Recurrent Miscarriage, RCOG Guideline (June, 2023)

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  • Опубликовано: 29 окт 2024

Комментарии • 17

  • @hadiyaa_s14
    @hadiyaa_s14 8 месяцев назад +1

    ❤you are amazing me qualified gyneacologist mcpc love to listen you from a long time.Jazakallah khair

    • @AAUN
      @AAUN  8 месяцев назад

      Thanks alot dear

  • @sabakhalid8885
    @sabakhalid8885 Год назад

    Very crisp clear and to the point ☝️ thanks ❤🎉

  • @Dr.khushb00
    @Dr.khushb00 Год назад +1

    Thank you for recent updates

    • @AAUN
      @AAUN  Год назад

      wellcome dear

  • @dr.asmagul5525
    @dr.asmagul5525 Год назад

    Please on hrt lecture much needed

  • @hinasarwar7804
    @hinasarwar7804 Год назад

    Thanks❤😊

  • @ZT2023
    @ZT2023 Год назад

    Thanks mam

  • @drsyeda2974
    @drsyeda2974 Год назад

    Hello Dr,
    I am a medical graduate from India residing in Canada, 27/F suffering with RPL. Periods and ovulation is regular. I have a short cycle of 5/25 days (loosing eggs faster). 1st pregnancy was blighted ovum that got miscarried at 11 weeks, 2nd was missed miscarriage at 10 weeks. Blood work and sonohysterorography has come normal. Husband’s blood screening and seminal counts and DNA fragmentation is within normal limits. No comorbidities or relevant family history on both the sides. My endometrial biopsy showed 6 plasma cells and vaginal swab was positive for ureaplasmas. I completed 1 week of amoxicillin treatment and husband had 2 weeks of doxycycline treatment. Repeat endometrial biopsy is suggestive of chronic endometritis. Genetic karyotyping reports are awaited. Thyroid and ovarian hormones within normal limits. AMH is 12.06 pmol/l (i.e 1.68 ng/ml) Didn’t conceive in the last 2 monitored cycles. Currently 3rd month of follicular study is going on without ovulation induction. I’ve been suggested to go for IVF. Kindly give your expert opinion. Thank you

  • @FaizaElsunni
    @FaizaElsunni 8 месяцев назад

    Vaginal progesterone was for preterm labour prevention with the toccolytics and corticosteroids. Good when nowadays we can use it in. First trimester .can we add aspirin and heparin to it if unexplained recurrent miscariage?????miscariage

  • @FaizaElsunni
    @FaizaElsunni 8 месяцев назад

    Do you think nowadays we can use vaginal progesterone in the first trimester ?? It was systemic progesterone inj or tabs for luteal phase support.

  • @farhanwadood6177
    @farhanwadood6177 Год назад +1

    Definition not clear, recurrent miscarriage refers to 3 consecutive miscarriages or even nonconsecutive miscarriages also included?

    • @AAUN
      @AAUN  Год назад +2

      Infact the RCOG guideline which is explained in this video state that
      Owing to the fact that the incidence of certain
      diagnoses does not appear to differ between women with consecutive versus non-consecutive
      losses, the definition in the present guideline has not been restricted to women suffering with consecutive miscarriages only.
      However
      The definition of Recurrent Miscarriages is different in different places.
      ACOG defines its as two or more miscarriages.
      www.acog.org/womens-health/faqs/repeated-miscarriages
      The national library of Medicine defines it as 3 consecutive pregnancy losses prior to 20 weeks.
      www.ncbi.nlm.nih.gov/pmc/articles/PMC2709325/

  • @farhanwadood6177
    @farhanwadood6177 Год назад +1

    So can we give enoxaparin empirically in such patients whether consecutive or nonconsecutive 1st trimester miscarriages

    • @AAUN
      @AAUN  Год назад

      As far as the role of enoxaprain is concerned , the guideline says don't give Aspirin or low molecular weight heparin in patients with unexplained miscarriages . It is only helpful if we strongly suspect APS and the diagnostic criteria of APS is
      1)-three or more consecutive miscarriages before 10 weeks of gestation;
      2)-one or more morphologically normal fetal losses after the tenth week of gestation;
      3)-one or more preterm births before 34+0 weeks of gestation because of placental disease.
      So in APS diagnostic criteria the word Consecutive is written even in this new guideline.

    • @Fkk-f8c
      @Fkk-f8c Год назад +2

      Very helpful fast forwarded revision... Allah bless u dear... It's very helpful for specialists away from postgraduate teaching institute....

    • @AAUN
      @AAUN  Год назад

      @@Fkk-f8c
      Thanks alot for appreciation dear.