Recurrent Pregnancy Loss: What You Need To Know
Are you thinking about getting pregnant after a miscarriage?
Then you need to know some of the essential things about Recurrent Pregnancy Loss. Go through this blog for more information.
In some women, the struggle for fertility occurs after a positive pregnancy test. Having a miscarriage can be devastating, but having one miscarriage is often a traumatic experience. The idea of trying again can feel like a difficult fight. Pregnancy in the future will be full of hope, but it will also cause high levels of anxiety. It is advisable to look for possible causes of recurrent miscarriages after the second miscarriage.
Women may have a miscarriage at some time during their reproductive career. Miscarriage may occur due to various reasons. A miscarriage once does not always mean the woman will have another miscarriage if she tries again.
However, some women suffer from more than one miscarriage called recurrent miscarriage (RPL). Women and families are often very affected by this loss. Women may also be worried that they are sick or have done something that caused / causes miscarriage. However, RPL is often a natural process. Only few of the recurrent miscarriage cases have clear or treatable causes. Nearly two-thirds of women with RPL will eventually have a healthy pregnancy often without additional treatment.
If you have had two or more abortions, you should talk to a doctor. Often, women continue to opt for natural conceptions. But, in certain situations, a doctor may offer treatments to reduce the risk of miscarriage.
If possible, the couple should consult a doctor who handles recurrent miscarriages. Studies indicate visiting supportive antenatal care in these circumstances may make a big difference, and regular consultations can reduce the risk of further miscarriages. Visit Neelima Mom Fertility Clinic for the best Treatment on RPL.
Here we provide information that you should need to know about losing a repeat pregnancy – what it is, what causes it, the emotional impact, and how to deal with it.
What is Recurrent Miscarriage?
Doctors from the Department of Obstetrics and Gynecology at Neelima Mom Fertility Clinic defined miscarriage is a loss of pregnancy before 26-28 weeks, and the occurrence of two or more consecutive pregnancy losses. About 20% of pregnancies end in miscarriage, most often in the first 12 weeks.
Are There Any Symptoms?
Some women experience symptoms before a miscarriage occurs; others don’t. Cramps and vaginal bleeding are symptoms & signs of miscarriage. Be active and contact a doctor immediately if you experience any one of the symptoms during pregnancy.
Even if there is nothing wrong in the end, peace of mind will be very beneficial. If you experience bleeding, try to monitor the amount of bleeding that occurs. If you know that any tissue has passed out, try to preserve it. Many doctors use that tissue for laboratory tests to determine the cause of miscarriage.
A Treatment Plan After a Recurrent Miscarriages:
After a repeat abortion, you will usually be offered several blood tests and scans to identify the problem and then referred to a Hospital that handles recurrent miscarriages. Often good prenatal care makes a big difference in this situation. With some indications visiting an early pregnancy ward can reduce the risk of further abortion.
- Blood tests: Blood tests are used to investigate complications such as thyroid disorders, Hyperprolactinemia, unsuspected / undaignosed diabetes, blood clotting disorders. It also includes Chromosomal tests.
- Uterine Examination: An abnormally shaped uterus can increase the risk of miscarriage and premature birth. There are several ways to check the shape of the uterus, and depending on the findings, the doctor may recommend surgery. Test done are Ultrasound, HSG, Hysteroscopy, Sonohysterography, Magnetic resonance imaging (MRI).
Reasons for Recurrent Miscarriage:
- Genetics: In some cases, a partner may repeatedly pass an abnormal chromosome and cause recurrent miscarriages. You and your partner are asked to have a blood test to detect chromosomal abnormalities (called karyotypes). If the test is abnormal, then they are referred to a geneticist for further investigation & counselling.
- Hormonal Imbalances: In rare cases, pregnancy with hormone imbalances can cause miscarriages.
- Blood Coagulation Disorders: Some coagulation disorders, such as systemic lupus erythematosus and antiphospholipid antibody syndrome, can cause sticky blood, and causes recurrent miscarriages. This rare immune system disorder affects blood flow to the placenta and can cause clots that prevent the placenta from functioning correctly. This will deprive the fetus of oxygen and essential nutrients, which can cause miscarriage. Treatment may include the use of aspirin, heparin, or both together, both of which contribute to blood thinning.
- Uterine problems: An abnormally shaped uterus can increase the risk of miscarriage and premature birth. There are several ways to check the shape of the uterus, and depending on the findings, surgery is recommended.
- Cervix: On scan, if your cervix is short, you may be recommended to undergo cervical cerclage early in pregnancy.
After A Miscarriage What is the Best Time to Get Pregnant?
A miscarriage can cause a significant distress for women and family members.
You and your partner may also experience sadness, anxiety, or feelings of guilt. Sexual intercourse is usually not recommended two weeks after a miscarriage to prevent infection. There is a possibility that you may become pregnant in the immediate next cycle after a miscarriage.
Ask your doctor for help & advice as soon as you are emotionally and physically ready to get pregnant after a miscarriage. After a miscarriage, you may not need to wait to conceive again.
Why Special Care Needed for RPL?
Most couples don’t know whom to consult. The lack of information adds to the suffering and sadness they experience. At our Fertility center, we also offer counselling and specialized care. Detailed investigations and individual attention is given by our experts.
In addition to medical treatment, we also provide support and care for these patients.
Can Medical Conditions Increase The Risk of Recurring Abortions?
Women with certain conditions may be at higher risk for repeated abortions. Antiphospholipid syndrome (APS) is an autoimmune disease in which a person’s immune system mistakenly produces antibodies against certain cellular components. APS is linked to miscarriage and fetal death.
Another disease that can cause miscarriage is diabetes mellitus.
Women with diabetes, especially those who have poor disease control, are at increased risk for miscarriage.
Women with a condition known as polycystic ovary syndrome also have an increased risk of miscarriage.
Problems With Reproductive Organs Causes Repeated Miscarriages?
Specific congenital abnormalities of the uterus can cause multiple miscarriages. The most common uterine abnormality associated with recurrent miscarriage is septate uterus. In this condition, the uterus is divided partly into two compartments by a tissue wall.
Asherman’s syndrome, which causes adhesions and scars in the uterus, can be associated with multiple miscarriages that often occur before a woman even realizes that she is pregnant. Fibroids and polyps, which are benign (non-cancerous) growths, can also play a role in recurrent miscarriages.
What Treatments are Available for Recurrent Miscarriages?
Recommendations for the treatment of patients with recurrent pregnancy loss based on the underlying causes of repeated pregnancy loss. The chances of a successful pregnancy are high: 77% if there are no underlying abnormalities and 71% if any medical abnormality is detected.
People who have chromosomal abnormalities are referred for genetic counseling. The Geneticist will discuss the genetic disorders, implications and the likelihood of a normal or abnormal pregnancy in the future.
If uterine abnormalities are detected, surgery can be done depending on the defect. If it is an antiphospholipid syndrome, blood-thinning medications can be given to reduce the formation of blood clots, and for thyroid dysfunction or diabetes, certain medications may be prescribed.
Couples who are trying to get pregnant and but do not succeed / miscarry repeatedly feel frustrated, sad and anxious.
You should consult a doctor after two miscarriages for complete investigation.
Evaluation results can help identify problems, and for many conditions, there is an evidence-based treatment that can help. It may become difficult to stay positive under these circumstances. That’s great news!
If you are suffering from recurrent pregnancy loss, visit Neelima Mom Fertility Clinic for the best treatment
About Neelima Hospitals:
Neelima Hospitals is an aspiring ’go-to’ multi-speciality medical centre for communities, that look for affordable and effective healthcare facilities. Dr P Neelima & Dr P Srinivasulu, the founding members of Neelima Hospitals aspire to ‘serve middle-class people who need efficient & effective medical treatment, at affordable prices’. Their strong conviction and guiding philosophy motivated them to establish Neelima Hospital in the year 2008.
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