miscarriage US diagnosis

Question 1

Criteria for pregnancy loss? TVUS

Answer 1

gestational sac diameter less than 20mm with no yolk sac or embryo or if the fetal pole is less then 7mm with no heart beat within 30 seconds.

Question 2

After the findings of a fetal pole less than 8 mm with no cardiac activity within 30 seconds is it a miscarriage? TVUS

Answer 2

pregnancy of uncertain viability beware uncertain dates and repeat Us taken in 7-10 days.

Question 3

the different types of miscarriage TVUS

Answer 3

suspected, complete, incomplete, and missed

Question 4

when can fetal demise be made? TVUS

Answer 4

if no fetal heart if fetal pole is greater than 7mm

pregnancy loss gestational sac greater than 20mm in the absence of a yolk sac or embryo.

Question 5

abdominal US miscarriage guidelines?

Answer 5

no fetal heart measuring greater than 8 mm with no fetal heart
gestational sac is 25 mm in the absence of a yolk sac or embryo.

Question 6

things to keep in the back of your mind

Answer 6

beware of LMP dates.

Question 7

treatment for women with miscarriage types

Answer 7

expectant
medical
surgical

Question 8

expectant management

Answer 8

7-14 days after diagnosis.

hormone test after three weeks.- molar or ectopic pregnancy.

Question 9

medical tx miscariage

Answer 9

tablets that cause the cervix to open and allow the tissues out. Mifepristone and misoprostol. Pregancy test 3 weeks later.

Question 10

surgery hx

Answer 10

if heavy bleeding, infection,or medical mgx not working. ERPC

Question 11

symptoms of ectopic pregnancy

Answer 11

RIF/LIF pain
persistant vaginal bleeding, pain in your shoulder ti[
diarrhoea and vomiting. feeling faint and light headed.

Question 12

when are molar pregnancies id?

Answer 12

10-16 weeks of pregnancy.

Question 13

advice after the miscarriage?

Answer 13

emotional impact

support- miscarriage association

Question 14

when would you not do expectant management?

Answer 14

increased risk of heamorrhage

previous adverse effect to espectant mgx

Question 15

When could you not diagnose a miscarriage on transvaginal us?

Answer 15

If the mean gestational sac is less than 20 mm with no yolk sac or embryo. If the fetal pole is less than 8mm with no heart sound in 30 seconds.

Question 16

Threatened miscarriage

Answer 16

The cervical Os is closed and spotting vaginal bleeding and pain.

Question 17

Incomplete miscarriage

Answer 17

Cervical Os is dilated and vaginal bleeding and pain. On us examination there are still retained products of conception no fetal heart. 3 days complete- expectant mgx

Question 18

Complete miscarriage

Answer 18

There has been a history of vaginal bleeding plus or minus abdominal pain and on pelvic examination there is a cervical closed. On us examination there are no retained products of conception. endometrial thickness less than 15mm. Provide support.

Question 19

Missed miscarriage

Answer 19

There was maybe history of vaginal bleeding. On pelvic examination the cervical Os is closed. Yet on us examination there is no fetal heart beat- diagnostic crietreria for miscarriage positive. discuss options for miscarriage management.