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During pregnancy, vaginal discharge volume increases as a result of the body's increased levels of estrogen and progesterone. [13] [2] The discharge is usually white or slightly gray, and may have a musty smell. [13] [2] The normal discharge of pregnancy does not contain blood or cause itching. [13]
Preterm premature rupture of membranes (PPROM) is when water breaks both before the onset of labor and before the pregnancy's 37 week gestation. [ 3 ] [ 4 ] In the United States, more than 120,000 pregnancies per year are affected by a premature rupture of membranes, which is the cause of about one third of preterm deliveries .
Pregnancy itself is a factor of hypercoagulability (pregnancy-induced hypercoagulability), as a physiologically adaptive mechanism to prevent post partum bleeding. [41] However, when combined with an additional underlying hypercoagulable states, the risk of thrombosis or embolism may become substantial.
A sensitive serum pregnancy test is typically obtained to rule out ectopic pregnancy. Culdocentesis will differentiate hemoperitoneum (ruptured ectopic pregnancy or hemorrhagic cyst) from pelvic sepsis (salpingitis, ruptured pelvic abscess, or ruptured appendix). [28] Pelvic and vaginal ultrasounds are helpful in the diagnosis of PID.
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a pregnancy test; a pelvic examination [12] obtaining tissue samples; pap smear; colposcopic examination of the vagina and cervix; ultrasound; histogram; cultures for bacteria [13] biopsy of tissues [4] A referral may be made to a specialist. [12] [16] Imaging may not be necessary. Cryotherapy has been used but is not recommended. [4]