Download - Early trimester miscarriages
Dr hina aamir
Gynae sho
Ask about the LMP
Amount of bleeding
Abdopelvis pain
Past obstetric history
Any contraception
Any past ho miscarriages ,ectopic pregnancy
Those with a H/O a positive pregnancy test and:
Vaginal bleeding or abdominal pain
Previous ectopic pregnancy
Previous tubal surgury
Previous miscarriage
Iucd in situ
Persistant bleeding post evacuation of the ERCP were there is a suspicion of the problems
Other clinical conditions as stated in the hospital protocol
Viable intrauterine pregnancy
Pregnancy of uncertain viability
Early pregnancy loss
Incomplete miscarriage
Complete miscarriage
Pregnancy of
FETAL FACTORS
Chromosomal abnormalities
autosomal trisomies -52%
Monosomy X -30%
CONGENITAL ANMOLIES
TRAUMA
MATERNAL FACTORS
Advanced maternal age
RISK FACTORS
PV BLEEDING WITH DELAYED PERIODS Common in pregnancy 20-40% with a normal outcome Ask about amount of bleed, color , any passage of clots
or tissues ABDOPELVIS PAIN Incidental findings on US In cases of ectopic preg Breast tenderness Gi syptoms Urinary symptoms Shoulder tip pain Dizziness, light headedness Rectal pain or pain on defecation
GENERAL PHYSICAL EXAM Pallor ,tachycardia, Abdo exam Tenderness on palpation Guarding or rigidity ,enlarged uterus Shock collapse
PER SPECULUM EXAM Source of bleeding Amount of bleeding, cervix dilated or any products of
conception