Obstetrics and Gynecology

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Recurrent Pregnancy Loss

What is recurrent pregnancy loss?

This general term includes women who have had more than two consecutive miscarriages and women who have had any premature delivery after the first trimester of pregnancy that resulted in the delivery of an infant that did not survive due to being stillborn or severely premature.

What causes recurrent pregnancy loss?

Several different medical problems can contribute to recurrent pregnancy loss, including genetic disorders, diabetes, autoimmune disease, thyroid disorders, incompetent cervix, infection, poor nutrition, severe vascular diseases and more.

What are the symptoms of recurrent pregnancy loss?

Recurrent pregnancy loss frequently means a repetitive miscarriage in your first trimester, but can also be stillbirth, premature rupture of the membranes (or premature labor), or severe vaginal bleeding that results in delivery of a baby that is too young to survive.

How is recurrent pregnancy loss diagnosed?

A pre-pregnancy consultation offers the best opportunity to identify a potential cause of the pregnancy loss.

What is the treatment for recurrent pregnancy loss?

Once you become pregnant, your doctor will closely monitor you for signs of a weak cervix or premature delivery and will ensure specific medical therapies are continued or initiated that are specific to the problem that has been identified.

How can recurrent pregnancy loss be prevented?

During your pre-pregnancy consultation, a doctor will discuss with you possible causes and develop strategies for reducing the risk of future loss. This may include improved control of diabetes or elimination of low thyroid hormone levels, for example. Other medical therapies such as progesterone therapy, anticoagulation, and suturing the mouth of the uterus (also known as cerclage) may also be considered.

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