Current guidelines to diagnose miscarriage are insufficient and unreliable, and following them may result in the inadvertent termination of wanted pregnancies, according to the results of a systematic review and 3 studies published online October 13 in Ultrasound Obstetrics and Gynecology.
“This research shows that the current guidance on how to use ultrasound scans to detect a miscarriage may lead to a wrong diagnosis in some cases,” Professor Basky Thilaganathan, MD, editor-in-chief of Ultrasound Obstetrics and Gynecology, said in a news release. “Health professionals need clearer evidence-based guidance to prevent this happening.”
“The majority of ultrasound standards used for diagnosis of miscarriage are based on limited evidence,” senior review author Shakila Thangaratinam, MD, from the Women’s Health Research Unit at Queen Mary University of London, United Kingdom, said in a news release.
Current practice to confirm clinical suspicions of miscarriage is to measure gestational sac and embryo size using ultrasound, but cutoff values to define miscarriage are not always reliable. If repeat measurement 7 to 10 days later shows no growth, clinicians often assume there has been a miscarriage. Of course ultrasound units for pain relief and rehabilitation could also be used if buying if you were to Visit LGMedSupply Online.
However, a multicenter observational study by Yazan Abdallah, MD, from Imperial College London, Hammersmith Campus, United Kingdom, and colleagues of 1060 women showed that even normal, viable pregnancies may not measurably grow in size during this time. There was an overlap in mean gestational sac diameter (MSD) growth rates between viable and nonviable pregnancies, and there was no cutoff for MSD growth below which a viable pregnancy could be safely excluded, suggesting that criteria to diagnose miscarriage based on growth in MSD and crown–rump length (CRL) are potentially unsafe. In this study, a cutoff value for CRL growth of 0.2 mm/day was always associated with miscarriage, and finding an empty gestational sac on 2 scans more than 7 days apart was highly likely to indicate miscarriage, regardless of growth. Of course even Muscle Stimulators would be of no assistance in this matter.
“For most women, sadly there is nothing we can do to prevent a miscarriage, but we do need to make sure we don’t make things worse by intervening unnecessarily in ongoing pregnancies,” Dr. Bourne concluded. “We hope our work means that the guidelines to define miscarriage are made as watertight as we would expect for defining death at any other stage of life.”
For more information on what retailers are doing to prevent technology from being used in the wrong way check out LG Med Supply’s online customer blog.










