Spontaneous abortion, commonly called recurrent miscarriage, is quite common and can occur once in all women during their reproductive lives. The risk of recurrent miscarriage increases with maternal age and, from the age of 40; it is estimated to be 1 in 3 pregnancies. However, when repeated miscarriage follow one another, an investigation may prove useful. An investigation will only be initiated after 2 or more consecutive miscarriages. It is also necessary that the pregnancy has been confirmed by an ultrasound or by an examination in pathology of the product of conception. Pregnancies confirmed only by a positive pregnancy test are not counted. After 2 or more successive miscarriages, the risk is evaluated at 30% in women under 35 years of age. Recurrent miscarriage causes-
The most common cause of spontaneous abortion or recurrent miscarriage is aneuploidy, commonly called chromosomal malformation, either in the embryo or in the ovum of women of advanced maternal age. Recurrent miscarriage causes include:
Unfortunately, 50% of couples will not find the cause of recurrent miscarriage. Recurrent Miscarriage Advice- Although the risk of miscarriage is estimated at 30% in women under 35 with a history of recurrent miscarriages, there is still a 70% chance of giving birth to a healthy child during her reproductive life. It is important to space pregnancies at least 2 menstrual cycles for better implantation. It is also necessary to promote healthy lifestyles, maintain a healthy weight, exercise, quit drinking and smoking, and ultimately stay well hydrated. It is recommended to add the following food supplements to your diet: folic acid 1 mg and vitamin D 1000 IU every day. Recurrent Miscarriage Tests and Procedures- Recurrent Miscarriage Tests include- The prescribed investigations are directly related to the known causes of recurrent miscarriages and for which deemed effective treatment is available. To identify abnormalities of the uterus, hysterosonography or hysteroscopy will be offered. This test will be used to identify the presence of a septum, scars or fibroids inside the uterine cavity. Blood tests will be prescribed to identify the presence of diabetes, hypothyroidism or hyperprolactinemia: fasting blood sugar, glycated hemoglobin, TSH and Prolactin. Other blood tests will be necessary to identify the presence of antiphospholipid syndrome: anti-beta 2 glycoprotein, IgM and IgG anticardiolipin, and lupus anticoagulant. A blood test for karyotype of the couple, man and woman, will be used to identify the presence of balanced translocation in one or the other of the spouses. Recurrent Miscarriage Treatment and follow-ups- Recurrent Miscarriage Treatment include- In the case of recurrent miscarriages, targeted treatment will be recommended according to the results of the investigations. In most cases, specialists in reproductive endocrinology and infertility are the most competent to provide the required treatments. If a uterine abnormality is discovered, hysteroscopic surgery will be the treatment of choice. In the case of hormonal disorders, consultation and management by an endocrinologist may be requested for the treatment of diabetes, hypothyroidism or hyperprolactinaemia. Ideal control of these conditions is necessary before becoming pregnant. If an antiphospholipid syndrome is identified, the treatment of choice is the daily intake of low dose aspirin and low molecular weight heparin, from the documentation of the positive pregnancy test until the 36th week of pregnancy. If a chromosomal abnormality is discovered in one of the parents, the preimplantation diagnosis followed by in vitro fertilization can be considered. Sometimes a gluten-free diet is effective if the IgA anti-transglutaminase test is abnormal. To know more about recurrent miscarriage treatment, visit the best infertility treatment clinic and get the right solution.
2 Comments
12/26/2022 11:04:19 pm
This blog is an excellent resource for anyone who has experienced recurrent miscarriage.
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