Everything you need to know about Recurrent Miscarriage
What is Recurrent Miscarriage? When a miscarriage happens three or more times in a row, it is called a recurrent miscarriage. Recurrent miscarriage affects 1 in 100 (1%) couples trying to have a baby. Losing a baby before 24 weeks of pregnancy is called a miscarriage. If this happens in the first 3 months of pregnancy, it is known as an early miscarriage. Unfortunately, early miscarriages are common, with 10–20 in 100 (10–20%) pregnancies ending this way. Late miscarriages, after 3 months of pregnancy but before 24 weeks, are less common: 1–2 in 100 (1–2%) pregnancies end in a late miscarriage. |
Causes
Available Tests
Blood tests:
APS is diagnosed if you test positive on two occasions 12 weeks apart before you become pregnant again.
For thrombophilia. If you have had a late miscarriage you should be offered blood tests for certain inherited thrombophilias.
To check you and your partner’s chromosomes for abnormalities. You may be offered this test if your baby has been shown to have abnormal chromosomes.
Tests for abnormalities in the baby:
You should be offered tests to check for abnormalities in your baby’s chromosomes.
Tests for abnormalities in the shape of your uterus:
A pelvic ultrasound scan or MRI can detect the abnormal shape of the uterus.
Tests for infection:
Blood tests and vaginal swabs can detect infections that may have caused the miscarriage.
Treatment
Medical treatment:
Aspirin and heparin injections (blood thinners) are used for diagnosed cases of APS.
Genetic counseling and referral to an assisted conception unit in cases of genetically identified cause for recurrent miscarriage.
Laparoscopic cerclage before successful pregnancy can be performed for cases of recurrent 2nd trimester (12-24weeks) if there is a very short cervix and where cervical stitch inserted from vagina has failed in the past.
Hysteroscopic resection of the intrauterine septum can be performed along with surgery to correct uterine abnormal shape via laparoscopy.
For more information about recurrent miscarriage; click here: https://www.rcog.org.uk/en/patients/patient-leaflets/recurrent-and-late-miscarriage/
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