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preferred for hemodynamic instability, infection, or patient preference for speed Missed Abortion (O02.1) Surgical evacuation (CPT 59820 first trimester, 59821 second trimester) or misoprostol medical management Ultrasound confirmation of fetal demise required prior to treatment Genetic testing of products of conception may be performed to evaluate recurrent loss etiology Septic Abortion IV broad-spectrum antibiotics (see Medication section)

Journal of Biotechnology & Biomaterials

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Late gestation maternal feed restriction decreases microbial diversity of the placenta while mineral supplementation improves richness of the fetal gut microbiome in cattle