Management of Pathological Pregnancies

Mild hypertensionpreeclampsia

Severe preeclampsia

Spontaneous Abortion
1. Imminens Abortion -> Bed rest, progesterone

2. Insipiens Abortion -> Observe the general conditions and hemodynamic state. evacuate immediately followed by curettage when bleeding a lot
3. Incomplete Abortion -> Identify and resolve any complications, residual conception removed with curettage 4. Complete Abortion --> Evacuation of uterus is not necessary unless the diagnosis is unclear or there is excessive bleeding

Ectopic Pregnancy
Medical therapy is preferred by most, if feasible. Only methotrexate has been extensively studied as an alternative to surgical therapy. Other agents that have been used include prostaglandins and mifepristone, as well as potassium chloride or hyperosmolar glucose injected into the ectopic mass. (American Society for Reproductive Medicine, 2006).

Placenta Previa Treatment is dictated by clinical scenario and can range from simply repairing the defect and obtaining hemostasis to removing the entire uterus
Abruptio Placentae Maintain hemodynamic stabilization ( Transfusion therapy). When the fetus is mature,vaginal delivery is preferable unless there is evidence of fetal distress or hemodynamic instability. When the fetus is not mature and placental abruption is limited,observation with close monitoring of both fetal and maternal status.