Anamnese
De anamnese bij een verdenking op een miskraam bestaat uit het uitvragen van een mogelijke zwangerschap, obstetrische voorgeschiedenis, beloop en aard van het bloedverlies en andere klachten. Verder wordt gevraagd naar risicofactoren voor een EUG, zoals aanwijzingen voor tubapathologie, tubachirurgie in de voorgeschiedenis, gebruik van DES en zwangerschap ondanks sterilisatie of IUD.
Lichamelijk onderzoek
De buik moet gepalpeerd worden, speculumonderzoek moet plaatsvinden en een vaginaal toucher. Wanneer défense musculaire aanwezig is, is de kans op een EUD vergroot.
Aanvullend onderzoek
Er kan echoscopie uitgevoerd worden en eventueel bloedonderzoek op aanwezigheid van een rhesusfactorbepaling en bloedgroep.
Beleid
Wanneer geen echoscopie is verricht, moet verteld worden dat het vruchtje spontaan afgebroken wordt. Ook wanneer wel echoscopie verricht is en er geen vitale vrucht is. Er kan één week een expectatief beleid gevoerd worden. Bij de tussentijdse controle moet opnieuw lichamelijk onderzoek plaatsvinden.
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