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0:00
Hello, this is Sarah Prager,
and I am going to speak
to you about miscarriage.
We'll talk about
types, diagnosis,
treatment prevention
and aftercare.
I am a professor of obstetrics
and gynecology and complex
family planning at
the University of
Washington School of
Medicine in Seattle,
Washington in the United States.
0:23
My objectives for
this talk are to
review the different types
of miscarriage, also,
to help all of us understand
the diagnosis of
early pregnancy loss,
and to talk about different
treatment options.
We'll also discuss prevention,
and hopefully by the end,
we'll all understand some
aftercare best practices.
0:44
When I talk about
pregnancy loss,
I like to start
with nomenclature.
As you have already heard,
I've used a couple
of different terms.
I've used the term miscarriage,
I've used the term
pregnancy loss,
you may also hear
the term pregnancy failure
or early pregnancy failure,
and sometimes also the
term spontaneous abortion.
All of these basically
mean the same thing.
What I like to just make clear
is that for some people,
or some providers, or
some clinical settings,
the term abortion
can be very charged.
I like to explain that
spontaneous abortion is
a medical term that we use that
means the same thing
as miscarriage.
The miscarriage is probably
the term that people
understand best,
lay people who are not
in the medical field.
In terms of using
early pregnancy loss versus
early pregnancy failure,
I prefer early
pregnancy loss because
I feel like that more
honors the experience of
the person going
through this and
helps them to not
feel like they are
a failure and to really
identify that this is
experienced as a pregnancy loss.
I also like to talk about
the nomenclature of the
instruments that we use.
Many of you might
already be aware of
a manual vacuum
aspirator, or MVA.
We use that to
aspirate the uterus,
which can be referred to as
a manual uterine aspiration.
This is also synonymous with
what we call a suction D&C,
or sometimes just called a D&C.
I like to
differentiate, however,
that we're not typically
using a sharp curette.
So the phrase D&C is often
not accurate anymore.
The recommendation is to use
MVA to do a uterine aspiration,
not to use a sharp curette as
the primary method of
performing this procedure.
Early pregnancy loss
is a nonviable,
