Recurrent Miscarriage GTG 2023

Question 1

Recurrent miscarriage def

Answer 1

3 or more first trimester

Question 2

Most common cause of Recurrent miscarriage

Answer 2

Anti phospholipid syndrome

Question 3

Recurrent Miscarriage intake in AFS when Asprin and Heparin

Answer 3

From + ve test until 34 weeks

Question 4

Recurrent Miscarriage Progesterone prescription

Answer 4

400mg Micronised vaginal progesterone twice daily at time of bleeding until 16 weeks

Question 5

Recurrent Miscarriage risk factors

Answer 5

Maternal age
No of previous miscarriages
Advance paternal age >= 40 yr
Advance Maternal age >= 35 y yr

Question 6

Least risk of miscarriage age group

Answer 6

20 to 24 year = 11%

Question 7

35 -39 years risk of miscarriage

Answer 7

25%

Question 8

40 -44 years risk of miscarriage

Answer 8

51%

Question 9

> = 45 years risk of miscarriage

Answer 9

93%

Question 10

Increase risk of miscarriage factors

Answer 10

Advance Maternal age
Advance paternal age
Smoking
Alcohol
Caffeine
Black ethnic

Question 11

Increase risk of Recurrent Miscarriage factor

Answer 11

No of previous miscarriages
Bmi <19 or >25 kg/m2

Question 12

When to give inherited Thrombophilia Heparin

Answer 12

2nd trimester

Question 13

% of pregnancy loss after 3 consecutive Miscarriage

Answer 13

40%

Question 14

Apla % in Recurrent Miscarriage

Answer 14

15%

Question 15

Arcuate uterus more miscarriage in

Answer 15

2nd trimester

Question 16

Septate uterus more miscarriage in

Answer 16

1st trimester

Question 17

Alpa and Recurrent Miscarriage no pharmaceutical intervention % of successful pregnancy

Answer 17

10%

Question 18

Prevalence of Apla in women with low risk obs hx

Answer 18

<2%

Question 19

Investigation after 3rd Recurrent Miscarriage

Answer 19

1. POCS
2. APLA
3. USG then Hysteroscopy

Question 20

Investigation after 4th Recurrent Miscarriage

Answer 20

1. APLA
2. USG
3. POCs > paternal Karyotype