Habitual miscarriage doctors remind you that you need these examinations

Gynecological examination to understand whether the cervix is ​​torn and the size and shape of the uterus; measure basal metabolism, serum T3 and T4 to understand thyroid function; measure basal body temperature and perform premenstrual endometrial tissue examination to understand the secretory function of the ovarian corpus luteum; chromosome karyotype analysis; B-ultrasound examination to determine whether the cervix is ​​incompletely closed; iodized uterine oil angiography to diagnose abnormal uterine development, especially uterine malformation and intrauterine adhesions; semen examination.

(1) If one of the spouses has a chromosomal abnormality, it is advisable to avoid pregnancy:

Once pregnant, prenatal diagnosis should be carried out in time, and the pregnancy should be terminated if abnormalities are found.

(2) For patients with luteal insufficiency, progesterone supplementation can be given:

If there is a possibility of conception, give progesterone 10-20 mg/d from the 3rd to 4th day when the basal body temperature rises. After the pregnancy is confirmed, continue the treatment until the 9th to 10th week of pregnancy.

(3) Patients with subclinical hypothyroidism should be given appropriate doses of thyroxine:

(4) If the female's vaginal and cervical discharge and the male's semen are positive for bacterial culture, they will be given corresponding treatment according to the drug sensitivity test until they are cured:

Condoms were used for contraception during treatment.

(5) Uterine septum and uterine fibroids should be corrected surgically before pregnancy:

(6) In the case of incomplete cervical closure, it is appropriate to perform cervical suture after pregnancy:

It is generally recommended that the procedure be performed under general anesthesia around 16 weeks of pregnancy after excluding fetal malformation or stillbirth. Regular follow-up after surgery. If there are signs of miscarriage or premature birth, remove the stitches immediately to avoid serious damage to the cervix. If the pregnancy is successfully preserved, the patient needs to be admitted to the hospital 2 to 3 weeks before the expected date of delivery. After labor begins, the sutures are removed immediately in preparation for delivery.