PREGNANCY LOSS

Question 1

Which of the following if present in a patient poses the highest risk for pregnancy loss:
-type 1 diabetes
-chronic htn
-UTI
-

Answer 1

Type 1 diabetes. In insulin dependent DM, the risk of pregnancy loss and major congenital malfomations are both increased.
Htn does not increase the risk of first trimester loss

Question 2

Which of the following increases risk for early pregnancy loss:
-paternal age
-vigorous exercise
-smoking
-hx of preeclampsia

Answer 2

EARLY pregnancy loss:
-SMOKING dose dependent
-MAYBE paternal age, data is a lil iffy on that one

Question 3

Cervical insufficiency can sometimes be handled with progesterone but otherwise what is an appropriate tx for someone with recurrent loss at 89-19 wga?

Answer 3

Cervical cerclage at 14 wga

Question 4

What accounts for most FIRST trimester pregnancy losses and for SECOND trimester losses?

Answer 4

FIRST is chromosome abnormalities and SECOND is due to uterine or envrionemental causes (think cervical insufficiency, uterine anomalies, drugs)