Recommandations françaises pour les critères diagnostiques d’arrêt de grossesse au premier trimestre et stratégie de prise en charge des patientes présentant une menace de fausse couche ou une grossesse arrêtée (hors évacuation utérine)

Abstract : Objective: To assess value of sonography, hCG and progesterone for diagnosis of first trimester nonviable pregnancy and to assess first trimester miscarriage management (except evacuation). Methods: French and English publications were searched using PubMed, Cochrane Library and international learned societies recommendations. Results: First trimester nonviable pregnancy is established with gestational sac mean diameter and embryo crown-rump length. Mean sac diameter ≥ 25 mm without embryo (LE2) or embryo crown-rump length ≥ 7 mm without heartbeat (LE2) by transvaginal sonography allows to diagnose pregnancy failure. Intrauterine pregnancy of uncertain viability is defined by intra-uterine gestational sac without embryo with heartbeat or without pregnancy diagnosis failure and requires a new transvaginal sonography. The delay for this second sonography depends on the aspect of intrauterine picture (i.e. presence of yolk sac or not, presence of embryo or not) (LE4). Human chorionic gonadotropin (hCG) and progesterone are useful for pregnancy of unknown location (i.e. no gestational sac at transvaginal sonography): hCG ratio < 15% between two-day serum samples when first hCG is < 2000 UI/mL (LE2) or low serum progesterone level (< 3.2 ng/mL) (LE2) exclude viable intrauterine pregnancy. There is not known prevention strategy for threatened miscarriage.
Document type :
Journal articles
Complete list of metadatas

Cited literature [53 references]  Display  Hide  Download

https://hal.archives-ouvertes.fr/hal-01102771
Contributor : Muriel Cadieu <>
Submitted on : Tuesday, January 13, 2015 - 2:45:44 PM
Last modification on : Tuesday, February 26, 2019 - 10:12:31 AM
Long-term archiving on : Tuesday, April 14, 2015 - 11:00:52 AM

File

Recommandations françaises po...
Files produced by the author(s)

Identifiers

Collections

Citation

Vincent Lavoué, Cyrille Huchon, Xavier Deffieux, Marie-Catherine Voltzenlogel, Laurent Vandenbroucke, et al.. Recommandations françaises pour les critères diagnostiques d’arrêt de grossesse au premier trimestre et stratégie de prise en charge des patientes présentant une menace de fausse couche ou une grossesse arrêtée (hors évacuation utérine). Journal de Gynécologie Obstétrique et Biologie de la Reproduction, Elsevier Masson, 2014, 43 (10), pp.776-793. ⟨10.1016/j.jgyn.2014.09.012⟩. ⟨hal-01102771⟩

Share

Metrics

Record views

340

Files downloads

35100