Dr. Norma Salceda X-rays and computerized tomography (CT) are not used, especially in the first trimester, due to the ionizing radiation, which has teratogenic effects on the fetus. No effects of magnetic resonance imaging (MRI) on the fetus have been demonstrated, but this technique is too expensive for routine observation. Instead, ultrasound is the imaging method of choice in the first trimester and throughout the pregnancy, because it emits no radiation, is portable, and allows for realtime imaging.
About Dr. Norma Salceda Complications and emergencies
The main emergencies include:
* Ectopic pregnancy is when an embryo implants in the Fallopian tube or (rarely) on the ovary or inside the peritoneal cavity. This may cause massive internal bleeding.
* Pre-eclampsia is a disease which is defined by a combination of signs and symptoms that are related to maternal hypertension. The cause is unknown, and markers are being sought to predict its development from the earlist stages of pregnancy. Some unknown factors cause vascular damage in the endothelium, causing hypertension. If severe, it progresses to eclampsia, where a convulsions occur, which can be fatal. Preeclamptic patients with the HELLP syndrome show liver failure and Disseminated intravascular coagulation (DIC).
* Placental abruption where the patient can bleed to death if not managed appropriately.
* Fetal distress where the fetus is getting compromised in the uterine environment.
* Shoulder dystocia where one of the fetus' shoulders becomes stuck during vaginal birth, especially in macrosomic babies of diabetic mothers.
* Uterine rupture can occur during obstructed labor and endangered fetal and maternal life.
* Prolapsed cord refers to the prolapse of the fetal cord during labor with the risk of fetal suffocation.
* Obstetrical hemorrhage may be due to a number of factors such as placenta previa, uterine rupture of tears, uterine atony, retained placenta or placental fragments, or bleeding disorders.
* Puerperal sepsis is a progressed infection of the uterus during or after labor.
Dr. Norma Salceda
Additionally, physicians of other specialties may become trained in Advanced Life Support in Obstetrics (ALSO), a short certification that equips them to better manage emergent OB/GYN situations.
Norma Salceda This combined training prepares the practising OB/GYN to be adept at the surgical management of the entire scope of clinical pathology involving female reproductive organs, and to provide care for both pregnant and non-pregnant patient.
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