Recurrent Miscarriage

被引:256
作者
Branch, D. Ware [1 ,2 ]
Gibson, Mark [1 ]
Silver, Robert M. [1 ]
机构
[1] Univ Utah, Hlth Sci Ctr, Salt Lake City, UT 84132 USA
[2] Intermt Healthcare, Salt Lake City, UT USA
关键词
MOLECULAR-WEIGHT HEPARIN; LOW-DOSE ASPIRIN; RANDOMIZED CONTROLLED-TRIAL; UTERINE ANOMALIES; HYSTEROSCOPIC METROPLASTY; REPRODUCTIVE OUTCOMES; PREGNANCY OUTCOMES; MATERNAL AGE; PLUS HEPARIN; FETAL LOSS;
D O I
10.1056/NEJMcp1005330
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 32-year-old woman presents for evaluation after three consecutive miscarriages. Before these miscarriages, she had one successful pregnancy. The patient reports no medical problems or previous surgeries. In her first miscarriage, uterine bleeding and cramping started in the 7th week of gestation, and an ultrasonographic evaluation showed an empty gestational sac of 6 weeks' size. In her next pregnancy, she presented with a miscarriage in the 8th week. The third miscarriage was identified by ultrasonographic testing as a dead embryo measuring 7.5 weeks' size. How should her case be evaluated and managed?
引用
收藏
页码:1740 / 1747
页数:8
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