Definition of Miscarriage
Spontaneous termination of pregnancy from conception till age of viability
Definition of abortion
induced termination of pregnancy from conception till age of viability
Definition of recurrent miscarriage
3 or more consecutive 1st trimester miscarriage (1%)
Definition of Recurrent Pregnancy Loss RPL
3 or more consecutive pregnancy loss before 24 weeks
when are clinicians encouraged to start evaluation after miscarriages
after 2 consecutive 1st trimester miscarriages.
or 3 non-consecutive 1st trimester miscarriages
Incidence of miscarriage
15-20%
(80% In 1st trimester)
Miscarriage as a risk factor of further miscarriages
1 -> 20% risk of repeat miscarriage
2–> 30%
3 –> 40%
Rates of chromosomal abnormalities in each trimester miscarriage
1st: 50%
2nd: 35%
3rd: 5%
most common chromosomal abnormality in miscarriage
Most common: Monosomy X
2nd most common: Trisomy 16
Most Frequently identified chromosomal anomaly
Autosomal Trisomy
Most common Trisomy in miscarriage
Trisomy 16
age-related risk of miscarriage
12-19: 13%
20-24: 11%
25-29: 12%
30-34: 15%
35-39: 25%
40-44: 51%
>45: 93%