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Internal Medicine-Ambulatory MedicineInternal Medicine-Rheumatology

Recurrent Miscarriages/Abortions

Most studies demonstrate a spontaneous miscarriage rate of 10-15%. However, the true rate of early pregnancy loss is close to 50% because of the high number of chemical pregnancies that are not recognized in the 2-4 weeks after conception. Most of these pregnancy failures are due to gamete failure (eg, sperm or oocyte dysfunction).

In internal medicine, the main causes for exam purposes are:

  1. Anticardiolipin Syndrome
  2. Lupus Anticoagulant (Anti-phospholipid)
  3. Fibrinogen Disorders
  4. Factor 13 deficiency