Miscarriage Gynae

Question 1

What is a miscarriage

Answer 1

Loss of pregnancy before 24 weeks and 28 weeks in the caribbean

Question 2

True or false most miscarriages occur before 12 weeks of gestation

Answer 2

True

Question 3

What are recurrent miscarriage

Answer 3

3 or more miscarriages

Question 4

What is the definition of a viable intrauterine pregnancy in terms of beta hcg

Answer 4

Doubling of the beta hcg over 48 hours

Question 5

At how many weeks would a gestational sac, yolk sac and cardiac activity be detected on ultrasound

Answer 5

4,5-6 and 6 weeks respectively

Question 6

True or false patients with very low or high bmi prone to miscarriages

Answer 6

True

Question 7

Describe the surgical option for miscarriages

Answer 7

First line

Vacuum aspiration is method of choice where sac is intact

Prostaglandins given before to soften cervix

Local or general ga

Procedure involves dilation of cervix using graduated hegars dilators

Followed by vacuum extraction of products

Question 8

What is one genetic reason for recurrent miscarriages

Answer 8

3-5% of couples present with at least one of the partners carrying a balanced chromosome translocation/ robertsoniam translocation

Question 9

What kind of miscarriage (early or late) are you likely to see a anatomical problem such as uterine septum being the reason for miscarriage

Answer 9

Late

After 12 weeks

Question 10

Which trimester are you most likely to have cervical incompetence

Answer 10

2nd trimester

Question 11

How can cervical incompetence be diagnosed outside of pregnancy

Answer 11

Hegar dilator or cervicography

Transvaginal ultrasound during early oregnancy

Question 12

True or false, occult diabetes, controlled dm and occult hypothyroidism , torch infections, hyperprolactin are not associated with recurrent miscarriages

Answer 12

True