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infinitegest · 2 years

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Lilly with twins (part 2)

#long post #huge pregnant belly #multiples #vintage preg #progress #shes so round #twins

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lily-moon-art · 1 year

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Please look at this cat

thank you for your time

#Shes so round #Like a cinnamon roll #Cat #round cat #sleepy cat #Cute cat #Sleepy cat #black cat #cute animals

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wingsofahoneybee · 7 months

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I cant stop rotating I May Be Stupid in my brain I've been staring at that picture for so long bee holy shit I'm losing my mind

embrace that thang

#i was rotating her in my mind the entire time i drew this i Understand #shes so Round #beloved kip 💏#answered #bee talks

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superpussyking · 8 months

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We got a dog!!!! Wheeeee!!!

#.txt post #shes so round

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sword-dad-fukuzawa · 2 years

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Boy oh boy, you've caught the Spy x Family hype too, huh?

I can see the appeal, but I'm currently occupied with Elder Scrolls lore and character friendships right now. Cheerio to you. 🥂

*head in hands* i have a policy of not following the hype train but on account of me knowing spyxfamily existed for the last two years and actively choosing not to read it, i'm still following my principles >:(((

#anya babey #shes so round #and loid...loid hot.........

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theperksofbeingstupid · 21 hours

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gata

#duninha #shes so round #eepy

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biggest-gaudiest-patronuses · 1 year

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why aren't there more mysteries that take place in nursing homes & retirement communities. i want to watch a group of deranged retirees-cum-amateur-detectives combine their powers of:

decades of life experience

boredom-fueled busybody shamelessness

access to the most gossipy next-door-neighbors in existence

"I am too old to be arrested and/or give a shit" attitude

and solve crimes. this should be an enormous subgenre.

#their sidekick/Watson/pet hacker is a 15 year old grandkid who hangs out with gram gram on the weekends #her only power is that she has above average search engine skills and flexible knees #which is completely sufficient to round out the group's skill set #they involve her in heist style operations #on the rare occasion she gets caught housebreaking she explains her grandma locked herself out of the condo and asked for help getting in #then this sweet slightly addled old lady shows up and explains she got the address mixed up #it's so confusing when you're old & all the houses look alike and oh she's so sorry to have caused so much trouble #and meanwhile the teenager is rolling her eyes bc she's aware gram gram was a career criminal & con artist for 50 years #anyway gimme a 80-year-old con artist turned amateur sleuth who loves getting older because people are less suspicious of little old ladies #this all takes place in florida naturally

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huachengsromcom · 30 days

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People call Heaven Official’s Blessing / TGCF a slow burn but Hua Cheng is literally courting Xie Lian like they are DATING. Slow burn who??? They’re sleeping next to each other on straw mats and Xie Lian’s offering to cook him dinner and they’re bantering across THE HOME THEY SHARE like a bunch of desperate hussys

San Lang LEAVES XL WITH A KEEPSAKE OF THEIR TIME TOGETHER SLOW BURN WHOMST

They have A DATE in HC’s armoury where they HOLD HANDS and XL pets San Lang’s quivering sword I-

Hua Cheng basically throws himself at this man he’s like you want a sword?? All of them ?? You want ALL THE SWORDS?? Fuck it take the whole room THE WHOLE ROOM JUST COME VISIT I WILL CLEAN THEM FOR YOU

Like he isn’t the king of a whole realm with shit to do

And this is just the first half of the first book—again I ask the world SLOW BURN WHOMST

#this is half in jest #but #I know some people don’t count it as “real until they kiss but THIS is honestly so gay of them #it’s in the subtext it’s in everything THAT ISNT a kiss #it’s so queer #Hua Cheng is ALL IN XL is just too innocent to Grasp It #XL is saying “come round to my tiny shack whenever sleep on my mat with me BEST FRIEND I will be your home” and HC is SUFFERING #the armoury scene is favourite of the entire thing #I was like my brother in Christ HAVE YOU NO SHAME #and knew immediately I would love him forever #tgcf #heaven official's blessing #mxtx tgcf #hua cheng #xie lian #hualian #she’s being unhinged again

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ghosted-jazz · 6 months

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Traffic Gals- Introducing Gem!

#secret life #secret life smp #zombiecleo #geminitay #pearlescentmoon #ldshadowlady #trafficblr #traffic smp spoilers #traffic spoilers #life series spoilers #SEASON 5 AND IT MEANS IM BACK ON MY BULLSHIT LETS GOOOOOOOOOO #My Gem design is basically just a dorito. She is a rounded triangle to me in the same way that Pearl is a stick #I watched some episodes half way through drawing this and im going feral RHHRHRHHR #idk what the offical spoiler tag is so im just- using as many as i found ig #my art

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paraicelife · 2 years

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What is the difference between a tubal pregnancy and an ectopic pregnancy?

In ectopic pregnancy, implantation occurs in a site other than the endometrial lining of the uterine cavity, i.e., in the fallopian tube, horn of the uterus, cervix, ovary, or abdominal or pelvic cavity. Ectopic pregnancies cannot be carried to term and eventually rupture or involute.

Early symptomatology includes pelvic pain, metrorrhagia, and tenderness to the vaginal touch, especially when the cervix is displaced.

Syncope or hemorrhagic shock may occur upon rupture. Diagnosis is based on beta-hCG measurement and pelvic ultrasound. Treatment consists of laparoscopic or open surgical resection or IM methotrexate injection.

The incidence of ectopic pregnancy is approximately 2/100 diagnosed pregnancies.

Etiology of ectopic pregnancy

Factors that particularly increase the risk of ectopic pregnancy include

Tubal lesions

A history of ectopic pregnancy (risk of recurrence 10-25%)

History of pelvic inflammatory disease (especially Chlamydia trachomatis)

Previous abdominal surgery especially on the fallopian tubes, including tubal ligation

Other specific risk factors for ectopic pregnancy include

Intrauterine device (IUD) contraception

Infertility due to tubal damage

Smoking

History of induced abortion

Pregnancy is less likely to occur when an intrauterine device (IUD) is in place; however, about 5% of these pregnancies are ectopic.

Pathophysiology of ectopic pregnancy

The most common location of ectopic pregnancies is the fallopian tube, followed by the uterine horn. Cervical pregnancies, in a caesarean scar, the ovary, the abdomen or the interstitium of the fallopian tube are rare.

( You can follow your Pregnancy & Baby Tracker Pro week by week )

Heterotopic pregnancies (both ectopic and intrauterine) occur in only 1/10,000 to 30,000 pregnancies, but may be more common among women who have used ovulation induction or assisted reproductive technologies such as in vitro fertilization and gamete intrafallopian tube transfer (GIFT); in such cases, the reported rate of ectopic pregnancies is ≤ 1%.

The structure containing the fetus usually ruptures after 6 to 16 weeks. Rupture results in hemorrhage that may be progressive or rapid enough to cause hemorrhagic shock. Intraperitoneal blood irritates the peritoneum. The later the rupture, the more rapid the bleeding and the higher the mortality.

Symptomatology of ectopic pregnancy

Symptoms of ectopic pregnancy vary and are often absent until rupture occurs. Most patients present with pelvic pain (sometimes in the form of cramping) and/or vaginal bleeding. There may or may not be a delay or absence of menstrual bleeding, and the patient may not know that she is pregnant.

Rupture may be heralded by sudden severe pain, followed by syncope or symptoms of hemorrhagic shock or peritonitis. Rapid hemorrhage is more likely in ruptured ectopic pregnancies.

Pain on mobilization of the cervix, unilateral or bilateral adnexal tenderness on vaginal touch, or an adnexal mass may be present. The uterus may be slightly enlarged (but less than expected from delayed menstruation).

Diagnosis of ectopic pregnancy

Quantitative serum human chorionic gonadotropin beta subunit (beta-hCG)

Pelvic ultrasound

Sometimes laparoscopy

An ectopic pregnancy is suspected in any woman of childbearing age with pelvic pain, metrorrhagia, or unexplained syncope or hemorrhagic shock, regardless of contraceptive use, sexual intercourse, or delayed menses. The results of physical examinations (including pelvic touch) are neither sensitive nor specific.

A ruptured ectopic pregnancy is a surgical emergency because it causes maternal hemorrhage with a risk of death; prompt diagnosis is essential.

The first step is a urine pregnancy test, which is nearly 99% sensitive in diagnosing pregnancies (ectopic and others). When the urine beta-hCG test is negative and the clinical signs are not strongly suggestive of ectopic pregnancy, further testing is unnecessary unless the symptoms recur or worsen.

If the urine beta-hCG is positive or the clinical signs are strongly suggestive of ectopic pregnancy, a quantitative serum beta-hCG measurement and pelvic ultrasound are not indicated.

When the quantitative serum beta-hCG is < 5 mIU/mL, ectopic pregnancy is excluded. When ultrasound detects an intrauterine gestational sac, an ectopic pregnancy is highly unlikely except in the woman who has used assisted reproductive techniques (which increases the risk of heterotopic pregnancy); however, a cornual or intra-abdominal pregnancy may initially present as an intrauterine pregnancy.

Ultrasound images suggestive of an ectopic pregnancy (seen in 16 to 32%) of cases include complex masses (mixed solid and cystic masses), particularly in the adnexa, and fluid effusion from the cul-de-sac of Douglas.

If the serum beta-hCG is above a certain level (called the discriminatory zone), the ultrasound should detect a gestational sac in case of intrauterine pregnancy. This level is usually about 2000 mIU/mL. If the beta-hCG level is above the discriminatory zone and no intrauterine gestational sac is detected, an ectopic pregnancy is likely. The use of the transvaginal route or color Doppler can improve detection rates.

If the beta-hCG level is below the discriminatory zone and the ultrasound is negative, it may be an early intrauterine pregnancy or an ectopic pregnancy. If the initial clinical workup suggests an ectopic pregnancy (e.g., significant peritoneal irritation or hemorrhage), diagnostic laparoscopy may be necessary for confirmation.

When an ectopic pregnancy appears unlikely and the patient is stable, plasma beta-hCG levels can be monitored on an outpatient basis (typically every 2 days). Normally, the level doubles every 1.4 to 2.1 days until day 41; in an ectopic pregnancy (as in non-progressive pregnancies), levels may be lower than expected and do not double as rapidly.

If the beta-hCG level does not rise as expected or falls, the diagnosis of spontaneous miscarriage or ectopic pregnancy should be considered.