Recurrent miscarriage: causes, evaluation, and treatment.

摘要: Recurrent miscarriage or fetal loss syndrome (also known as wastage syndrome) is characterized by recurrent spontaneous abortion. There are many syndromes associated with loss, including anatomic anomalies, endocrine/hormonal abnormalities, genetic/chromosomal and blood coagulation protein/platelet defects. Many of these treatable, leading to normal term pregnancy, if the clinician astute vigorously pursues a thorough evaluation why patient has suffered unexplained, miscarriages. no uniform agreement on how spontaneous, unexplained miscarriages needed diagnose loss; we generally pursue an for causation women had 2 more such events. In this article, discuss common reasons plus diagnostic procedures consider in pinpointing problem, cytogenetic studies, tests, hysterosalpingography, sonography, magnetic resonance imaging. We also describe management strategies that often lead successful pregnancy outcome when underlying problem addressed. For example, case thrombotic defects, cause report 100% success rate achieving normal-term delivery among who took low-dose (81 mg/day) aspirin preconception followed postconception (5000 units q 12 h) heparin.