Recurrent Pregnancy Loss

Description

Recurrent Pregnancy Loss Edited byOle B Christiansen, MD, D.M.Sc., Rigshospitalet, Copenhagen and AalborgUniversityHospital, Aalborg, Denmark Recurrent Pregnancy Loss is a silent problem for many womenThe 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 historyWhich investigations to orderThe physiological reasons behind recurrent pregnancy lossThe best approach to treatmentHow 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. Content: Chapter 1 Obtaining the Relevant History (pages 1–9): Ole B. ChristiansenChapter 2 Which Investigations Are Relevant? (pages 10–28): Paulien G. de Jong, Emmy van den Boogaard, Claudia R. Kowalik, Rosa Vissenberg, Saskia Middeldorp and Mariëtte GoddijnChapter 3 Nk Cells in Peripheral Blood and the Endometrium (pages 29–37): Gavin SacksChapter 4 Cytokines and Cytokine Gene Polymorphisms in Recurrent Pregnancy Loss (pages 38–45): Silvia Daher, Maria Regina Torloni and Rosiane MattarChapter 5 How to Assess the Prognosis after Recurrent Miscarriage (pages 46–60): Howard J.A. CarpChapter 6 Which Treatments Should be Offered? PGD/PGS, Allogeneic Lymphocyte Immunization, Intravenous Immunoglobulin (pages 61–69): Henriette Svarre Nielsen and Ole B. ChristiansenChapter 7 Which Treatment Should be Offered? Heparin/Aspirin, Progesterone, Prednisolone (pages 70–77): Muhammad A. Akhtar and Siobhan QuenbyChapter 8 Which Treatment Should be Offered (pages 78–85): Ole B. ChristiansenChapter 9 Talking to Patients about Lifestyle, Behavior, and Miscarriage Risk (pages 86–102): Ruth Bender Atik and Barbara E. Hepworth‐JonesChapter 10 Endocrine and Ultrasonic Surveillance of Pregnancies in Patients with Recurrent Miscarriage (pages 103–114): Adjoa Appiah and Jemma JohnsChapter 11 Obstetric Complications in Patients with Recurrent Miscarriage – How Should they be Monitored in the Third Trimester? (pages 115–127): Shehnaaz JivrajChapter 12 Recurrent Miscarriage after ART (pages 128–134): Elisabeth C. Larsen and Ole B. ChristiansenChapter 13 How to Cope with Stress and Depression in Women with Recurrent Miscarriage (pages 135–145): Keren Shakhar and Dida FleisigChapter 14 Recurrent Miscarriage and the Risk of Autoimmune Disease and Thromboembolic Disease (pages 146–156): M. Angeles Martínez‐Zamora, Ricard Cervera and Juan BalaschChapter 15 How to Organize and Run an Early Pregnancy Unit/Recurrent Miscarriage Clinic (pages 157–171): AnnMaria Ellard and Roy G. FarquharsonChapter 16 How to Organize an Early Pregnancy Unit/Recurrent Miscarriage Clinic – American Perspective (pages 172–179): Joanne Kwak‐Kim, Kuniaki Ota and Ae‐Ra HanChapter 17 Case Studies (pages 180–189): Ole B. Christiansen