All You Need to Know About Recurrent Miscarriage
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As we all know that pregnancy is a very complicated phase of a woman’s life. A woman’s body goes through ups and downs throughout the period. This difficult and strenuous period requires a lot of care and attention. Any small mistake or negligence can harm the baby or the mother and even lead to miscarriage. A lot of women suffer miscarriages and pregnancy loss. Still, there are also some cases of recurrent miscarriage known where a woman loses her baby over and over again every time she gets pregnant. If a woman undergoes three or more miscarriages in a row, we can state the condition as “recurrent miscarriage.” About 1% of the women go through this heartbreaking and body-shattering situation.
In this article, we shall discuss recurrent miscarriages and their causes and basic preventions. For all those couples who have suffered such situations, this is going to be an important topic for you all. Stay connected, and let’s unveil the facts about recurrent miscarriages.
Recurrent miscarriages: What are the causes?
If a woman suffers the condition of miscarriage more than three times in a row, then her case is taken as the cause of recurrent miscarriage. Miscarriage is basically the early loss of pregnancy, in simpler words. It’s when a baby dies inside of a mother’s womb before his birth. Miscarriage can happen at any stage of pregnancy, but it is more dangerous after the 6th month of pregnancy. However, miscarriages are most likely to occur during the first trimester. Therefore the first trimester is the most likely time for miscarriages to happen.
Clinically, pregnancy loss is a condition when a baby dies before the 20 weeks of pregnancy. This condition is more specific, which is why it is termed pregnancy loss because doctors have examined and visualized the baby through ultrasounds. Two or more consecutive miscarriages are fatal. A miscarriage is deadly for the mother, both emotionally and physically. There can be a lot of causes for recurrent miscarriages to happen. Some are going to be discussed below.
Types of Recurrent miscarriage
There are two types of recurrent miscarriage to happen;
1. Early recurrent miscarriage
This type of miscarriage occurs at an earlier time of pregnancy. Mostly it happens in the first trimester of pregnancy due to different chromosomal abnormalities and the abnormal number of chromosomes. In early miscarriage, different genetic and chromosomal abnormalities are most likely to be congenital.
2. Later recurrent miscarriage
This type of miscarriage occurs due to abnormal uterine and cervical structures. Other than that incompetent cervix plays an important role in late miscarriage and repeated miscarriages.
Causes of Recurrent Miscarriages
Recurrent miscarriages are the worst in terms of pregnancy loss and baby death. With the loss of a baby, recurrent miscarriages bring so many other problems for a woman as well. Let’s first discuss the main root causes of recurrent pregnancy loss to happen;
A lot of people disagree with this fact, but this has been proven medically as well that recurrent miscarriages may run in genes. There is a condition identified in which one of the partners may carry some abnormal chromosomal genes of recurrent miscarriage. Due to the passing of genes from one generation to the other, miscarriages may happen repeatedly. In this case, a few screenings and blood tests are available to check the abnormalities of such genes. Such screenings are referred to as karyotyping.
Thyroid abnormities are also big causes of miscarriages to happen repeatedly. A healthy functioning thyroid gland is very important for a healthy pregnancy. Thyroid diseases may contribute to the complications of pregnancy and even recurrent pregnancy loss. Thyroid diseases are also mostly congenital. It is important to get yourself checked completely by thyroid tests before getting pregnant to avoid later issues.
Sometimes the shape and size of the uterus are the biggest threats to miscarriages. An abnormally shaped uterus is deadly for the baby’s natural growth and survival. Sometimes a woman may have a bicornuate uterus (heart-shaped) instead of a normal pear-shaped uterus. Ultrasound scans can help identify the shape of the uterus, and hence the complications can be sorted out. Surgeries are often recommended as a treatment.
Blood clotting disorders
These disorders create blood clots in the body and cause the blood to thicken and become the cause of pregnancy loss. Several disorders are linked to “sticky blood” formation. For example, conditions like systemic erythematous lupus (SLE), thromboembolism, and antiphospholipid syndrome can cause the blood to clot and create further complications in pregnancy.
The disorders mentioned above are mostly related to the immune system, and due to the affected immune system, these disorders can create complications in pregnancy. Creating blood clots in the placenta may result in baby death. Complete scanning is required to ensure any disorder before getting pregnant is necessary.
Weak immune system
A weak immune system plays a deadly fatal role in the onset of immune system disorders. The immunity of a pregnant woman should never be compromised. To boost immunity, doctors should prescribe vitamin C and folic acid to women of childbearing age.
Several environmental factors also contribute to recurrent miscarriages. One of the biggest factors is stress. Anxiety, depression, or any kind of stress. Stress is very harmful to the baby’s health and the mother’s healthy pregnancy. Mental counseling of pregnant women is necessary for a better pregnancy period.
History of miscarriages
If you have undergone one or two or more miscarriages in the past, then you are at greater risk of getting a miscarriage again. Previous miscarriages can cause cervix incompetency and certain other complications. A high number of previous miscarriages increase the risk of recurrent miscarriages.
Some other general and environmental factors causing recurrent miscarriage are;
- Too much caffeine
- Heavy drinking
- Lack of sleep
- Sedentary lifestyle
What can be done? Tips
Almost 10-15% of pregnancies end in miscarriages. Therefore it is highly important to consider some preventions and care in this case. Following are the dos and don’ts of recurrent miscarriages.
Tests and screenings
To avoid any complications of recurrent miscarriages, it is important to take multiple blood tests to diagnose any ailment earlier. There are certain blood tests that doctors recommend for women who get pregnant or planning to conceive in near future. Some are:
- Antibody screenings
- Thyroid tests
- Viral infections
- Ultrasound of womb
- Blood clotting tests
- Cervical cytology
- Urine analysis
- Screenings for chromosomal abnormalities
- Screenings of embryo
- Test for autoimmune disorders
- Tests for insulin and glucose resistance
Diet and lifestyle
A healthy diet and lifestyle are very important for a pregnant woman. Pregnancy requires a diet full of nutrition and an active lifestyle. Your baby gets all the nutrients from what you eat. Proper meals and required supplements are important for a pregnant woman.
Doctors recommend taking progesterone and human chorionic gonadotrophin HCG hormones in early pregnancy to decrease the chances of recurrent miscarriages. To prevent miscarriage, these hormones are considered to be helpful. HCG has a role in preventing recurrent miscarriages, and these shots and supplements are very beneficial.
Immune system strength
A strong immune system protects you from various viral, bacterial, and congenital impacts. A lot of immune system disorders may attack a woman during her pregnancy and result in miscarriages. A lot of other disorders like diabetes affect more adversely in case of a weak immune system.
When to see a doctor?
If you have a history of recurrent miscarriages, then you need to practice extra care. Following things should be kept in mind in your pregnancy to be safe from recurrent miscarriage;
- Talk to your doctor if you experience bleeding more often in pregnancy
- If you feel no movement of the baby in the womb and absence of beat, then talk to your doctor and get yourself some scans and ultrasounds
- If you have a history of recurrent miscarriages, then progesterone treatment by your doctor’s advice you in the near future need to practice can be beneficial.
- Regular checkups are important to prevent threatened miscarriages.
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