RECURRENT FIRST TRIMESTERIC ABORTION CAUSES, DIAGNOSIS AND MANAGEMENT

Abstract

Spontaneous abortion or miscarriage is defined as the involuntary termination of pregnancy before 20 weeks of gestation (dated from the last menstrual period) or spontaneous expulsion of fetus below a fetal weight of 500 g (Speroff et al., 2005)

Miscarriages can be further divided into embryonic losses which occur before the ninth gestational week & into fetal losses which occur at or after the ninth to 20th weeks of gestation (Lee et al., 2000).

Recurrent pregnancy loss (RPL) is usually defined as 3 or more

spontaneous pregnancy losses (not necessarily consecutive) (Lee et al., 2000). 0 Recurrent first trin1esteric abortion is defined as the occurrence of three or more clinically recognized spontaneous losses before 12 weeks from last

menstrual period (Wilcox et_a ., 1988).