Recurrent Miscarriage and Pregnancy Loss

When a couple experiences several successive miscarriages, it is sad to learn that they are experiencing recurrent pregnancy loss, also referred to as recurrent miscarriage. It is a distressing and emotionally challenging journey that affects approximately 1% to 2% of couples trying to conceive. Enduring such losses can be physically and psychologically taxing for the individuals involved, warranting a comprehensive investigation and compassionate care. Shivam IVF and Infertility Centre stands as the Best Infertility Clinic in Delhi implementing recurrent miscarriage and pregnancy loss.

What is Recurrent Pregnancy Loss?

The occurrence of three or more consecutive pregnancy losses before 20 weeks of gestation is referred to as recurrent pregnancy loss. While many couples are fortunate enough to have successful pregnancies without any complications, recurrent pregnancy loss remains a significant concern for those who encounter repetitive miscarriages.

Causes of Recurrent Pregnancy Loss

1. Chromosomal Abnormalities: The majority of miscarriages are caused by chromosomal abnormalities in the developing fetus. These abnormalities often occur randomly and are not typically indicative of parental health.
2. Uterine Abnormalities: Certain structural abnormalities in the uterus, such as fibroids, septate uteruses, or intrauterine adhesions, can increase the risk of miscarriage.
3. Hormonal Imbalances: Fluctuations in hormones, such as progesterone and thyroid hormones, can negatively impact the ability to sustain a pregnancy.
4. Immunological Factors: In some cases, the woman's immune system may react to the developing fetus as a foreign body, leading to pregnancy complications.
5. Blood Clotting Disorders: Certain blood clotting disorders can contribute to recurrent miscarriages by affecting blood flow to the developing fetus.
6. Lifestyle Factors: Lifestyle choices, such as smoking, excessive alcohol consumption, and illicit drug use, can increase the risk of recurrent pregnancy loss.
7. Advanced Maternal Age: As a woman's age increases, the risk of chromosomal abnormalities in the eggs also rises, potentially leading to miscarriages.

Tests for Couples with Recurrent Pregnancy Loss

When a couple experiences a recurrent pregnancy loss, they should undergo comprehensive testing to identify potential underlying causes. Some of the common tests include:

1. Chromosomal Analysis: Karyotyping is performed to assess both partners' chromosomal makeup and determine if there are any structural abnormalities.
2. Uterine Evaluation: Imaging techniques like ultrasound or hysteroscopy are used to examine the uterus for any structural abnormalities.
3. Hormonal Assessment: Blood tests are conducted to evaluate hormone levels and identify any imbalances that may be affecting pregnancy.
4. Immunological Testing: Specific tests can assess immune system factors that might be affecting pregnancy.
5. Blood Clotting Analysis: Testing for blood clotting disorders helps identify potential risk factors.
6. Genetic Counselling: Couples may undergo genetic counselling to understand the risk of passing on genetic conditions to future pregnancies.
    

Treatment Options for Recurrent Pregnancy Loss

The treatment for recurrent pregnancy loss largely depends on the identified underlying causes. Some common treatment options include:

1. Hormone Therapy: Hormone supplementation may be prescribed to address hormonal imbalances and support pregnancy.
2. Surgical Interventions: Surgical procedures can correct uterine abnormalities, such as removing fibroids or adhesions.
3. In Vitro Fertilization (IVF): IVF with pre-implantation genetic testing can help screen embryos for chromosomal abnormalities before implantation.
4. Immunotherapy: In certain cases, immunosuppressive therapies may be used to modulate the immune response.
5. Lifestyle Changes: Adopting a healthy lifestyle, including proper nutrition and exercise, can positively impact pregnancy outcomes.
6. Psychological Support: Couples experiencing recurrent pregnancy loss may benefit from counselling and emotional support to cope with the challenges.
    

Conclusion

Experiencing recurrent pregnancy loss is a distressing journey that requires a comprehensive evaluation and personalized care. Consulting with infertility specialist Dr. Bhavana Mittal at Shivam IVF and Infertility Centre can provide couples with the Best Infertility Treatment in Delhi NCR region.