Habitual abortion should be checking
October 10th, 2009
Gynecological examination, to understand whether cervical tear, uterine size and shape; measuring basal metabolism, serum T3 and T4, in order to understand thyroid function; measuring basal body temperature for premenstrual endometrial biopsy in order to understand the secretion of corpus luteum function; chromosome karyotype analysis; B-ultrasound to clarify whether the cervical insufficiency; uterine lipiodol angiography can diagnose uterine abnormalities, especially the uterine abnormalities, intrauterine adhesions; semen.
According to test results to be treated differently:
(1) couples where one chromosomal abnormalities in order to avoid pregnancy is appropriate. Once the pregnancy, it is timely for prenatal diagnosis, abnormal termination of pregnancy that is OK.
(2) The luteal phase defect, could be added progesterone. If pregnancy possible, since the basal body temperature rise of the first 3 to 4 days, the progesterone to be 10 ~ 20mg / d, has been in the diagnosis of pregnancy, the continuous treatment from 9 to 10 weeks of pregnancy.
(3) subclinical hypothyroidism who should be given the amount of thyroid hormone treatment.
(4) The woman’s vaginal and cervical discharges, male semen bacterial culture-positive, according to drug sensitivity test to be the appropriate treatment until cured. Condom use of contraception during treatment.
(5), uterine septum, uterine fibroids during pregnancy should be operating before surgical correction.
(6) cervical insufficiency, in order to pregnancy for the proper implementation of cervical suture. General propositions in the second trimester around 16 weeks to exclude fetal malformation or stillbirth after being carried out under general anesthesia. After regular follow-up. If signs of abortion or premature delivery and timely removal of stitches, so as to avoid serious injury cervix. If the miscarriage successful, need to pre-birth hospital before the 2 ~ 3 weeks to be produced. Labor immediately after the stitches removed pending delivery.