Recurrent miscarriage Flashcards

1
Q

What are recurrent miscarriages defined as?

A

loss of 3 ore more consecutive pregnancies

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2
Q

What are causes of recurrent miscarriage?

A
  1. antiphospholipid syndrome
  2. genetic factors - chromosomal abnormality
  3. Uterine anatomy malformations
    Cervical weakness
  4. Diabetes, thyroid disease
    PCOS
  5. Immune factors
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3
Q

What are the investigations in recurrent miscarriage?

A
  1. antiphospholipid screening (2 +ve tests at least 12 weeks apart)
  2. Karyotyping
  3. Anatomical factors - laparoscopy, pelvic US
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4
Q

What is management of cervical weakness?

A

cerclage

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5
Q

What is management of APS?

A

Low dose aspirin plus heparin

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