Rock J A, Zacur H A
Fertil Steril. 1983 Feb;39(2):123-40. doi: 10.1016/s0015-0282(16)46809-3.
A rational systematic evaluation is essential to the management of a couple with repeated early pregnancy wastage. Psychologic support in the form of frequent discussions and sympathetic counseling are crucial to the successful evaluation and treatment of the anxious couple. A prompt and orderly evaluation will relieve anxiety. When no etiologic factor is identified, a 60% to 80% fetal salvage rate may be expected. Once a patient conceives, serial ultrasonography, beta-hCG determination, and estradiol determination may be useful in detecting the stage of the embryonic death if subsequent abortion occurs. A karyotypic analysis of the products of conception should be performed if fetal loss occurs.
对反复早期妊娠丢失的夫妇进行合理系统的评估对于其管理至关重要。通过频繁讨论和同情性咨询的形式提供心理支持对于焦虑夫妇的成功评估和治疗至关重要。及时有序的评估将缓解焦虑。当未发现病因时，胎儿挽救率有望达到60%至80%。一旦患者怀孕，如果随后发生流产，连续超声检查、β-hCG测定和雌二醇测定可能有助于检测胚胎死亡阶段。如果发生胎儿丢失，应对妊娠产物进行核型分析。
