Miscarriage
Miscarriage
If a lady had a miscarriage, it does not mean she has a fertility problem. About 80% of women who have miscarriages have subsequently normal pregnancies and births.
Most miscarriages occur within the first 3 months of pregnancy.
Most of the miscarriages that occur in the first trimester are caused by chromosomal abnormalities in the father's sperm or the mother's egg.
Miscarriages can also be caused by other factors such as:
- Infection
- Hormonal irregularities
- Advanced Maternal age
- Uterine abnormalities
- Incompetent cervix - cervix begins to open in the middle of pregnancy, without signs of pain or labor
- Lifestyle factors -- smoking, drinking alcohol or using illegal drugs
- Others - Autoimmune disease, Severe kidney disease, uncontrolled diabetes, certain medications, radiation exposure
- Thrombophilias
In women with recurrent miscarriage (if a woman has two or more miscarriages in a row), they need
- In women with recurrent miscarriage (if a woman has two or more miscarriages in a row), they need :
- Blood tests
- Genetic test
- Endometrial biopsy
- Hysterosalpingogram (X-ray of the uterus and fallopian tubes)
- Hysteroscopy
- Laparoscopy
Pregnancy after miscarriage
- About 80% of woman who have miscarriages may subsequently have normal pregnancies and births.
- About 1% of women might have recurrent miscarriage (two or more).
- Tests to evaluate the underlying cause and treatment in subsequent pregnancy to reduce the risk is recommended
- Although there is no recommended waiting period to attempt pregnancy, it is appropriate to discuss with our doctor. It is important to not that it takes time to recover both physically and emotionally following a miscarriage.
- To prevent another miscarriage, we often recommend several empirical and supportive treatments, which have shown to give good results and reduce the risk of miscarriage.