Recurrent Pregnancy Loss and Adverse Natal Outcomes

Recurrent pregnancy loss (RPL) includes recurrent first- and second-trimester abortions and recurrent preterm delivery, second- or third-trimester intrauterine fetal death, intrapartum stillbirth, and early neonatal death. This book includes protocols for case scenarios of early and late pregnancy loss as well as instances of poor obstetric history.

Key Features

• Explores the management of different clinical presentations of RPL



• Includes preeclampsia, intrahepatic cholestasis of pregnancy, and hypertension-related disorders in pregnancy





• Includes clinical protocols with flowcharts





• Features tip boxes with learning points for easy reference

1. Approach to women with recurrent first-trimester abortions: Need of the hour

2. Management of recurrent second-trimester missed abortion

3. Approach to one or more second-trimester painless abortions

4. Management of pregnancy with recurrent preterm deliveries

5. Approach to women with a history of previous intra uterine growth restriction

6. Protocol for management of late second-trimester and term fetal death

7. Investigation and management of recurrent cholestasis of pregnancy

8. Management of women with prior hypertension and abruptio placentae in pregnancy

9. Approach to women with previous rupture of the uterus or unknown uterine scar in pregnancy

10. Approach to women with previous intrapartum stillbirth

11. Management of pregnancy with a history of shoulder dystocia and difficult delivery

12. Management of pregnancy with one or more early neonatal deaths

13. Management of pregnancy with a history of late neonatal /infant death

14. Approach to women with previous child with mental retardation

15. Approach to women with previous child with a genetic disorder

Minakshi Rohilla, MD, is Professor of Obstetrics and Gynecology at the Department of Obstetrics and Gynecology at the Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh, India.