PPT-Second trimester miscarriage and cervical insufficiency

Dr HIND A SHOWMAN Definition Spontaneous miscarriage is defined as the spontaneous loss of a pregnancy prior to viability taken as 23 weeks and 6 days of gestation Beyond this gestation fetal demise is classified as a stillbirth The majority of firsttrimester miscarriages occur below 12 weeks gestation with an overall rate of around 20 Second trimester miscarriages are less common accounting for 14 of all miscarriages. Dr Chro Najmaddin Fattah. MBChB, DGO, MRCOG, MRCPI, MD. introduction. Miscarriage is defined as the spontaneous loss of pregnancy before the fetus reaches . viability.. T. herefore . includes all pregnancy losses from the time of conception until 24 weeks of gestation. Dr. . Eeson. . Sinthamoney. MD (Mal), MRCOG (London), DFFP (UK. ). Fellowship in Reproductive Medicine (UK/Singapore). Consultant . Obstetrician, . Gynaecologist. & Fertility Specialist. Pantai. Causes of early pregnancy bleeding. 1-Miscarriage. 2-Ectopic pregnancy. 3- Molar pregnancy. 4Local cervical causes. Spontaneous . miscarrage. Definition•It. is expulsion or extraction of products of conception before fetal viability i.e. before . Cervival. length. E.Keshavarz. MD. Mahdiye. Hospital. SBMU. Preeclampsia. Preeclampsia, which affects about 2% of pregnancies, is a major cause of . perinatal. and maternal morbidity and mortality. Erin Pein, RN-BSN. What is Adrenal Insufficiency?. AI is a medical condition in which the adrenal glands cannot produce glucocorticoid hormone Cortisol. Cortisol is needed for the body to maintain normal energy supply, fluid and electrolyte balance, blood pressure, blood sugar and the body’s reaction to physical stress such as illness or injury.. of three or more consecutive pregnancy losses at ≤ 20 weeks or. with a fetal weight < 500 . grams. Recurrent miscarriage should be distinguished from sporadic pregnancy loss that implies intervening pregnancies that reached viability. is a pregnancy that ends spontaneously . before . 24 weeks’ gestation. .. Incidence . and . aetiology. first‐trimester . miscarriages . . 20. %. . Second‐ trimester miscarriages . . 1–4% . DDx. of bleeding in early . pregnanCy. Physiologic – implantation. Ectopic. Subchorionic. haematoma. Gestational trophoblastic disease. Cervical, vaginal or uterine pathology (Ectropion, Cervical neoplasia, vaginal trauma). Shortened to emphasize medical student curriculum requirements. Carlos M. Fernandez, M.D. Department of Obstetrics and Gynecology . Advocate Illinois Masonic and Medical Center . Ultrasound diagnosis of intrauterine pregnancy. . sami. FICOG. CABCOG. Recurrent miscarriage. Definition :. ≥ 3 consecutive losses of clinically recognized pregnancies < 20 week gestation. Ectopic, molar, and biochemical pregnancies not included. Dr.Suresh. . Babu. . Chaduvula. Professor. Dept. of . OBGyn. , College of Medicine,. KKU, . Abha. , KSA. What are the causes?. 1] Abortion. 2] Ectopic Pregnancy. 3] . Hydatidiform. mole. 4] Implantation bleeding. Done by :. Samah. Al . Najjar. Alaa. Jamal . Definition :. Is the expulsion or extraction of products of conception before fetal viability : before 24 weeks of gestation. . Incidence :. Is the commonest gynecological & obstetric disorder . 2008 ;20( 2 ) http://www.ayubmed.edu.pk/JAMC/Past/20 - 2 /Shamshad.pdf 31 EVALUATION OF CERVIC AL CERCLAGE FOR SONO GRAPHICALLY INCOMPETENT CERVIX I N AT HIGH RISK PATIE NTS Shams had , Yasmin Musta Vaginal bleeding is common in the first trimester, . occurring.g. . in 20 to 40 percent of pregnant . women .. The four major sources of . nontraumatic. bleeding in early pregnancy are:. ●. Ectopic pregnancy.