Get Round The Clock Access To Verified & Certified Doctors. Save Time & Money. An Experienced Doctor Will Answer Your Health-Related Questions
- Ask on JustAnswer Now
Get Answers from Real Experts 24/7.
Be Connected Online in Minutes!
- Ask a Doctor
Get Personal, 1-on-1 Answers 24/7.
Get Medical Answers in Minutes.
- Ask a doctor one-on-one
Have Health Questions? Talk to a
Don't wait for medical care
- Ask a Doctor Online Now
Get Personal, 1-on-1 Answers from
Doctors Online. Ask Now!
- Get Medical Answers
Get Answers from Verified Medical
Professionals Online 24/7. Ask Now!
- Ask on JustAnswer Now
Search results
About 8 to 20 percent of all pregnancies end in miscarriage before 20 weeks. If you are experiencing the most common symptoms of a miscarriage, abdominal pain and vaginal bleeding, it’s...
- 2 min
- 20.1K
- AMITA Health
Caring for women experiencing pregnancy loss: a free e-learning resource. We have developed this free e-learning resource to support you in providing the best care you can to women* experiencing pregnancy loss – that is, miscarriage, ectopic pregnancy or molar pregnancy.
Feb 3, 2023 · Miscarriage occurs in up to one third of pregnancies. Described as threatened, inevitable, incomplete, complete, missed, or recurrent miscarriage. Presence of pain, hypotension, tachycardia, and/or anaemia warrants exclusion of a life-threatening differential diagnosis such as an ectopic pregnancy. Serial serum beta hCG titres and a trans ...
- Introduction
- Aetiology
- Clinical Features
- Investigations
- Complications
- References
Miscarriage is the spontaneous loss of an intrauterine pregnancy before 24 weeks gestation. It occurs in approximately 10 – 24% of all clinical pregnancies.1 The major risk factors for miscarriage are increasing maternal age and the number of previous miscarriages.1 Most miscarriages (~80%) are diagnosed under 13 weeks, with the risk of miscarriage...
In the first trimester, the most common cause of miscarriage is a chromosomal abnormality(50-60%). Autosomal trisomy is the most common abnormality (e.g. trisomy 16). The most common single chromosomal anomaly is 45X karyotype. Maternal age is related to aneuploidy risk, with increasing maternal age increasing aneuploidy risk (and therefore increas...
History
Typical symptomsof miscarriage include: 1. Vaginal bleeding 2. Cramping abdominal pain 3. Passage of any fetal tissue or clots Other important areas to coverin the history include: 1. Symptoms of, and risk factors for, ectopic pregnancy 2. Menstrual history: last menstrual period (LMP), cycle length, days bleeding, severity & nature of bleeding 3. Pregnancy history (if known): dating based on LMP/ultrasound results 4. Past obstetric history: outcomes from previous pregnancies and complication...
Clinical examination
All patients with miscarriage should have basic observations (vital signs)recorded using an obstetric or maternal early warning chart. A thorough abdominal examination should be performed to assess for signs of an acute abdomen (e.g. rebound tenderness and guarding), which may be suggestive of an ectopic pregnancy. A speculum examinationshould be performed to assess the cervical os, rule out other sources of bleeding (e.g. cervical/vaginal pathology), quantify the bleeding and assess for visi...
Laboratory investigations
Relevant laboratory investigationsmay include: 1. Full blood count: in patients who have significant blood loss and/or evidence of hypovolaemia 2. Beta-HCG: provides an indication as to whether the pregnancy is progressing (see below) 3. Group and save / cross-match: if significant bleeding 4. Antibody screen: rhesus negative women undergoing a surgical procedure to manage miscarriage will require anti-D rhesus prophylaxis
Imaging
A transvaginal ultrasound should be performed in any patient presenting in early pregnancy with vaginal bleeding and/or abdominal pain. The aim of ultrasound scanning is to assess for an intrauterine pregnancy or evidence of an ectopic pregnancy(adnexal pathology or the presence of free fluid in the abdomen). In addition, the ultrasound can assess fetal viability at that point in time. If the ultrasound scan is inconclusive for an intrauterine pregnancy (i.e. there is a pregnancy of unknown l...
Complications of miscarriage include: 1. Infection 2. Retained products of conception: may require surgical management 3. Asherman’s syndrome (uterine adhesions): a complication of repeated surgical management 4. Psychological impact: depression and/or anxiety
NICE Clinical Knowledge Summary. Miscarriage. Available from: [LINK]BMJ Best Practice. Miscarriage. Available from: [LINK]Miscarriage Association. Support Services. Available from: [LINK]The most common sign of miscarriage is vaginal bleeding. This can vary from light spotting or brownish discharge to heavy bleeding and bright-red blood or clots. The bleeding may come and go over several days.
Jun 11, 2024 · How Miscarriage Looks on Ultrasound. Most people who experience miscarriage have pain and bleeding. Some people, however, have no symptoms. This is known as a missed miscarriage, and it’s believed to occur in about 3% of pregnancies (compared to about 20% of pregnancies for typical miscarriages).
People also ask
What are the symptoms of a miscarriage?
What is a miscarriage?
What is a threatened miscarriage?
Does vaginal bleeding cause a miscarriage?
A miscarriage is the loss of a pregnancy during the first 23 weeks. Symptoms of a miscarriage. The main sign of a miscarriage is vaginal bleeding, which may be followed by cramping and pain in your lower abdomen. If you have vaginal bleeding, contact a GP or your midwife.
Flo Helps You Understand The Signs Of Pregnancy, Including The Earliest Symptoms. Discover early pregnancy insights you've been curious about. Get your trial!
