Tuesday, March 1, 2011

Recurrent miscarriage (habitual)

Recurrent miscarriage (habitual)

    
* Introduction
    
* Causes
    
* Laboratory investigations
    
* Treatment
Early pregnancy loss is the most common complication that occurs in at least 75% of pregnant women. Most miscarriages are unrecognized in women and occur before the next normal menstrual period. The remaining 15-20% are spontaneous abortions or ectopic pregnancies diagnosed after recognition of pregnancy. Most healthy women do not require evaluation after one or two abortions.

 
Approximately 80-90% of women with a miscarriage only viable fetus will be born the next task. The chance of a normal pregnancy is higher if the woman gave birth to one or more viable fetuses and is reduced in women over 35 years.

 
After a second miscarriage is normal dorninta couple to know which is the risk of further miscarriages and what can I do to have a normal pregnancy. The doctor often only provide emotional support and counseling approach incertudini being loaded on the causes of abortion.

 
Definition

 
World Health Organization has defined spontaneous abortion as the expulsion of an embryo or fetus weighing 500 g or less, corresponding to approximately 20 to 22 weeks of gestation. The definition of recurrent miscarriage (habitual) varies.
Classic, was defined as three or more miscarriages.
However some experts believe that pregnancy is second attaint recurrent abortions.

 
In a second woman with a history of miscarriage risk of miscarriage increases to about 25%, and three women with a history of miscarriage rises to 33%. However there is no clear threshold for the number of abortions that unequivocally justify the evaluation and treatment.

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