Miscarriage Flashcards
Define miscarriage
Pregnancy loss before 28weeks GA, <1000g fetal weight
Recurrence rates for miscarriages up to 4th pregnancy x3
2nd- 25%
3rd- 30%
4th- 30 to 40%
Maternal risk factors of miscarriage x5
Previous miscarriage
Maternal systemic infections
Psychological stress
Advance maternal age
Trauma
Classification of miscarriage x6
Threatened
Inevitable
Incomplete
Complete
Missed
Septic
In which miscarriages is the cervix open x2
Incomplete
Inevitable
In which miscarriages is the cervix closed x3
Threatened
Complete
Missed
Threatened miscarriage increases risk of the following maternal outcomes x4
Placenta previa
Placenta abruption
Manual delivery of placenta
C-section
Threatened miscarriage increases risk of the following perinatal outcomes x5
FGR
LBW infant
Preterm birth
Fetal and neonatal death
Preterm rupture of membranes
Fetal risk factors of miscarriage
Chromosomal abnormalities
Medical management of inevitable miscarriage if there’s signs of infection x2
DCN 100mg Po bd x7 days
Metronidazole 800mg stat
Which gestational age is appropriate for mva
Less than 9 weeks
Management of missed miscarriage at <12wks GA
Misoprostol 800mcg PV / 600mcg SL
Repeated every 3 hrs
Management of missed miscarriage at 12-24wks GA
Misoprostol 400mcg PV every 6 hours
Management of missed miscarriage at 24-28wks GA
Misoprostol 200mcg PV every 4hrs
Iv Medical Management of septic miscarriage x3
Benzyl penicillin 2MU IV
Gentamycin 320mg IV OD
Metronidazole 500mg IV