How to check for miscarriage

In recent years, many women want to get pregnant and have their own babies after getting married, but are afraid of miscarriage. They want to go to the hospital, but are afraid of the high prices. If miscarriage occurs, they do not go to the hospital for treatment in time, which causes very serious consequences. So let’s talk about how to check whether you have miscarriage?

1. Chromosomal abnormalities:

Ⅰ. Embryonic chromosomal abnormalities (when unavoidable miscarriage occurs, chorionic villi are collected during uterine curettage for chromosome examination, which requires fresh chorionic villus tissue. Many small hospitals do not have this examination, but our hospital does).

Ⅱ. Chromosomal abnormalities of the couple (venous blood is drawn from the couple, which is not affected by diet or menstrual cycle and can be checked at any time from Monday to Friday in our hospital).

2. Endocrine abnormalities:

Ⅰ. Polycystic ovary syndrome (blood was drawn from the third to fifth day of menstruation for sex hormone measurement, basal body temperature was measured every month, and gynecological B-ultrasound was performed after menstruation was over)

Ⅱ. Hyperthyroidism or hypothyroidism (thyroid hormone test, not affected by menstrual cycle)

Ⅲ. Hyperprolactinemia (blood can be drawn around 9 a.m. without fasting, and after sitting quietly for 15 minutes, it is not affected by the menstrual cycle)

IV. Diabetes/insulin resistance (fasting blood sugar and insulin, blood sugar and insulin after oral glucose)

Ⅴ. Luteal insufficiency (self-measure basal body temperature every month)

Ⅵ. Ovulation disorder (B-ultrasound monitoring of follicle development to follicle discharge after the 12th day of menstruation)

3. Anatomical abnormalities of the reproductive system

Ⅰ. Uterine adhesions (B-ultrasound, hysteroscopy, hysterosalpingography, can be checked immediately after the menstruation is over)

Ⅱ. Uterine malformation (examination by B-ultrasound, hysteroscopy, angiography, etc.)

III. Cervical insufficiency (examination by cervical dilation test, B-ultrasound, angiography, etc.)

4. Infectious factors

Ⅰ. Mycoplasma, Chlamydia, etc. (take cervical mucus, non-menstrual period)

Ⅱ.TORCH, HIV, RPR, etc. (blood can be drawn at any time)

5. Thrombotic factors

Ⅰ. Congenital prothrombotic state (coagulation factor V mutation, prothrombin gene mutation, protein C deficiency, protein S deficiency, homocysteine, prothrombin III activity. Examination by the Department of Hematology, Shanghai Ruijin Hospital)

II. Acquired prothrombotic state (antiphospholipid syndrome: blood needs to be drawn 3-5 times repeatedly, about one month apart each time, without fasting; fasting is required for platelet aggregation)

6. Immune factors

Ⅰ. Autoimmune type (antiphospholipid syndrome: blood needs to be drawn 3-5 times, one month apart, regardless of the menstrual cycle)

7. Uterine blood supply factors

Ⅰ. Pregnancy: uterine artery ultrasound examination at 6-7 weeks of early pregnancy/12 weeks of mid-pregnancy; umbilical artery ultrasound examination at 20 and 30 weeks of pregnancy.

8. Male examination: full set of semen (abstinence for 3-5 days to check semen)

In addition to the above factors, there are still many uncertain factors. Patients choose to go to a regular hospital for examination. I wish the patients a speedy recovery.