Early Pregnancy Loss

2018 ◽  
Author(s):  
Bri Anne McKeon ◽  
Sarah Lambeth
Keyword(s):  
Early Pregnancy ◽  
Pregnancy Loss ◽  
Treatment Options ◽  
Reproductive Age ◽  
Early Pregnancy Loss ◽  
Management Options ◽  
Dilation And Curettage ◽  
Pelvic Ultrasonography ◽  
Products Of Conception ◽  
Threatened Abortion

Early pregnancy loss is a common clinical scenario for women of reproductive age. Confirmation of pregnancy loss by pelvic ultrasonography using established criteria is crucial to ensure that potentially viable pregnancies are not interrupted. Both medical and surgical management options are effective and safe methods for the management of early pregnancy loss. Management should largely be influenced by patient preference in the hemodynamically stable patient. The purpose of this section is to describe the criteria for the diagnosis of early pregnancy loss, discuss various evidence-based treatment options for early pregnancy loss, and review current recommendations for attempts at future conception. This review contains 4 figures, 5 tables and 41 references Key Words: dilation and curettage, inevitable abortion, miscarriage, missed abortion, misoprostol, nonviable pregnancy, retained products of conception, threatened abortion, ultrasonography criteria

scholarly journals Can neutrophil-lymphocyte and platelet-lymphocyte ratios predict threatened abortion and early pregnancy loss?

2020 ◽  
Vol 91 (4) ◽  
pp. 210-215 ◽  
Author(s):  
Nahit Ata ◽  
Mehmet Kulhan ◽  
Nur Gozde Kulhan ◽  
Can Turkler
Keyword(s):  
Early Pregnancy ◽  
Pregnancy Loss ◽  
Early Pregnancy Loss ◽  
Threatened Abortion

Monitoring the early pregnancy

Equine Health ◽  
2020 ◽  
Vol 2020 (2) ◽  
pp. 54-60
Author(s):  
Monica Morganti
Keyword(s):  
Early Pregnancy ◽  
Pregnancy Loss ◽  
Treatment Options ◽  
Early Pregnancy Loss ◽  
Routine Examination ◽  
Diagnostic Ability ◽  
Early Stages

Monitoring of the early pregnancy is an important aspect of stud medicine practice. This article provides an overview of a common routine examination schedule adopted in the early stages of equine pregnancy, and discusses why pregnancy examination should be performed early plus at specific intervals thereafter. A description (with pictures) of the most common ultrasonographic indicators of pregnancy loss found during the examination is provided, together with some treatment options currently adopted. Because of the limitations of diagnostic ability, and incomplete understanding around early pregnancy loss, treatment options for this condition can be controversial. Finally, how to effectively diagnose and manage twins is discussed, with an understanding of how natural reduction can play its part.

Monitoring the early pregnancy

UK-Vet Equine ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 54-60
Author(s):  
Monica Morganti
Keyword(s):  
Early Pregnancy ◽  
Pregnancy Loss ◽  
Treatment Options ◽  
Early Pregnancy Loss ◽  
Routine Examination ◽  
Diagnostic Ability ◽  
Early Stages

Monitoring of the early pregnancy is an important aspect of stud medicine practice. This article provides an overview of a common routine examination schedule adopted in the early stages of equine pregnancy, and discusses why pregnancy examination should be performed early plus at specific intervals thereafter. A description (with pictures) of the most common ultrasonographic indicators of pregnancy loss found during the examination is provided, together with some treatment options currently adopted. Because of the limitations of diagnostic ability, and incomplete understanding around early pregnancy loss, treatment options for this condition can be controversial. Finally, how to effectively diagnose and manage twins is discussed, with an understanding of how natural reduction can play its part.

scholarly journals Prospective Study of Effect of Body Weight on in vitro Fertilization Outcome in Reproductive Age Group

2014 ◽  
Vol 5 (2) ◽  
pp. 58-63 ◽  
Author(s):  
Richa Sharma
Keyword(s):  
Body Weight ◽  
Prospective Study ◽  
Early Pregnancy ◽  
Pregnancy Loss ◽  
Reproductive Age ◽  
Age Group ◽  
Early Pregnancy Loss ◽  
Increased Risk ◽  
Reproductive Age Group

ABSTRACT Background Various prognostic factors in assisted reproduction procedures have been described and analyzed which includes woman's age, cause of infertility, ovarian response and uterine receptivity, the semen quality, and the body mass index (BMI). Optimal BMI is required for an optimal response. There is controversy among various reports, which is partly caused by the varying focus of investigators and differences in study designs, which led us to examine the relationship between BMI, in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) outcome in our unit. Objective To study impact of BMI on IVF outcome prospectively Materials and methods It is a prospective study over a period of 1 year in the age group 25 to 35 years attending the IVF clinic was conducted at a tertiary infertility center in Bangalore, India between November 2010 and October 2011. Results There is a close association of increased BMl in particular when BMl is > 30 kg/m2 and the reduced outcomes of IVF/ ICSI treatment in the form of decreased clinical pregnancy and higher early pregnancy loss. Furthermore, increased BMl is related to higher dosage and duration of gonadotropins requirement increased risk of cancellation and fewer collected oocytes. Conclusion Obesity is associated with an increased risk of early pregnancy loss. Also need of high dose of gonadotropin, less number of collected oocytes is observed. Implantation rate, pregnancy rate and miscarriage rate was comparable but live births are high in normal weight and overweight as compared to extremes of BMI. So will be appropriate to recommend life style modifications including weight loss to achieve an appropriate BMI prior to IVF. How to cite this article Sharma R. Prospective Study of Effect of Body Weight on in vitro Fertilization Outcome in Reproductive Age Group. Int J Infertil Fetal Med 2014;5(2):58-63.

Problems in early pregnancy

2016 ◽  
Author(s):  
W. Colin Duncan
Keyword(s):  
Early Pregnancy ◽  
First Trimester ◽  
Repeated Measurements ◽  
Reproductive Age ◽  
Management Options ◽  
Medical Practitioners ◽  
Pelvic Ultrasonography ◽  
Maternal Morbidity And Mortality ◽  
Ectopic Pregnancies ◽  
Laparoscopic Salpingectomy

One in three women will present with problems, usually bleeding and/or pain, in early pregnancy prior to their planned maternity booking appointment at the end of the first trimester. The mainstay of investigation is pelvic ultrasonography. However, often the diagnosis is not clear and further ultrasound scans or repeated measurements of serum human chorionic gonadotropin concentrations are required. Most women with bleeding in early pregnancy will have an ongoing pregnancy and can be reassured. However, around 15% of pregnancies will miscarry in the first trimester. Management of miscarriage is often conservative but there are both surgical and medical, using misoprostol, management options. Importantly, approximately 1 in 80 pregnancies are ectopic pregnancies. These can be difficult to diagnose and are associated with increased maternal morbidity and mortality. Management is usually by laparoscopic salpingectomy or systemic methotrexate administration. As ectopic pregnancy can present to disparate medical practitioners it is important to have an awareness and suspicion of this condition as well as considering the possibility of pregnancy in all women of reproductive age.

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