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Summary mn 504 assignment 2.docx Recurrent Miscarriages: Hormone Therapy Versus Anticoagulant Therapy Purdue University Global Scientific and Analytic Approaches to Advanced Evidence-Based Practice Recurrent Miscarriages: Hormone Therapy Versus Antico
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mn 504 assignment Recurrent Miscarriages: Hormone Therapy Versus Anticoagulant Therapy Purdue University Global Scientific and Analytic Approaches to Advanced Evidence-Based Practice Recurrent Miscarriages: Hormone Therapy Versus Anticoagulant Therapy Miscarriage is an inevitable eve...
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Running Head: Hormone Therapy Versus Anticoagulant Therapy
Recurrent Miscarriages: Hormone Therapy
Versus Anticoagulant Therapy
Purdue University Global
Scientific and Analytic Approaches to
Advanced Evidence-Based Practice
, 2
Hormone Therapy Versus Anticoagulant Therapy
Recurrent Miscarriages: Hormone Therapy Versus Anticoagulant Therapy
Miscarriage is an inevitable event when pregnancy is lost before 20 weeks (Haas, et al.,
2019). About 15% of pregnancies result in miscarriages and although a low percent of these
couples experience recurrent miscarriages, meaning three or more, the emotional and mental
disturbances that these parents or future parents go through are profound (Haas, et al., 2019).
Risk factors for miscarriage can be due to “autoimmune factors, genetic disorders, poorly
controlled diabetes” (Haas, et al., 2019, p. 5). These are just a few named factors but sometimes
the reason behind miscarriages can be unknown which is heavy, frustrating news for partners
also leads to a difficult treatment plans (Shang, et al., 2015).
Evidence-Based References and Summary
Like previously mentioned, sometimes there is no definite reason to why partners have
reoccurring miscarriages. However, it has been indicated that a probable cause of a number of
miscarriages can be from a lack of progesterone levels in early pregnancy which is a crucial
hormone needed to line the uterus for a favorable implantation of the egg (Haas, et al., 2019).
Evidence from a randomized controlled trials (RCTs) have shown that perhaps giving
progesterone can reduce the chances of miscarrying for partners who have experienced multiple
miscarriages (Haas, et al., 2019). As far as the route of administering progesterone, (by mouth,
injection, in vagina) it did not show significant impact to know the best way for administration
(Haas et al., 2019).
Another evidenced based study showed the role of progesterone in reoccurring
miscarriages. One of the role of the Corpus luteum plays is secreting progesterone to prepare for
implanting the fertilized egg thereafter, human chorionic gonadotrophin (hCG) levels will
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