Prediction of subsequent miscarriage risk in women who present with a viable pregnancy at the first early pregnancy scan

Abstract

We have developed a new prediction model which indicates the likelihood of miscarriage. In women who present with a viable IUP at the primary scan, advancing maternal age in the presence of clots PV increases the probability of subsequent miscarriage. Whereas, in women with a higher EHR in the presence of an increased GS volume/CRL ratio, the likelihood of subsequent miscarriage is reduced. This new model outperforms the previously published model developed in our unit.

Diagnosis and prediction of miscarriage: can we do better?

“…Women who presented with vaginal bleeding, especially those having moderate or heavy bleeding, or blood clot per vagina were likely to subsequently miscarry. 9 In this issue of the Hong Kong Medical Journal, Wan et al 7 show similar findings. Interestingly, the authors found that moderate/ severe abdominal pain is a risk factor on univariate analysis, but this finding was not confirmed on multivariate analysis probably because vaginal bleeding was a cofounding factor.…”

External validation of a simple scoring system to predict pregnancy viability in women presenting to an early pregnancy assessment clinic

“…7,8 A score that signifies the likelihood of a viable pregnancy may be helpful for clinicians working in EPACs. 9,10 This score would enable clinicians to target appropriate early psychological or clinical support, thereby minimising psychological morbidity, especially for patients with finite resources. Probability models to predict pregnancy viability have been reported; these combine clinical history, sonographic assessment of gestational sac and heart pulsation, and biochemical measurements.…”

Abortions in First Trimester Pregnancy, Management, Treatment

“…The risk of pregnancy loss is 2-5% after the recognition of heart function, 5% for women who report two miscarriages and finally 1% of women mentioning more than three miscarriages [1,11,12]. • TVS (transvaginal ultrasound) [1,[13][14][15][16][17][18][19][20].…”

“…It is of great importance in thrombophilia examinations control to include V Leiden factor and prothrombin 20210 mutation [1,[15][16][17][18][19][20].…”