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Recurrent Pregnancy Failure: Why Does It Happen?

Dec 01, 2022

Obstetrics and Gynaecology

Recurrent Pregnancy Failure: Why Does It Happen?

Pregnancy is an occasion of celebration and happiness for most of us, but seldom this good news turn bad when miscarriages happen. It becomes even worse for women who suffer more than one pregnancy loss. According to reports, 10% of pregnancies in India end spontaneously. However, it is crucial to understand that just because something is called a "miscarriage," it doesn't mean you did anything wrong by carrying the pregnancy. The majority of miscarriages are unavoidable and happen when the fetus stops developing. Let's dive deeper into the reasons and treatment options for recurrent pregnancy loss.

Recurrent Pregnancy Loss: What Is It?

The term "recurrent pregnancy loss" (RPL), sometimes known as "recurrent miscarriage" or "habitual abortion," refers to three successive pregnancies lost before 20 weeks after the last menstrual period. Most miscarriages happen during the first trimester of pregnancy. Each pregnancy loss that has an unknown cause deserves careful consideration to see if a specialized evaluation is necessary. If there have been two or more losses, a comprehensive investigation is required.

Causes of Repeated Pregnancy Loss

While often the reasons for miscarriage are not obvious, it is worthwhile to look more closely at possible causes if you have not had a live birth and have had two or more miscarriages. Here are a few potential reasons for miscarriage:

  1. Genetic (embryo or parents) - Random embryonic chromosomal abnormalities are frequent and account for 50-80% of all first-trimester losses.
  2. Uterine anomalies - A septate uterus, a double uterus, a uterus divided by a wall, or other less frequent congenital issues might result in recurring losses in about 15% of cases.
  3. Endocrine issues - Investigations into endocrine conditions are warranted in cases of thyroid and pituitary gland disorders, diabetes, or polycystic ovarian syndrome.
  4. Autoimmune diseases - When a mother or carrier develops antibodies that subtly cause blood vessels to clog, a developing fetus is deprived of nutrition and is at risk for immunological issues.

Symptoms of Recurrent Pregnancy Loss

Each miscarriage you have may be different. Typical symptoms of a miscarriage include:

  • Spotting or bleeding
  • Painful Contractions every 5 to 20 minutes
  • White-pink mucus discharge from the vagina
  • Vaginal tissue that resembles a clot passing from the vagina
  • Mild-to-severe back pain

If you are experiencing such symptoms, you need to consult the best gynecologist near you, and if you are in Mumbai, then Dr. Nandita P. Palshetkar could be your best option.

Available Treatment Options for Recurrent Miscarriages

If you have suffered two or more miscarriages, you should talk with your healthcare provider. Some of the available treatments for pregnancy loss include:

  • Surgery - Surgery can fix some problems in the uterus (womb), like extra tissue that divides the uterus (septum), some fibroids (benign tumors), or scar tissue.
  • Blood-thinning medicines - Women with autoimmune or clotting (thrombophilia) problems may be treated with low-dose aspirin and heparin.
  • Correcting other medical problems - Treating medical conditions such as diabetes, thyroid dysfunction, or high prolactin levels can improve the chances of having a healthy, full-term pregnancy.
  • Genetic screening - The parents' blood can be studied (karyotyped) to see if they have a translocation.
  • Lifestyle Choices - Stopping cigarette smoking, getting fitter, and stopping illicit drug use (such as cocaine) will lower the risk of miscarriage.

Risk Factors of Recurrent Pregnancy Loss

The known risk factors for RPL are:

  • Old age
  • Previous pregnancy losses
  • Uterine anomalies
  • Endocrine disturbances
  • Lifestyle and obesity

When Should You Seek a Healthcare Specialist?

The psychological and emotional impact of recurrent pregnancy loss is significant for couples. Getting to the root of repeated miscarriages requires seeking a physician with expertise in this area. If you suffer two or more miscarriages, then you should seek a specialist.

Reach Out to Dr. Nandita Palshetkar for Recurrent Pregnancy Failure Treatment

We are aware of the extreme physical and emotional strain that repeated pregnancy losses may cause for both women and their families. The first step to realizing the goal of a healthy pregnancy is to work closely with patients to identify the underlying causes of particular issues. If you are looking for the best gynaecologist near you in mumbai to get treated for recurrent abortions, then make an appointment or request a free consultation with Dr. Nandita P. Palshetkar, one of the top fertility doctors in Mumbai. She has pioneered IVF and infertility doctor in Mumbai and India for three decades and will customize your treatment plan accordingly.

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