A 42 year old G3POA2 with pos 10 week 6 days came for ANC, with a previous history of two missed miscarriage at 6 weeks and 8 weeks respectively for which she has undergone Dilatation and Evacuation. Both were missed abortions and fetuses were not visualized. Her periods are regular and there is no significant past medical or surgical history. Her routine investigation are normal . Labs- Beta Hcg- 88393 mili IU at 6 weeks, TSH- 1.13 mili IU/ml, RE urine and other routine investigation -wnl.
USG pelvis- single intrauterine pregnancy with fetus CRL-20.7cm, corresponding to 8 week 5 days, cardiac activity not visualized. What are the management options? -Start progesterone, Aspirin and repeat the scan -Directly go for D & E with karyotype of abortus. -Investigate her for Acquired and inherited thrombophilia, Karyotype of both partners,75 gm OGTT -Do all the above mentioned…
