What is Miscarriage?

Loss of pregnancy before 20 weeks of pregnancy / 5^th month.

Usually it occurs in first 12 weeks

It causes a lot of stress and tension to the couples and family.

They always want to know what went wrong. Some patients have repeated
miscarriages or Bad obstetric history which requires the case of
Recurrent Pregnancy loss specialist states Gynecologist In Adambakkam..

What are the chances that you will have a miscarriage again?

If you have had more than 2 miscarriages, there is a good chance you
may miscarry again. You must consult a Recurrent Pregnancy Loss
specialist to find out the cause at CM HOSPITAL, there are some STRICT
CRITERIA and tests and instructions based on our years of experience to
give you solutions for your problems.

Treatment of this condition gives good results 70 to 75% of the time

CAUSES

1) Genetic

2) Uterine

3) Cervical abnormalities

4) Polycystic ovaries

5) Diabetes

6) Immune system causes

7) Life Style

What tests you need to do?

• Karyotyping – to RULE OUT genetic defects in both partners

· Test on the tissue from miscarriage for chromosomal defects.

• Hormonal tests and Immunology tests
• Uterus structural abnormalities 3D USG, HSG

· Hysteroscopy and endometrical biopsy if necessary.

UTERINE & CERVICAL CAUSES

Many women have abnormal shape of uterus which may not be detected by
regular USG. There may be a septum, which is a bridge like division in
the middle of uterus which may not give adequate space for the growth
of the baby.

Uterine fibroids may intertere with implantation and also hamper growth
of the baby Hysteroscopy is a day care procedure done to detect defects
in the uterus beyond the scope of USG. It can be combined with
Laproscopy or may be done alone depending on the case.

MATERNAL ILLNESS:-
Hypertension, Kidney disease, uncontrolled undiagnosed
diabetes, heart disease, Auto immune disease are all reasons for
recurrent miscarriage very often these conditions are under diagnosed
and under treated.

LIFE STYLE FACTORS
:- Smoking, alcoholic, illegal drug abuse, using too many foods that
contain preservatives.

HORMONAL ABNORMALITIES

Hypothyroidism under diagnosed, uncontrolled polycystic ovaries,
increased prolactin levels.

IMMUNOLOGY

Sometimes the mothers body produces antibodies against the developing
fetus (which must usually produced only against foreign substances).
For eg. Anticardiolipin antibody is responsible for repeated
miscarriages. This is not so rare phenomenon. It is often not diagnosed
properly and if not treated is a common cause of recurrent miscarriage
correct testing should be done to identify it.

CERVICAL PROBLEMS

At 12 to 20 weeks Mid trimester abortions occur due to incompetence of
the cervix. The mouth of uterus may become lose and hence will not have
the strength to hold the baby inside, hence may open up and the baby
will be pushed out. It must be sutured in pregnancy to avoid loosening
states Fertility Centre in Chennai
.

GENETIC DEFECTS:

Genetic defects of Husband can cause repeated abortions to the wife so
the couple must undergo genetic evaluation to rid of unknown genetic
defects for both partners. Sperm quality if NOT GOOD can cause repeated
abortions.

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