Miscarriage
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Transcript of Miscarriage
MISCARRIAGE
Zaryab Ghauri (Final Year MBBS Batch-E)
SPONTANEOUS MISCARRIAGE
DEFINITIONMiscarriage is a pregnancy that ends spontaneously before the fetus has reached a viable gestational age.
Spontaneous loss of pregnancy at or before 24weeks gestation
TERMINOLOGY
RISK OF MISCARRIAGE First Trimester MiscarriageChromosomal AbnormalitiesMaternal DiseaseDrugsUterine AbnormalitiesInfection
Second Trimester MiscarriageCervical InjuryInfectionThrombophiliaUterine AbnormalitiesChromosomal Abnormality
Maternal Age
DIAGNOSISHistory TakingLMPSymptomsPast Obstetric/Gynaecology HistoryPast Medical HistoryMedication
ExaminationGeneral ExaminationAbdominal PalpationVaginal Examination
DIFFERENTIAL DIAGNOSIS
DIAGNOSTIC TOOLS Ultrasound
Intrauterine Pregnancy (Threatened, Inevitable Miscarriage)
Retained products of conception (Incomplete Miscarriage)
No retained products of conception (Complete Miscarriage)
Fetal pole present, but no fetal heartbeat identified. Gestational sac present (diameter >20mm) but no fetal pole identified (Missed Miscarriage)
MANAGEMENTType Of miscarriageGestation
Expectant ManagementSurgical ManagementMedical Management
THANK YOU
Reference: Gynecology By Ten Teachers (19th Edition) Dewhurst's Textbook of Obstetrics 'n' Gynecology