Diagnosis Of Miscarriage

If a woman goes to see a family doctor or an obstetrician because of vaginal bleeding or symptoms of miscarriage, she will be referred to the prenatal care unit at the hospital for testing. .
If the pregnancy is over 18 weeks, the pregnant woman will be admitted to the hospital.
Diagnostic tests for miscarriage
Doctors may order the necessary tests to determine whether a woman has a miscarriage. In addition, these tests are used to determine whether there is still a fetus in the uterus (incomplete abortion)

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Ultrasound is usually the first test to check the development of the fetus and whether there is a fetal heart. In most cases, a doctor usually uses a vaginal ultrasound by inserting a small probe into the vagina. This can make the pregnant woman feel a bit uncomfortable but not painful
Women may opt for abdominal ultrasound if desired, but the accuracy is lower.



Ultrasound does not harm the fetus and does not increase the risk of miscarriage.
Pregnant women may also have blood tests to quantify pregnancy-related hormones, such as Beta-human chorionic gonadotropin (β-hCG) and progesterone.
The test may be repeated after 48 hours if:
Concentration at borderline.
Ultrasound results are not clear.
Testing too early in pregnancy.
Sometimes miscarriage cannot be determined immediately by an ultrasound or blood test. For example, fetal heart rate may not be seen on ultrasound at an early stage of pregnancy (less than 6 weeks) In this case, the woman may have another ultrasound and / or blood test after a week or two.




Repeated abortion
When a woman has a miscarriage more than 3 times in a row, the following tests are often used to find the cause. However, in half of the cases of miscarriage, the cause is often unknown.
At the beginning of pregnancy, most women will be given an ultrasound and carefully monitored to be more secure about their pregnancy.
Set up chromosomes
If a woman has a third miscarriage, the doctor will advise the woman to check for fetal chromosomal abnormalities.
If there is an abnormality, the next step is to check the chromosomes of the pregnant woman and her husband. This is called chromosomal set.
If the cause is found to be from the female or husband's chromosomes, the woman will be referred to a clinical geneticist.
Your doctor will likely explain to you the possibility of a successful pregnancy in the future and you may try other fertility treatments such as in vitro fertilization (IVF).



This is called genetic counseling.
Supersonic
Vaginal ultrasound is used to check for structural abnormalities of the uterus. The second method is a 3D ultrasound to examine the lower abdomen and pelvis to make a more accurate diagnosis.
Ultrasound can also assess whether the uterus is open, which can only be done at the beginning of pregnancy again, usually between the 10th and 12th week of pregnancy.
Blood tests
Blood tests can determine levels of antiphospholipid antibodies (aPL) and lupus anticoagulants. This test should be done twice, 6 weeks apart, before pregnancy.
Antiphospholipid antibodies (aPL) will increase the risk of thrombosis and alter the way the placenta attaches.
These changes lead to a decrease in blood flow to the fetus and can cause miscarriage.




Some cases of fetal cessation of development are diagnosed with periodic ultrasound. On ultrasound, no fetal cardiac activity or small fetal atrophy / fetal atrophy can be seen..

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