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E-raamat: Recurrent Pregnancy Loss

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Recurrent Pregnancy Loss

Edited by

Ole B Christiansen, MD, D.M.Sc., Rigshospitalet, Copenhagen and AalborgUniversityHospital, Aalborg, Denmark

Recurrent Pregnancy Loss is a silent problem for many women

The spontaneous loss of a pregnancy in the first 22 weeks is often not recorded as the mother needed no medical or surgical treatment. Women who repeatedly suffer this tragedy can go unheard as a result. Gynecologists can feel unable to help.

But they can help. Research is showing how to identify women who suffer recurrent pregnancy loss and which treatments might prevent a further recurrence. Gynecologists are learning how to monitor subsequent pregnancies for the early signals of problems.

Recurrent Pregnancy Loss provides a practical approach to this hidden clinical challenge. The highly experienced, international author team explores:





How to obtain a relevant history Which investigations to order The physiological reasons behind recurrent pregnancy loss The best approach to treatment How to monitor patients in subsequent pregnancies

Clinical in approach, practical in execution, with the patient at the centre, Recurrent Pregnancy Loss guides you as you support your patients.
Series Foreword vii
Contributors viii
Preface to the First Edition xii
1 Obtaining the Relevant History
1(9)
Ole B. Christiansen
2 Which Investigations Are Relevant?
10(19)
Paulien G. de Jong
Emmy van den Boogaard
Claudia R. Kowalik
Rosa Vissenberg
Saskia Middeldorp
Mariette Goddijn
3 NK Cells in Peripheral Blood and the Endometrium
29(9)
Gavin Sacks
4 Cytokines and Cytokine Gene Polymorphisms in Recurrent Pregnancy Loss
38(8)
Silvia Daher
Maria Regina Torloni
Rosiane Mattar
5 How to Assess the Prognosis after Recurrent Miscarriage
46(15)
Howard J.A. Carp
6 Which Treatments Should be Offered? PGD/PGS, Allogeneic Lymphocyte Immunization, Intravenous Immunoglobulin
61(9)
Henriette Svarre Nielsen
Ole B. Christiansen
7 Which Treatment Should be Offered? Heparin/Aspirin, Progesterone, Prednisolone
70(8)
Muhammad A. Akhtar
Siobhan Quenby
8 Which Treatment Should be Offered: Metformin, hCG, GM-CSF/G-CSF, TNF-α Inhibitors, Standard IVF/ICSI
78(8)
Ole B. Christiansen
9 Talking to Patients about Lifestyle, Behavior, and Miscarriage Risk
86(17)
Ruth Bender Atik
Barbara E. Hepworth-Jones
10 Endocrine and Ultrasonic Surveillance of Pregnancies in Patients with Recurrent Miscarriage
103(12)
Adjoa Appiah
Jemma Johns
11 Obstetric Complications in Patients with Recurrent Miscarriage - How Should they be Monitored in the Third Trimester?
115(13)
Shehnaaz Jivraj
12 Recurrent Miscarriage after ART: A Double Challenge
128(7)
Elisabeth C. Larsen
Ole B. Christiansen
13 How to Cope with Stress and Depression in Women with Recurrent Miscarriage
135(11)
Keren Shakhar
Dida Fleisig
14 Recurrent Miscarriage and the Risk of Autoimmune Disease and Thromboembolic Disease
146(11)
M. Angeles Martinez-Zamora
Ricard Cervera
Juan Balasch
15 How to Organize and Run an Early Pregnancy Unit/Recurrent Miscarriage Clinic
157(15)
AnnMaria Ellard
Roy G. Farquharson
16 How to Organize an Early Pregnancy Unit/Recurrent Miscarriage Clinic - American Perspective
172(8)
Joanne Kwak-Kim
Kuniaki Ota
Ae-Ra Han
17 Case Studies
180(11)
Ole B. Christiansen
Index 191
Ole Bjarne Christiansen, MD, PhD, Professor of Obstetrics and Gynecology, Fertility Clinic, Rigshospitalet, Copenhagen, Denmark.