Lakhasly

The diagnosis usually based on clinical history& examination , and by ultrasound ( usually transvaginal one ) , which is used to differentiate miscarriage from other type of early pregnancy complication as ectopic pregnancy or molar pregnancy , also to know the type of miscarriage .There's no specific treatment and the essential task is to establish that the miscarriage is threatened and is not becoming inevitable .- Clinical surveillance including weekly ultrasound examination , and an evaluation of serum measurements of the beta subunit of hCG , progesterone and pregnancy associated placental protein A( PAPP-A) .

The diagnosis usually based on clinical history& examination , and
by ultrasound ( usually transvaginal one ) , which is used to differentiate
miscarriage from other type of early pregnancy complication as ectopic
pregnancy or molar pregnancy , also to know the type of miscarriage .
Also the ultrasound examination can determine the size of the fetus and
show it the fetal heart is beating ; it can also give some clue to dilatation
of the cervix , and to see subchorionic haematoma if present .
There's no specific treatment and the essential task is to establish that
the miscarriage is threatened and is not becoming inevitable .

• The patient may need to restrict some forms of activity , bed rest ,
  avoidance of sexual intercourse until warning signs are disappeared .


• Clinical surveillance including weekly ultrasound examination , and an
  evaluation of serum measurements of the beta subunit of hCG ,
  progesterone and pregnancy associated placental protein A( PAPP-A) .


• Progesterone therapy : Its role is contraversial , It's relax smooth
  muscle ( myomterial muscles ) , but it may increase the risk of
  incomplete miscarriage .


• HCG injection may have a role in treatment of threatened miscarriage
  ( by support the corpus luteum of pregnancy and stimulate it to produce
  more progesterone )