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Chapter-11 Approach to a Subject with Recurrent Spontaneous Miscarriages

BOOK TITLE: Recurrent Spontaneous Miscarriages

Author

1. Desai Pankaj

ISBN

9789352702763

DOI

10.5005/jp/books/18032_12

Edition

3/e

Publishing Year

2018

Pages

Author Affiliations

1. Vadodara, Medical College and SSG Hospital, Baroda, Gujarat, India, Medical College, SSG Hospital and Baroda, Gujarat, India, Janani Maternity Hospital, Vadodara, Gujarat, India; Medical College and SSG Hospital, Vadodara, Gujarat, India; Societies of India (FOGSI), 2007, Baroda Medical College and Sir Sayajirao General Hospital, Vadodara, Gujarat, India, Medical College, Vadodara, Gujarat, India, Baroda, Baroda, Gujarat, India, Medical Collage and SSG Hospital, Vadodara, Gujarat, India, Janani Maternity Hospital, Baroda, Gujarat, India, Medical College, Baroda, Gujarat, India, Medical College, Baroda, FOGSI; Janani Maternity Hospital, Baroda, India, Medical College and SSG Hospital, Baroda, India, Dept of Obs and Gyn Medical College, Baroda, Medical College and SSG Hospital, Baroda, Medical College and SSG Hospital, Vadodara, Gujarat, India, (Unit IV), Medical College and SSG Hospital, Baroda, Medical College and SSG Hospital, Baroda, Gujarat, Medical College, Baroda, India, Medical College and SSG Hospital

Chapter keywords

Recurrent spontaneous miscarriage, IUGR, intrauterine growth restriction, preeclampsia, vasculopathy, postconception, ultrasonography, antinuclear antibody

Abstract

Abstract

This chapter describes an approach to a subject with recurrent spontaneous miscarriages. Recurrent spontaneous miscarriage is interlinked with many other obstetric vasculopathies. As a result, when we approach a subject with this condition it will be necessary to remember that close surveillance will not end at 12–14 weeks but will continue till term. While a subject may not have a recurrent miscarriage this time but she can have preeclampsia or intrauterine growth restriction (IUGR) or a stillbirth. It is because all vasculopathies are interlinked. Reassurance is the first step to tender loving care in subjects with recurrent spontaneous miscarriages.

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