What to check for spontaneous abortion

Everyone is familiar with the word "abortion". There are many types of abortion, and modern medicine is very proficient in the treatment of abortion. However, for women, timely understanding of their condition and timely treatment is not only responsible for themselves but also for the next generation. So what should be checked for natural abortion? Let us find out together.

1. Chromosomal abnormalities

It is mainly based on the analysis of the embryo's chromosomes and the couple's peripheral blood chromosome karyotype to determine whether it is a chromosomal abnormality in the embryo or a chromosomal abnormality of the father or mother.

2. Endocrine function test

1) Progesterone;

2) HCG;

3) human placental lactogen (HPL);

4) Cervical mucus;

5) Vaginal cytology;

6) Thyroxine and blood sugar measurement.

3. Infection-related examinations

It should include tests for Toxoplasma gondii (TOXO), cytomegalovirus (CMV), Chlamydia trachomatis (CT), Mycoplasma hominis and Ureaplasma urealyticum (MH, UU).

4. Immunity test

1) Autoimmune recurrent miscarriage: The patient excludes abnormalities such as embryo and couple's peripheral blood chromosome karyotype, reproductive tract infection, endocrine and reproductive organ anatomy, and the autoantibody test is positive. There are usually two situations:

2) Alloimmune (unexplained) habitual abortion:

5. Ultrasound examination

It is currently widely used and has practical value in differential diagnosis of miscarriage and determining the type of miscarriage. Generally, the gestational sac halo can be seen in the uterine cavity after 5 weeks of pregnancy. It is a round or oval anechoic area. Sometimes, due to a small amount of bleeding during the implantation process, a ring-shaped dark area can be seen around the gestational sac. This is the double ring sign of early pregnancy. After 6 weeks of pregnancy, the embryonic sound image can be seen, and heart tube pulsation occurs. Fetal activity can be seen at 8 weeks of pregnancy, and the gestational sac occupies about half of the uterine cavity. The fetal outline can be seen at 9 weeks of pregnancy. The gestational sac almost fills the entire uterine cavity at 10 weeks of pregnancy. The fetus appears in a complete shape at 12 weeks of pregnancy. Different types of miscarriage and their ultrasound image characteristics are also different, which can help with differential diagnosis.