Notes in OG6.1 First Trimester Pregnancy Loss

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Published 10/04/2024 Early pregnancy loss is a loss of pregnancy at less than {{c1::12 weeks}}
Published 10/04/2024 Late miscarriage is pregnancy loss between {{c1::12 weeks to 23+6}}
Published 10/04/2024 {{c1::Complete miscarriage}}: {{c2::all the products of conception have been passed without the need for medical or surgical intervention}}
Published 10/04/2024 {{c1::Incomplete miscarriage}}: {{c2::some, but not all, of the products of conception have been passed; retained products may be part of the fetus, p…
Published 10/04/2024 {{c1::Inevitable miscarriage}}: {{c2::the cervical os is open, but the products of conception have not been expelled}}
Published 10/04/2024 {{c1::Missed/silent miscarriage}}: {{c2::no fetal heart on ultrasound (with crown rump length >7mm) or empty gestational sac >20mm mean diameter…
Published 10/04/2024 {{c1::Threatened miscarriage}}: {{c2::PV bleeding before 24 weeks gestation, viable pregnancy on ultrasound}}
Published 10/04/2024 {{c2::Septic miscarriage}}: {{c1::a spontaneous miscarriage that is complicated by intrauterine infection}}
Published 10/04/2024 {{c1::Recurrent miscarriage}}: {{c2::2 or more consecutive 1st or 2nd trimester pregnancy losses}}
Published 10/04/2024 If intrauterine gestational sac has a mean diameter of < {{c1::20 mm}}, it is a pregnancy of uncertain viability
Published 10/04/2024 If intrauterine gestational sac > 20 mm and no fetal heart rate → {{c1::missed miscarriage}}
Published 10/04/2024 Fetal cardiac activity should be visible from {{c1::3}}mm crown-rump length or {{c1::6}} weeks gestation
Published 10/04/2024 Use {{c1::serum progesterone::blood level}} as an adjunct to β-hCG in management of pregnancy of unknown location
Published 10/04/2024 Medical management of a miscarriage is {{c1::mifepristone}} and/or {{c1::misoprostol }} which is successful in {{c1::80}}% of cases
Published 10/04/2024 Medical or expectant management of missed miscarriage should only be offered if women have {{c1::24h access to telephone advice}} and {{c1::…
Published 10/04/2024 Indications for anti-D:- {{c1::PV bleeding after 12 weeks }}- {{c1::Surgical evacuation, intervention at any gestation (including ectop…
Published 10/04/2024 Primary recurrent miscarriage: {{c1::No previous successful pregnancy::definition}}
Published 10/04/2024 Secondary recurrent miscarriage: {{c1::Repeated losses after prior pregnancy has reached viability::definition}}
Published 10/04/2024 Treatment of antiphospholipid syndrome → {{c1::ASA 75 mg PO OD}} and {{c1::LMWH SC }}
Published 10/04/2024 Treatment of septic miscarriage → {{c1::Penicillin, gentamicin, clindamycin::3 RXs}} for 24 hours
Published 10/04/2024 Risk factors for miscarriageusually do not know the causegenetic: {{c1::chromosomal abnormalities, increased maternal age}}hormonal: {{c1::PCOS, sever…
Published 10/04/2024 {{c1::10-20::range}}% of pregnancies result in a miscarriage
Published 10/04/2024 Indications for evacuation of retained products of conception (ERPC){{c1::patient preference}}{{c1::heavy PV bleeding}}{{c1::hemodynamic instability}}…
Published 10/04/2024 {{c1::70}}% chance of live birth even after 3 miscarriages
Published 10/04/2024 Etiology of recurrent miscarriage is {{c1::idiopathic}} in 70% of cases
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