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Chapter-10 Evidence-based Practice in Recurrent Spontaneous Miscarriages

BOOK TITLE: Recurrent Spontaneous Miscarriages

Author
1. Desai Pankaj
ISBN
9789352702763
DOI
10.5005/jp/books/18032_11
Edition
3/e
Publishing Year
2018
Pages
13
Author Affiliations
1. Medical College, Baroda, Janani Maternity Hospital, Baroda, Medical College and SSG Hospital Baroda, Medical College, Baroda, India, Medical College and SSG Hospital, Baroda, Gujarat, (Unit IV), Medical College and SSG Hospital, Baroda, Medical College and SSG Hospital, Vadodara, Gujarat, India, Medical College and SSG Hospital, Baroda, Dept of Obs and Gyn Medical College, Baroda, Medical College and SSG Hospital, Baroda, India, FOGSI; Janani Maternity Hospital, Baroda, India, Vadodara, Medical College, Baroda, Gujarat, India, Janani Maternity Hospital, Baroda, Gujarat, India, Medical Collage and SSG Hospital, Vadodara, Gujarat, India, Baroda, Gujarat, India, Baroda, Medical College, Vadodara, Gujarat, India, Baroda Medical College and Sir Sayajirao General Hospital, Vadodara, Gujarat, India, Janani Maternity Hospital, Vadodara, Gujarat, India; Medical College and SSG Hospital, Vadodara, Gujarat, India; Societies of India (FOGSI), 2007, Medical College, SSG Hospital and Baroda, Gujarat, India
Chapter keywords
Evidence-based practice, recurrent spontaneous miscarriage, randomized controlled trial, RCT, anatomical factor, cervical weakness, endocrinal factor, progesterone supplementation, recurrent spontaneous abortion

Abstract

This chapter focuses on evidence-based practice in recurrent spontaneous miscarriages. The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients. In fact, the entire concept of evidence-based practice in medical sciences is the contribution of obstetrics to the medical world. Evidence can be of wide variety and types. Evidence can be vague, can be based on randomized controlled trials (RCTs), or based on observer evidence. It is, therefore, necessary to understand what we exactly mean by a particular type of evidence. This is for reason of uniformity, scientific comparison, and drawing valid conclusions. This chapter covers the anatomical factors, cervical weakness, endocrinal factors, progesterone supplementation, human chorionic gonadotropin supplementation, immune factors, infections and recurrent spontaneous abortion, and allied aspects.

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