23 Oct Causes of Recurrent Abortions / miscarriages
A miscarriage is also referred to as spontaneous abortion. It is a loss of pregnancy before 24 weeks of gestation. The majority of abortions occur within the first 12 weeks of gestation. After the 12th week, the chances of a miscarriage drop to below 10% of all known pregnancies. After having one abortion, most of the women go in for a healthy pregnancy next time. Still there are few that continue to have two, three or at times more number of abortions. Recurrent pregnancy loss is defined as three or more consecutive abortions. Some of the common causes of recurrent abortions as summed up by Dr. Anjali Kumar, a renowned gynecologist in Gurgaon are listed below:
- Chromosomal defects: This is one of the very common causes that result in recurrent first trimester abortions. Females more than the age of 35 years are more likely to suffer from chromosomal defects and have recurrent abortions.
- Uterine irregularities: Uterus abnormalities may cause problems with proper implantation, create problems with blood supply to the uterus, or there may not be room for the baby to develop and grow. These abnormalities usually cause second trimester pregnancy losses.
- Incompetent cervix: The cervix is a part of uterus which normally remains closed and holds up the pregnancy for complete nine months. Sometimes, the cervix may loose its strength due to previous trauma (previous D&Cs, cervix trauma during previous deliveries) or the cervix may be congenitally weak sometimes, thereby predisposing the women towards a recurrent abortion or preterm labor
- Luteal phase defect: Luteal phase defect occurs when there is not enough progesterone produced during the luteal phase (post ovulation phase) of the menstrual cycle. Progesterone helps to prepare the lining of the uterus for implantation. The luteal phase defects happen usually due anovulatory problems in women.
- PCOS: Women with PCOS have high insulin, insulin resistance, imbalanced female hormones and higher levels of male hormones. This has been associated with infertility as well asrearly miscarriages. The PCOD can usually be treated with weight loss, exercise, dietary modifications and certain medications ( ovulation induction drugs, metformin, progestogens etc.)
- Autoimmune disorders: Certain autoimmune disorders lead to production of some antibodies which work against the pregnancy tissues resulting in pregnancy losses.
- Infection: The genital infections like chalamydia, gonorrhea, toxoplasmosis, genital herpes, bacterial vaginosis increase the risk of a woman to have recurrent abortions..
At “The Gynae Clinic”, each patient coming with a recurrent pregnancy loss is dealt with a lot of sensitivity, warmth and care. These patients are then examined in detail and investigated thoroughly as per best medical practices and highest international protocols to arrive at a diagnosis and then treated to have a successful pregnancy outcome.