Written by Pradeep
If a woman experiences miscarriages more than two or three times, the condition is termed recurrent miscarriage. Recurrent loss of pregnancy (RPL), habitual abortion, or recurrent miscarriage is defined as the loss of pregnancy before the fetus is 20 weeks old. Besides being a medical issue, it is also a serious disturbing psychological condition. This condition can make the woman depressed and tremendously drained of hope.
However, it may be of some relief that most women who have experienced recurrent miscarriages go on to become happy mothers under medical supervision. The chance of a woman with a history of recurrent miscarriages, having a baby is a good 60%, especially if the reason of the miscarriage cannot be concluded. About half the cases of recurrent miscarriages go without the cause being ascertained by doctors.
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Increasing maternal age or paternal age, multiparty or repeated pregnancies, and chromosomal abnormalities are the main risk factors of recurrent abortions. Sometimes the cause is unknown as well. As sad as it is, a miscarriage does increase the chances of a subsequent miscarriage may also add to the problem. Please bear in mind that these causes are not common.
Various factors are accountable for recurrent miscarriage. Find out the top 14 reasons that could bring about this traumatizing issue:
A thorough clinical examination is done to find out the underlying cause. After that,
Sometimes, the tests do not yield any results. If the miscarriages cannot be explained, chances are that you will get through your pregnancy the next time.
Treatment depends upon the identification of the cause, but unfortunately, there is no actual treatment for unexplained recurrent pregnancies.
Abortion counseling is done with the primary objective to empower the woman. Do not force the decision and allow the couple to make their decision. Restrict rigorous activities and exercises. Intercourse is not advised while you are expecting particularly in the first trimester and third trimester.
Some experts advise progesterone, but it is a bit controversial. It relaxes the smooth muscles, but raises the threat of abnormal pregnancy or even incomplete abortion. Progesterone should only be used if there is a luteal phase defect or if your obstetrician is sure about the use.
In patients having antiphospholipid syndrome (APS), heparin administration can increase the birth rate by up to 70 percent. According to some experts, the administration of metformin in pregnancy can lower the risk of abortion, especially in patients having a polycystic ovarian syndrome
McDonald stitches or cervical cerclage (procedure in which stitches are used to close the cervix during pregnancy to help prevent pregnancy loss or premature birth) is done for cervical incompetence patients. The cerclage, however, poses a potential threat of inducing uterine contractions. The process is beneficial to women with having cervix less than 25 mm
Unexplained miscarriages do carry a good chance of having a successful pregnancy in the future. Though your pregnancy will be very closely monitored, yet it will be this close care that will boost your chances of having a healthy baby. Some causes of recurrent miscarriage are treatable, your gynecologist is the best person to answer you.
There cannot be complete certainty in such cases, but you will be closely ascertained. If you have been emotionally drained because of repeated losses and are feeling low and scared to lose another baby, it would be wise to seek support and help from family, friends, and support groups. Keeping a positive mind and an optimistic attitude can help you have a normal pregnancy.