We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byAntoine Ogles
Modified over 3 years ago
RECURRENT PREGNANCY LOSS
1. Anatomic 2. Infectious 3. Endocrine 4. Immunologic 5. Genetic 6. Male factor 7. Environment al _________
Congenital Uterine Septum T-Shaped Uterus - DES ? Cervical Incompetence Acquired Fibroid Synechiae Polyps Deformities/Cervical Incompetence _________
Systemic Infections Endometritis Cervicitis Bacterial Vaginosis _________
Ovulatory Defects Luteal Phase Defects Thyroid Dysfunction Diabetes/Insulin Resistance _________
Balanced Translocations Random Chromosomal Abnormalities Thrombophilias Various Other Genetic Derangements _________
Autoimmune Phospholipid Antibodies Lupus Anticoagulant Thyroid Antibodies Other Autoimmune Antibodies Alloimmune Host Response Antibodies Others _________
DNA fragmentation Aneuploidy Specific gene abnormalities
Chemical Thermal Radiation Traumatic Infectious Other _________
Examination Ultrasound Hysterosalpingogram Sonohysterogram Hysteroscopy Other Imagining Modalities _________
Cultures – Cervical – Other Blood Tests – Hepatitis A, B, C, ?? – Toxoplasmosis – STS – Rubella – CMV – Chlamydial Antibodies Endometrial Biopsy _________
Follicle Development US/Estradiol Luteal Phase Progesterone/Endometrial Biopsy Thyroid TSH (T 3, T 4 ) Thyroid Antibodies (http://www.medscape.com/viewarticle/747914?src= mp&spon=16)http://www.medscape.com/viewarticle/747914?src= mp&spon=16) Other _________
aPTT Lupus Anticoagulant Phospholipid Antibody Panel See next slide ± Thyroid Antibodies ±EmbryoToxic Antibodies ± Natural Killer Cells _________
1. Phospholipid isotypes of: -aCA, aPI, aPS, aPE, aPC 2. Lupus anti-coagulant 3. Anti-Beta-2-Glycoprotein 1 antibodies
History Tissue Culture (POC) Other Genetic Markers (thrombophilias) See next slide Sperm DNA Fragmentation Assay Karyotyping of Husband and Wife CVS Amniocentesis _________
Anti-Thrombin III APTT Factor V Leiden MTHFR PAI-I Protein C Protein S Prothrombin
The Diagnostic Evaluation and Treatment of Recurrent Pregnancy Loss
RECURRENT PREGNANCY LOSS Rukset Attar, MD, PhD Obstetrics and Gynecology Department.
Early Fetal Wastage “ Miscarriage” Professor Hassan Nasrat.
Max Brinsmead MB BS PhD May A summary of... RCOG Green-top Guideline number 17 April 2011 “The Investigation and Treatment of Couples with Recurrent.
Bleeding causes in the first trimester pregnancy
RECURRENT MISCARRIAGE GUIDELINES
Fertility Testing Sana Javed Amnah Mahroo Sidrah Naseem
Fawaz Edris MD, RDMS, FRCSC, FACOG, AAACS
ABORTIONS. Definition Termination of pregnancy before the period of viability.
RECURRENT MISCARRIAGE & SEPTIC ABORTION DR. ROBINA TARIQ Associate PROF. OBS / GYNAE SERVICES INSTITUTE OF MEDICAL SCIENCES /
RECURRENT AND MID- TRIMESTER PREGNANCY LOSS David L. Berry, M.D. Austin Perinatal Associates Seton Medical Center OB Grand Rounds September 19, 2011.
Miscarriage ( abortion Early pregnancy loss Dr. R. EL-Gantri Associated Professor Obst. & Gyne. Department.
Second trimester pregnancy loss
Dr.Suresh Babu Chaduvula Professor Dept. of OBGyn, College of Medicine, KKU, Abha, KSA.
Recurrent Miscarriage, Investigation and Treatment of Couples
Bleeding in early pregnancy Dr. Abdalla H. Alsadig MD.
RECURRENT MISCARRIAGE Dr.F Mardanian MD. CASE CASE 35 Y G5L1Ab4 G1=L1 G2=16weeks G3=8weeks G4=12weeks G5=16weeks BW=105kg 35 Y G5L1Ab4 G1=L1 G2=16weeks.
CONGENITAL ANOMALIES (Birth defects)
Thrombophilia National Haemophilia Director
Hypercoagulable States. Acquired versus inherited Acquired versus inherited “Provoked” vs idiopathic VTE “Provoked” vs idiopathic VTE Who should be tested.
© 2017 SlidePlayer.com Inc. All rights reserved.