Patient information from Hollywood Fertility Centre

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inevitable miscarriage
(IMC) Traditionally any bleeding from the vagina during early pregnancy with, on vaginal examination, opening of the cervix. Today, the diagnosis can be made much sooner (and distinguished from a threatened miscarriage) by not detecting a normal embryo in a gestational sac on transvaginal ultrasound. Management is similar to the management of an incomplete miscarriage, often requiring curettage (and both are abbreviated IMC).



Terms that contain "inevitable miscarriage" in the definition

blastocyst
Stage of development of the early embryo that has undergone blastulation, in which a fluid-filled cavity forms in the formerly solid ball of cells (the morula), about 5 days after fertilisation. For the first time, a distinction can be made between a sheet of cells to one side, which will form the embryo proper, termed the inner cell mass, and the remaining, peripheral cells that constitute the trophectoderm, which -- after the blastocyst "hatches" through the zona pellucida and undergoes implantation -- will form the trophoblast. An old-fashioned term for an inevitable miscarriage, meaning that the ovum (in its classical sense for professional embryologists) has not developed normally after fertilisation, there being present just the supporting tissues and no embryo. The term is descriptive, it has no diagnostic value as to the cause of the miscarriage.

incomplete miscarriage
(IMC) Any miscarriage before all miscarriage tissue has been expelled. Traditionally a uterine curettage was done after a miscarriage, in the belief (often accurate) that there would still be some immature pregnancy tissue left in the uterus that could cause more bleeding and get infected. Nowadays we can distinguish an incomplete from a complete miscarriage (and whether or not a curettage should be done) with a transvaginal ultrasound, which is able to reveal significant retained tissue. Management is similar to the management of an inevitable miscarriage (and both are abbreviated IMC).

serum hCG
Measurement of human chorionic gonadotropin in serum: essentially a pregnancy test, but carried out more precisely (quantitatively) than is the case with a yes or no test (which is qualitative). Often carried out serially, to determine if a pregnancy is: thriving (hCG levels double every two or three days in normal early pregnancy; languishing (levels rise more slowly, seen with an ectopic pregnancy and with an inevitable miscarriage); or resolving naturally (levels that are falling). Very high levels are seen with hydatidiform mole. Part of the triple screen used to screen for Down syndrome in early pregnancy.

threatened miscarriage
Traditionally, any bleeding from the uterus during pregnancy while the cervix is (still) closed. Today, as well, there would need to be a normal embryo and, a little later, normal fetal heart movement pattern on transvaginal ultrasound to separate it from an inevitable miscarriage.