2. Over 300 ppts are available on
slideshare.net ***for use of public/Doctors
www.slideshare.net / Lifecarecentre
3. DEFINITION
• Recurrent miscarriage is defined as the
loss of three or more consecutive
pregnancies before 24 weeks of gestation
• It affects 1%of couples trying to conceive
• About 1-2% of second trimester
pregnancies miscarry before 24 weeks
of gestation.
4. RECURRENT MISCARRIAGE WORKUP
1.Rule out *Environmental exposures and
*Lifestyle issues
2.Assessment of ovarian function
a. Menstrual history
b. AMH or (Day 3-FSH,estradiol), TSH
11. APLA SYNDROME
Low-dose ASPIRIN WITH HEPARIN in
pregnant women with diagnosis of
Antiphospholipid Syndrome improves
live birth rate significantly
12. THROMBOPHILIA
HEPARIN THERAPY may improve the
live birth rate of women with
previous 2nd trimester loss and
Inherited THROMBOPHILIA
.Referral to a clinical geneticist if
abnormal karyotype
14. • Serial cervical sonographic
assessment
should be offered to women with a
history of
SECOND TRIMESTER MISCARRIAGE
and suspected cervical weakness.
Suspected Incompetent OS
15. CERVICAL CERCLAGE
should be offered
if a cervical length is
less than 25mm
in a singleton pregnancy assessed by
TVS
before 24 weeks of gestation
Suspected Incompetent OS
17. • There is no sufficient evidence
to suggest
corticosteroids or
Intravenous Immunoglobuline
improve live birth rate in women
with RM
NO EVIDENCE IN LITERATURE &
NOT OUR PRACTICE
18. TENDER, LOVE & CARE
(SUPPORTIVE CARE)
with progestin + HCG upto 12 weeks
without any other pharmacological
intervention have
a GOOD PROGNOSIS for a successful
future pregnancy in good 65-70% of
women with Unexplained RM
Experience of Lifecare Centre
19. REFERENCE
RCOG GREEN TOP GUIDELINE
No. 17 , April
The Investigation & Treatment of
couples with
Recurrent first – trimester
&
second trimester miscarriage
20. ADDRESS
11 Gagan Vihar, Near
Karkari Morh Flyover,
Delhi - 51
CONTACT US
9650588339
9599044257
011-22414049
WEBSITE :
www.lifecareivf.in
www.lifecarecentre.in
www.lifecareabs.in
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…..Caring hearts, healing hands
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Year
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