Miscarriage
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Transcript of Miscarriage
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MISCARRIAGE
Zaryab Ghauri (Final Year MBBS Batch-E)
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SPONTANEOUS MISCARRIAGE
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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
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TERMINOLOGY
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RISK OF MISCARRIAGE First Trimester MiscarriageChromosomal AbnormalitiesMaternal DiseaseDrugsUterine AbnormalitiesInfection
Second Trimester MiscarriageCervical InjuryInfectionThrombophiliaUterine AbnormalitiesChromosomal Abnormality
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Maternal Age
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DIAGNOSISHistory TakingLMPSymptomsPast Obstetric/Gynaecology HistoryPast Medical HistoryMedication
ExaminationGeneral ExaminationAbdominal PalpationVaginal Examination
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DIFFERENTIAL DIAGNOSIS
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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)
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MANAGEMENTType Of miscarriageGestation
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Expectant ManagementSurgical ManagementMedical Management
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THANK YOU
Reference: Gynecology By Ten Teachers (19th Edition) Dewhurst's Textbook of Obstetrics 'n' Gynecology