REI Flashcards
1
Q
Causes of RPL
A
1. Balanced translocations Reciprocal>robertsonian 2. Fetal chromosome abnormalities- 45X is most common 3. Uterine anomalies- Septate most common, 60%RPL Asherman syndrome 4. Luteal phase def 5 insulin resistance 6. Thyroid disorders 7. Obesity 8.APLAS 9. DOR
2
Q
Work up RPL
A
conceptus microarray Uterine cavity assessment- SIS is ideal. 3D pelvic US ok TSH and TPO abys if indicated by hx a1c if RFS APLAS Parental karyotype
3
Q
What is the most common aneuploidy accounting for first trimester loss
A
45X
4
Q
What is the risk of a recurrent pregnancy loss after
1 loss?
2?
3?
4?
A
12%
24%
30%
40%
5
Q
Chronological order for adolescent development
A
Growth spurt Thelarche Pubarche Adrenarche Menarche