Management of Habitual Abortion

Examination of the habitual aborter should include, in addition to routine studies, a hysterogram, determination of basal metabolic rate, body temperature charting, and endometrial biopsy. Study of the husband is also recommended. Preconceptional management is aimed at improving health and nutrition, eliminating gynecologic abnormalities, and supporting an inadequate secretory endometrium. When pregnancy occurs, management calls for adequate rest, good nutrition, administration of progestogens, and frequent examination.