Miscarriage

Question 1

Fetal Heartbeat (FHB) may be visible as early as ________ of gestation on TVUSS.

Answer 1

6th week

Question 2

Miscarriage is a pregnancy that ends spontaneously before _____ weeks’ gestation.

Answer 2

24

Question 3

Common sign of miscarriage is __________

Answer 3

vaginal bleeding

Question 4

Risk of miscarriage increases w/ __________

Answer 4

maternal age

Question 5

Types of miscarriage

Answer 5

Threatened
Inevitable
Missed
Complete
Incomplete

Question 6

Threatened Miscarriage

Answer 6

IU pregnancy
FHR present
Spotting and pain
Sudden finding in U/S
Os closed

Question 7

Inevitable miscarriage

Answer 7

IU pregnancy
No FHR
Bleeding and pain
Os open

Question 8

Missed miscarriage

Answer 8

IU pregnancy
No FHR
Os closed

Question 9

Complete Miscarriage

Answer 9

All products are expelled
No RPOCs; empty uterine cavity
Os closed
Very big clot was passed

Question 10

Incomplete Miscarriage

Answer 10

RPOCs
Collapsed Pale mother
Heavy bleeding
Os open

Question 11

How will you manage a patient with a miscarriage?

Answer 11

Expectant
Medical
Surgical
Psychological

Question 12

What will be the expectant management and when it is needed?

Answer 12

U/S after 15 days
Beta HCG after 15 days

Question 13

Medical management of miscarriage?

Answer 13

Prostaglandin analogs (Misoprostol)
Dose acc. to gestational age
PO or PV
it opens the os

Question 14

Surgical Management of Miscarriage

Answer 14

DNC or DNE after 12 weeks
Manual Vacuum aspiration before 12 weeks

Question 15

Psychological Management of miscarriage

Answer 15

Ask about Abuse at home
Provide emotional support