Question

Write the management of a G4P0A3 with 10 weeks pregnancy with previous 3 abortions at 16 weeks gestation.

Hint:

In cases of recurrent pregnancy loss, a thorough work-up, including ultrasound and genetic testing, is essential for determining appropriate management.

Answer 1

Step 1: Understanding the case.
In this case, the patient is a G4P0A3 (four pregnancies, no live births, three abortions) with a history of recurrent pregnancy loss at 16 weeks of gestation. Managing this patient requires a comprehensive approach.

Step 2: Detailed explanation of the management.
Ultrasound examination: This helps assess fetal development, placental location, and uterine anomalies.
Genetic counseling: Given the history of recurrent losses, genetic counseling is essential to assess for chromosomal abnormalities.
Progesterone supplementation: Progesterone may be administered to support pregnancy, especially in women with a history of recurrent pregnancy loss.
Close monitoring: Regular follow-ups with ultrasound and fetal heart rate monitoring are necessary to ensure the pregnancy progresses well.

Step 3: Conclusion.
The management of this patient includes ultrasound monitoring, genetic counseling, progesterone supplementation, and close observation.