{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T01:34:35Z","timestamp":1783474475484,"version":"3.55.0"},"reference-count":8,"publisher":"Walter de Gruyter GmbH","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,12,19]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Pregnancy loss is probably the most common problem faced by women worldwide. There are differences in the rates of early and late pregnancy loss based on geography among the developing compared with the developed nations of the world. Most physicians worldwide have different criteria for treating pregnancy loss. Although pregnancy loss is not a disease, it might be best approached with a medical evaluation in order to define the cause and offer specific treatment.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This report describes the results obtained by a multi-disciplinary pregnancy loss prevention center in the initial 104 patients.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The most common diagnoses were Asherman syndrome (intrauterine adhesions), cervical insufficiency and uterine fibroids, accounting for 47% of the patients. When the diagnosis was not obtained, which occurred in 19% of the patients, in vitro fertilization (IVF) was the treatment provided. Specifically diagnosed and treated patients achieved a 91% success rate. The 19 patients without a specific diagnosis who were treated with IVF had a 60% success rate. Thus patients for whom it was possible to specifically diagnose and treat had better results (P<0.01 t<\/jats:italic>-test). There was an overall success rate of 87% including patients lost to follow-up with this multidisciplinary medical approach.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n A pregnancy loss prevention center using the described multidisciplinary model can accomplish success rates of 85\u201390%. Preventing recurrent pregnancy loss we suggest can best be achieved by a dedicated center with a multidisciplinary medical approach.<\/jats:p>\n <\/jats:sec>","DOI":"10.1515\/jpm-2018-0135","type":"journal-article","created":{"date-parts":[[2018,6,2]],"date-time":"2018-06-02T22:16:58Z","timestamp":1527977818000},"page":"41-44","source":"Crossref","is-referenced-by-count":10,"title":["A multidisciplinary approach to pregnancy loss: the pregnancy loss prevention center"],"prefix":"10.1515","volume":"47","author":[{"given":"Bruce K.","family":"Young","sequence":"first","affiliation":[{"name":"Silverman Professor of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology , New York University Langone Medical Center , 530 First Ave Suite 5G , New York, NY 10016 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2018,6,2]]},"reference":[{"key":"2021021321162217304_j_jpm-2018-0135_ref_001_w2aab3b7c66b1b6b1ab2b1b1Aa","doi-asserted-by":"crossref","unstructured":"Cousens S, Blencowe H, Stanton C, Chou D, Ahmed S, Steinhardt L, et al. National, regional, and worldwide estimates of stillbirth rates in 2009 with trends since 1995: a systematic analysis. Lancet 2011;377:1319e30.","DOI":"10.1016\/S0140-6736(10)62310-0"},{"key":"2021021321162217304_j_jpm-2018-0135_ref_002_w2aab3b7c66b1b6b1ab2b1b2Aa","unstructured":"MacDorman MF, Gregory ECW. Fetal and perinatal mortality: United States, 2013. Natl Vital Stat Rep 2015;64:1\u201324."},{"key":"2021021321162217304_j_jpm-2018-0135_ref_003_w2aab3b7c66b1b6b1ab2b1b3Aa","unstructured":"Ventura SJ, Abma JC, Mosher WD, Henshaw SK. Estimated pregnancy rates by outcome for the United States, 1990\u20132004. Natl Vital Stat Rep 2008;56:1\u201325, 28."},{"key":"2021021321162217304_j_jpm-2018-0135_ref_004_w2aab3b7c66b1b6b1ab2b1b4Aa","doi-asserted-by":"crossref","unstructured":"Pattinson R, Kerber K, Buchmann E, Friberg IK , Belizan M, Lansky S, et al. Stillbirths: how can health systems deliver for mothers and babies? Lancet 2011;377:1610\u201323.","DOI":"10.1016\/S0140-6736(10)62306-9"},{"key":"2021021321162217304_j_jpm-2018-0135_ref_005_w2aab3b7c66b1b6b1ab2b1b5Aa","doi-asserted-by":"crossref","unstructured":"Lawn JE, Blencowe H, Pattinson R, Cousens S, Kumar R, Ibiebele I, et al. Stillbirths: Where? When? Why? How to make the data count? Lancet 2011;377:1448\u201363.","DOI":"10.1016\/S0140-6736(10)62187-3"},{"key":"2021021321162217304_j_jpm-2018-0135_ref_006_w2aab3b7c66b1b6b1ab2b1b6Aa","doi-asserted-by":"crossref","unstructured":"Practice Committee of the American Society for Reproductive Medicine. Evaluation and treatment of recurrent pregnancy loss: a committee opinion. Fertil Steril 2012;98:1103\u201311.","DOI":"10.1016\/j.fertnstert.2012.06.048"},{"key":"2021021321162217304_j_jpm-2018-0135_ref_007_w2aab3b7c66b1b6b1ab2b1b7Aa","unstructured":"The American College of Obstetricians and Gynecologists Practice Bulletin Number 150, May 2015 Reaffirmed 2017."},{"key":"2021021321162217304_j_jpm-2018-0135_ref_008_w2aab3b7c66b1b6b1ab2b1b8Aa","unstructured":"The American College of Obstetricians and Gynecologists Practice Bulletin Number 24 February 2001."}],"container-title":["Journal of Perinatal Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.degruyter.com\/view\/j\/jpme.2019.47.issue-1\/jpm-2018-0135\/jpm-2018-0135.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpm-2018-0135\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpm-2018-0135\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,22]],"date-time":"2021-04-22T01:35:46Z","timestamp":1619055346000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpm-2018-0135\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,2]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,6,2]]},"published-print":{"date-parts":[[2018,12,19]]}},"alternative-id":["10.1515\/jpm-2018-0135"],"URL":"https:\/\/doi.org\/10.1515\/jpm-2018-0135","relation":{},"ISSN":["1619-3997","0300-5577"],"issn-type":[{"value":"1619-3997","type":"electronic"},{"value":"0300-5577","type":"print"}],"subject":[],"published":{"date-parts":[[2018,6,2]]}}}