptio
• Pre-eclampsia
• Uterine rupture
• Preterm contraction
ECTOPIC PREGNANCY
WHAT IS ECTOPIC PREGNANCY??
- An ectopic pregnancy occurs when a fertilized egg grows
outside of the uterus.
- As the pregnancy grows, it can cause the tube to burst (rupture)
and can cause major internal bleeding.
- This can be a life-threatening emergency that needs immediate
surgery.
Risk factor
The risk factors for ectopic pregnancy include the following:
• Previous ectopic pregnancy
• Prior fallopian tube surgery
• Previous pelvic or abdominal surgery
• Certain sexually transmitted infections (STIs)
• Pelvic inflammatory disease
• Endometriosis
Other factors:
•Cigarette smoking
•Age older than 35
years
•History of infertility
•Use of assisted
reproductive
technology, such as in
vitro fertilization (IVF)
SYMPTOMS
EARLY LATE
• Abnormal vaginal bleeding
• Low back pain
• Mild pain in the abdomen or pelvis
• Mild cramping on one side of the pelvis
• Sudden, severe pain in the abdomen or pelvis
• Shoulder pain
• Weakness, dizziness, or fainting
HOW TO DIAGNOSE?
MANAGEMENT
• here are two methods used to treat an ectopic pregnancy: 1) medication and
2) surgery.
OBSTRECTRIC TRIAGE IN HSNI
CASE 1
CASE 2
CASE 3
TAKE HOME MESSAGES
REFERENCES
• https://ajronline.org/doi/10.2214/AJR.07.7139
• https://www.acog.org/womens-health/faqs/ectopic-pregnancy

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CME ABDOMINAL PAIN IN PREGNANCY MALAYSIA.pptx