Recurrent Pregnancy Loss
What is Recurrent Pregnancy Loss?
The term 'repeated pregnancy loss' refers to two or more miscarriages. Three or more miscarriages are sometimes referred to. Although one miscarriage is slightly common, repeated miscarriages should always be investigated. Recurrent miscarriages are said to have a major emotional impact in addition to physical effects. Instead of beginning her new pregnancy with joy, a woman may be anxious.
Common Causes & Risk Factors
- Chromosomal abnormality in the embryo
- Increased maternal age
- Uterine structural anomalies such as presence of septum or fibroids
- Thyroid disorders or poor control of diabetes
- Autoimmune disorders such as antiphospholipid syndrome
- Hormonal imbalance during early pregnancy support
- Obesity, smoking, or severe metabolic disorders
- At times, no cause is identifiable
Diagnostic Evaluation
The assessment will begin with blood tests that will include the measurement of the levels of thyroid hormone, glucose, and hormonal levels. Tests for auto-immunity will be conducted if necessary. Ultrasound and hysteroscopic examination will be conducted for assessing the uterine cavity. Genetic tests will be recommended for the couple. The tests will be conducted in the minimum number.
Treatment & Future Pregnancy Care
The reason also influences the way the illness is handled. Surgery may be necessary to treat the structural abnormalities. It is necessary to treat the thyroid and metabolic abnormalities before conception. Blood thinners may be necessary for the expecting woman because of the autoimmune reasons. Progesterone may be necessary early in the pregnancy.
Reassurance will also be provided by the close observation of the patient during the first trimester of the pregnancy. Most importantly, the pregnancy will be carried to term by the woman.