Examination of women with miscarriage

To find out the causes of this problem, a comprehensive survey of women with miscarriage is conducted.

During the examination, it is necessary to find out not only what diseases the woman suffered, but also with what medications their treatment was carried out. A thorough gynecological examination of internal genital organs (including ultrasound of pelvic organs), a biochemical blood test to the level of various hormones, a study of the function of the ovaries, thyroid and pancreas are needed.

Ultrasound for miscarriage

Currently, the most significant non-invasive method of examination in obstetrics and gynecology is ultrasound. For visualization of congenital malformations of the uterus, the second phase of the menstrual cycle is more informative, when the endometrium in the secretory phase clearly outlines the contours of the uterine cavity.

Hemostasiogram study in miscarriage of pregnancy

Hemostasiogram studies are the main test for detecting autoimmune disorders. Currently, the range of hemostasiological studies is quite wide, but the interpretation of the detected disorders can be complex.

Immunologic studies in miscarriage of pregnancy

Indications for immunological examination: habitual miscarriage of unknown genesis; history of anembryony; previous pregnancy with intrauterine growth retardation; intrauterine fetal death at any stage of pregnancy; autoimmune diseases and conditions.

Bacteriologic and virologic examination for habitual non-pregnancy

Analysis of literature data and the department's experience allows us to conclude that bacteriological and virological examination of patients with habitual miscarriage is highly significant.

Genetic screening for miscarriage of pregnancy

If there is a history of early pregnancy termination, stillbirths of unknown genesis, or fetal malformations, it is advisable to conduct a genetic examination of the married couple in a medical genetic consultation or specialized laboratory.

Hormonal testing for miscarriage of pregnancy

The purpose of hormonal studies in patients with habitual miscarriage is to determine the causes of the formation of habitual miscarriage, the severity of hormonal disorders in order to select adequate therapy.

Functional diagnostic tests

To determine the characteristics of the menstrual cycle and endocrine influences, studies are conducted using functional diagnostic tests. Currently, of all the tests, only the recording of basal temperature is used.

Methods of research on miscarriage of pregnancy

It should be noted that in the literature there is often an opinion that it is not necessary to conduct an examination in connection with habitual miscarriage, since with each pregnancy a married couple has a 60% chance of carrying the pregnancy to term without examination and treatment, and only a 40% chance of losing it again.

Examination outside of pregnancy

Examination of women with miscarriage begins with a general examination, paying attention to height and body weight, body type, severity of secondary sexual characteristics, presence and nature of obesity, hirsutism, presence of stretch marks on the skin (striae).

Examination of patients with habitual non-pregnancy

Examination of women outside pregnancy is necessary not only to understand the causes of embryo/fetus death, but also to assess the state of the reproductive system of the spouses. The question of the time of examination is widely discussed in the literature.