Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc
Journal website https://www.jcgo.org

Review

Volume 11, Number 2, June 2022, pages 23-26


Recurrent First Trimester Miscarriage: A Typical Case Presentation and Evidence-Based Management Review

Table

Table 1. Causes and Relevant Investigations for Recurrent First Trimester Miscarriage
 
CauseTest
Genetic-balanced chromosomal translocationsKaryotyping of products of conception (if abnormal result detected - parental karyotyping)
Antiphospholipid syndromeBlood test for anticardiolipin antibodies and/or lupus anticoagulant (blood tests should be performed at least 6 weeks after any pregnancy loss and a repeat confirmatory test should be arranged at least 12 weeks after an initial positive screen)
Endocrine (if evidence of clinical disorder or risk factors): thyroid, diabetesThyroid function test (serum free T4 and thyroid-stimulating hormone levels); thyroid peroxidase antibodies; HbA1c
Uterine abnormalities such as septate uterus or intracavitary lesionsTransvaginal ultrasound scan