Repeated Miscarriages (Abortion)
When pregnancy loss happens more than 2 or 3 times, at any stage, patient needs evaluation.
Causes :
-
Chromosome abnormality : 60% MISCARRIAGE is due to abnormal fetus. The blood of
father and mother can be tested for abnormality (karyotyping)
-
PCOS: poor quality egg and abnormal hormones can result in miscarriage.
-
Anti phospholipids Syndrome : the formation of blood clot at placenta causes miscarriage
in Antiphospolipid. These patients have tendency for increased blood clot. This can be treated with aspirin
and heparin injections to avoid clotting and has 90% success with treatment.
-
Antithyroid antibody(ATA): the presence of ATA can be treated with steroids like
prednisoloue to avoid miscarriage.
-
Infection: bacterial vaginosisand cervical infections can cause permanent delivery or
premature leaking causing miscarriage. They can be treated with antibodies locally or systemic. The
infections or commonly overlooked and undiagnosed mostly.
-
Cervical incompetence: when cervix is open the sac or even baby parts can prolaps out and
cause miscarriage.
- Uterine abnormalities:
A. Bicorn ate uterus has apple shaped uterus with 2 cavities. Good Luteal support with
medicines good luteal support with medicines can be helpful.
B. Separate uterus:When a wall separates the cavity into 2, this septum (wall) can be
divided by hysteroscopic surgery to avoid miscarriage
C. Unicorn ate uterus : The tubular shaped cavity has tendency to abort, supporting
medicines can help.
D. other abnormalities like polyp (growth), fibroids etc can be treated surgically.
1.Fibroids/polyps:Growth affecting the cavity can result in
miscarriage.
1.Diabetis :Can be controlled well to avoid abortion
0
Authored by Dr. Anitha Mani - Infertility Specialist &
Laparoscopy Surgeon