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Threatened Miscarriage - ECAB.

Author: Suneeta Mittal
Publisher: London : Elsevier Health Sciences APAC, 2013.
Edition/Format:   eBook : Document : English
Summary:
Even though it seems simple the ability of the mother's body to retain and nurture the fetus, which is of a non-identical genetic makeup, throughout the gestational period requires a delicate balance of hormonal orchestration to achieve the required immunological permissiveness. The obvious outcome of a failure to achieve this is rejection of the fetal ""semi-allograft"", which manifests as threatened miscarriage.  Read more...
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Details

Genre/Form: Electronic books
Additional Physical Format: Print version:
Mittal, Suneeta.
Threatened Miscarriage - ECAB.
London : Elsevier Health Sciences APAC, ©2013
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Suneeta Mittal
ISBN: 9788131232330 8131232336
OCLC Number: 882777265
Notes: Overview of Management of Stress-Induced Threatened Miscarriages.
Description: 1 online resource (159 pages)
Contents: Front Cover; Front Matter; Copyright; ECAB Clinical Update:Obstetrics & Gynecology; Threatened Miscarriage; About the Authors; Contents; ECAB Clinical Update InformationThreatened Miscarriage; Threatened Miscarriage-An Overview; ABSTRACT; Definition and Associated Terminology; KEYWORDS; Prevalence; Causes of Threatened Miscarriage; Presenting Features; Early Diagnosis and Prediction of Outcome of Threatened Miscarriage; Maternal Risk Factors; Period of Gestation and Type of Bleeding; Biochemical Markers; Ultrasonographic Indicators; Prediction of Miscarriage. Management of Threatened MiscarriageBed Rest; Progesterone; Dydrogesterone; Human Chorionic Gonadotropin; Uterine Muscle Relaxants; Long-Term Gestational Outcome; Conclusion; Clinical Presentation and Management of Emergent and Non-Emergent Status; ABSTRACT; KEYWORDS; Abortion or Miscarriage: Choice of Term; Incidence of Miscarriage; Impact on Fetal and Maternal Health; Clinical Presentation; Emergent Threatened Miscarriage; Non-Emergent Threatened Miscarriage; Evaluation of the Case with Bleeding Per Vaginum; History; Clinical Examination; Role of Ultrasonography in Evaluation. Laboratory InvestigationsTreatment; Supportive Management; Progesterone Supplementation; Natural/Micronized Progesterone; Dydrogesterone; 17-Alphahydroxyprogesterone Caproate; Cause-specific Treatment; Subsequent Follow-up; Assisted Reproductive Technology and Miscarriages; Conclusion; Acknowledgements; Case Studies Clinical Presentation and Management of Emergent and Non-Emergent Status; Case 1; Case 2; Case 3; Case 4; Case 5; Case 6; Diagnostic Modalities: Prediction and Early Detection of Threatened Miscarriage; ABSTRACT; Introduction; KEYWORDS:; Incidence; Diagnostic Approach. Ruling Out Other Causes with Similar SymptomsNormal Intrauterine Pregnancy; Inevitable Miscarriage; Incomplete Miscarriage; Delayed Miscarriage (Earlier called Missed Abortion); Ectopic Pregnancy; Gestational Trophoblastic Disease; Assessment of Viability and Prediction of Outcome of Pregnancy: Role of Clinical Evaluation; Diagnostic Modalities to Assess Viability and Predict Outcome of Pregnancy; Sonological Markers; Biochemical Markers; Risk Factors to Predict Threatened Miscarriage; Higher Maternal Age; Stress; Low Body Mass Index; Conclusion. Case Studies Diagnostic Modalities: Prediction and Early Detection of Threatened MiscarriageCase Summaries; Case 1; Case 2; Stress and Immunomodulation in Threatened Miscarriage; ABSTRACT; KEYWORDS; Introduction; Implantation of the Conceptus; Impact of Stress on Conception, Implantation and Continuation of Pregnancy; Pathophysiology of Stress-Induced Injury8; Role of Cytokines in Pregnancy; Role of Corticotropin-releasing Hormone (CRH) in Pregnancy; Role of Progesterone; Personal Experience in Patients with Recurrent Pregnancy Loss.

Abstract:

Even though it seems simple the ability of the mother's body to retain and nurture the fetus, which is of a non-identical genetic makeup, throughout the gestational period requires a delicate balance of hormonal orchestration to achieve the required immunological permissiveness. The obvious outcome of a failure to achieve this is rejection of the fetal ""semi-allograft"", which manifests as threatened miscarriage. The occurrence of threatened miscarriage or symptoms suggestive of it is fraught with anxiety both for the patient and the obstetrician, especially if the baby is eagerly awaited.

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