Miscarriage Flashcards
1
Q
What is a miscarriage?
A
Spontaneous Expulsion
of a pregnancy, embryo or fetus
Before 24 weeks of gestation (viability)
2
Q
How do you manage a miscarriage?
A
Expectant
Medical
Surgical
Counseling
Anti-D prophylaxis
TV USS
hCG
Proluten
Mifepristone (anti progesterone priming)
& Misoprostol (prostaglandin analogue)
Analgesia and antiemetic
ERPC D&C
3
Q
What are the types of miscarriage and what are the clinical and USS criteria for diagnosing them?
A
Complete Incomplete Inevitable Threatened Missed
PV bleeding Lower abdominal and back pain Cervical os open or closed Retained products USS for fetal pole and heart sounds
4
Q
What are the risk factors for miscarriage?
A
Non viable fetus Maternal medical disease Uterine abnormalities Infections Drugs and toxicity
5
Q
What are the DDx for a miscarriage?
A
Ectopic pregnancy
GTD
Gynecological causes
6
Q
What is the definition of recurrent miscarriage?
A
3 or more
Consecutive
Spontaneous miscarriages
With same biological father
7
Q
What are the causes of recurrent miscarriage?
A
Advanced maternal age
Obesity
Anti phospholipid syndrome (APS) Genetic balanced translocation Fetal chromosomal abnormalities Congenital uterine abnormalities Fibroids Thrombophilias
