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 ID: 910440
Download Presentation The PPT/PDF document "Gynecological disorders in pregnancy" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Gynecological disorders in pregnancy
Slide2Slide3CA 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
Slide4CA 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
Slide5CA 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
Slide6FIBROID WITH PREGNANCY
EFFECTS ON PREGNANCY
May be none
Pressure symptoms
Abortion
Malpresentation
Non engagement of presenting part
Pre term labour and prematurity
Slide7FIBROID WITH PREGNANCY
EFFECTS ON LABOUR
May be unaffected
Uterine inertia
Dystocia
PPH
Slide8FIBROID WITH PREGNANCY
EFFECTS ON PUERPERIUM
Subinvolution
Sepsis
Secondary PPH
Lochiometra
Pyometra
Slide9FIBROID 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
Slide10FIBROID WITH PREGNANCY
DIAGNOSIS
USG
Slide11FIBROID WITH PREGNANCY
TREATMENT
DURING PREGNANCY
Uncomplicated
Usual ANC
Impaction in early months
Manual correction
Acute pain following red degeneration
Slide12FIBROID 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
Slide13FIBROID 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
Slide14FIBROID WITH PREGNANCY
RED DEGENERATION
TREATMENT
Patient put to bed
Ampicillin 500 mg
Analgesics and sedatives
Laprotomy