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Recurrent miscarriage

Miscarriage for women is always a huge stress (physical and emotional). Can you imagine how frustrating can be recurrent miscarriage? Unfortunately it is not rate condition. According to health statistics, about 5% of couples trying to conceive have 2 consecutive miscarriages and about 1% couples experience three and more consecutive losses. Risk of recurrent miscarriage is increased with advancing maternal age.

Different factors can increase risks of recurrent miscarriage including woman age (older that 35), previous miscarriages, chronic diseases, certain uterine abnormalities, weak cervix, anorexia or obesity and bad habits (smoking, alcohol, drugs).

Recurrent miscarriage definition – three or more spontaneous miscarriages in a row (mainly before 20 weeks of pregnancy).

Recurrent miscarriage can be depressive but it is important to know that most women who experience recurrent miscarriage end up with having healthy baby. Modern medicine is able to discover causes and provide adequate effective treatments. According to health experts, at least six out of ten women who have had three miscarriages will go on to have a baby in their next pregnancy.

Only one miscarriage should not be considered as a risk factor. Two consecutive miscarriages are usually increasing your chances for repeated miscarriage. Every next miscarriage should be considered as increased risk (especially after 35).

Recurrent miscarriage – causes

  • Genetic factors (gene and chromosome abnormalities);
  • Anatomic factors (double uterus, uterine septum, polyps, fibroids and scars inside the uterine cavity);
  • Chemicals (anesthetic gases, pesticides, formaldehyde, benzene, ethylene oxide, arsenic, lead, mercury and cadmium);
  • Hormonal dysfunctions (not compensated diabetes, severe thyroid dysfunction, polycystic ovarian syndrome, premature ovarian failure);
  • Antiphospholipid syndrome (inherited blood-clotting disorder);
  • Infections (ureaplasma, mycoplasma, listeria, toxoplasmosis, rubella and bacterial vaginosis);
  • Immune system (autoimmune conditions);
  • Lifestyle (alcohol, smoking, drugs, obesity),
  • Aging (older than 35),
  • Unexplained miscarriage.

Recurrent miscarriage – tests

First, gynecologist can discover different anatomic abnormalities during pelvic exam and vaginal ultrasound screening.

Blood test would be the important step in diagnosis. Several recurrent miscarriage causes could be identified:

Recurrent miscarriage

  • Antiphospholipid syndrome,
  • Autoimmune conditions,
  • Infections,
  • Hormonal dysfunctions,
  • Chemicals.

In genetic laboratory gens and chromosomes of both partners can discover several genetic abnormalities.

In histological laboratory remains of lost pregnancy also can be tested for more detailed reasons.

Some other analysis can be done if needed (depending on case).

Recurrent miscarriage – treatment

Counseling is very important part of treatment. Women are very different and partners also can be difficult. First, doctor and both partners should identify the real cause of recurrent miscarriage and develop plan of treatment which can be short (1-3 months) or long (6-12 months).

Most complicated is genetic factor which is not possible to change. In some countries donor eggs or donor sperm can be recommended.

In all cases most women after repeated miscarriage usually end up with healthy pregnancy and healthy baby.

Recurrent miscarriage – pregnancy planning

Few recommendations for pregnancy planning after miscarriages:

  • Healthy lifestyle (healthy food, no smoking, no alcohol abuse, no drugs);
  • Weight control (normal Body Mass Index, controlling Basal Body Metabolism, having normal ideal weight);
  • Taking folic acid supplement during pregnancy (controlled by doctor);
  • Reducing caffeine intake;
  • Regular controlled physical activities;
  • Excluding fast food.

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