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Miscarriage Health Feed

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Recurrent Miscarriage - How To Avert It?

Recurrent Miscarriage - How To Avert It?

Natural therapies are a great option to support your body and prepare it for pregnancy. As with any approach trying to decrease the chance of miscarriage, these steps will help to nourish and support the body, inviting a healthy pregnancy to occur.

Preparing ahead of time for your pregnancy is also important for decreasing the chance of a miscarriage, these steps must be practised for at least 3 months before you become pregnant again. If you are currently experiencing a miscarriage contact your doctor or midwife right away.

Prepare for conception: The first step is to prepare your body with fertility cleansing. Fertility cleansing helps you to support the liver in cleansing the body of old toxins and excess hormones while encouraging the uterus to cleanse itself of ‘old’ contents, increasing uterine circulation and tone.

Eat a nutrient dense fertility diet: The next step is to nourish and build up your body to be a healthy, baby-friendly body. This can be done by eating a well balanced and nutritious diet. What you eat has a strong impact on:

  1. The health of your eggs
  2. Your hormonal balance
  3. Creating a healthy placenta
  4. Decreases chance of a miscarriage
  5. Building nutrient storage for baby
  6. Creating a healthy reproductive system

Build a healthy foundation: One of the major foundational steps to increase your chance of having a healthy pregnancy is to take some basic vitamins, minerals, and EFA’s. There are specific vitamins and minerals that are necessary for a healthy reproductive system, hormonal balance, and ovulation. Essential fatty acids are also extremely important for miscarriage prevention.

Hello doctor, I would like to ask one question regarding my wife's beta hcg levels. Her last period was on 15july and after a moth of missed period cycle that is on 16 aug 2019 we had a home prega test and found positive and then later on 17 we had beta hcg test done and levels are 9110. Can you please guide us little about more on this. She already had 2 miscarriage earlier in past 2 years.

Hello doctor,
I would like to ask one question regarding my wife's beta hcg levels.
Her last period was on 15july and...
Hello lybrate-user. The reports are suggestive of positive pregnancy test. Now just take sonography as soon as possible to see if the implantation is right and there is no other complications. And my suggestion is to start homoeopathic treatment to prevent the habitual miscarriage. You can consult me at Lybrate. There is no solution in the allopathy.
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I had miscarriage in april. Now I hd miss my periods n hd pain on left side. Why? Is der any problem?

I had miscarriage in april. Now I hd miss my periods n hd pain on left side. Why? Is der any problem?
You need to do urine pregnancy test. It should be done 10 days after missing your period. For example if your date was 10th, then do the test on 20th. Before that it can give false negative or false positive test.
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Repeated Pregnancy Loss - Know Reasons Behind It!

Repeated Pregnancy Loss - Know Reasons Behind It!

Recurrent pregnancy loss can be defined as the consecutive loss of three or more pregnancy. Recurrent Pregnancy loss is a medical condition in which the pregnancy loss occurs before completing 20 weeks in an involuntary manner. Pregnancy loss can be visualized using ultrasound technique.

What are the causes of recurrent pregnancy loss?
Most of the pregnancy losses occur due to various abnormalities in the genetic makeup of an organism or any chromosomal aberration. The abnormality can be present during the formation of an egg or sperm or the embryo. However, it is well said that the miscarriage usually happens within first 12 weeks of conception. Almost half of the times, women even don’t realize that she is pregnant during first three months. The risk of recurrent pregnancy loss increases with the increase in previous miscarriages.

Recurrent pregnancy loss is more common in the women who conceive late according to their age. It is because the quality of egg formation decreases and this may lead to abnormalities in chromosome formation or division. Sometimes, it may happen that father and mother, both suffer from a slight abnormality in their genes and hence, the fetus can be more severely affected and hence causes recurrent pregnancy loss in the uterus.

The weakening of the immune system can also lead to recurrent miscarriages. Abnormality in the functioning or secretion of hormones can cause severe diseases such as diabetes and thyroid which can cause an impact. Also, blood clotting issues may also play an important role.

The gynecologists may help in the treatment of this medical condition but their treatment option depends upon the underlying cause of recurrent pregnancy loss.

The gynecologist recommends genetic counselling to those patients who have any chromosomal abnormality in their genetic makeup. Some of the couples can opt for prenatal genetic studies while expecting a child so as to keep a check on whether the child has normal genetic makeup. Some of the techniques used by the medical health providers are chorionic villi sampling, or amniocentesis.

For genetic diagnosis, in vitro fertilization can also be done along with pre-implantation. If there is any abnormality in the uterus or the tract in the female then surgery can be done so as to cure the defect. If there is a syndrome such as anti-phospholipids syndrome, then medications are provided in order to decrease the formation of the blood clot.

Therefore, gynecologists are assisting in the treatment of recurrent pregnancy loss in females.
 
 

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Miscarriage - How To Avert It?

Miscarriage - How To Avert It?

Miscarriage refers to a pregnancy that has ended prematurely, within 20 weeks. Research shows that around 10-25% of all clinically recognized pregnancies end in miscarriages. Chemical pregnancies cause 50-75% of all miscarriages. The condition happens when a pregnancy is lost not long after implantation, bringing about bleeding that happens around the time of her normal period. The woman may not understand that she has conceived when she encounters a chemical pregnancy.

The normal period where miscarriages are expected to occur is during the first 13 weeks of pregnancy. While pregnancy can be an overwhelming and exciting experience, it is beneficial that the woman keeps herself informed about the possibilities of miscarriages.

Some types of miscarriage are:

  1. Threatened Miscarriage
  2. Inevitable or Incomplete Miscarriage
  3. Complete Miscarriage
  4. Missed Miscarriage
  5. Recurrent Miscarriage
  6. Blighted Ovum
  7. Ectopic Pregnancy
  8. Molar Pregnancy

Symptoms:
In case of any of the following signs, the doctor should be consulted immediately,

  1. Mild to Severe Pain
  2. White-Pink Mucus
  3. Weight Loss
  4. True Contractions
  5. Sudden Decrease in Signs of pregnancy
  6. Tissue made of cloth-like material passing from the vagina
  7. Bright red or Brown bleeding with or without cramps

Investigations

Ultrasound

  1. The majority of women will require a transvaginal ultrasound (TVS) and 98% of complete miscarriages can be diagnosed in this way.
  2. If a transvaginal ultrasound scan is unacceptable to the woman, then a transabdominal ultrasound scan should be offered and the woman should be made aware of the limitations of this method of scanning.
  3. If there is no visible heartbeat then a second scan should be performed. This is either done at a minimum of 7 or 14 days, depending up the measurements of the crown-rump length or the mean gestational sac.
  4. Be aware that a woman with a pregnancy of unknown location may have an ectopic pregnancy.

Serum hCG

  1. Serum hCG tests can help to exclude an ectopic pregnancy in women with a complete miscarriage (or pregnancy of unknown location), determined by ultrasound.
  2. Serial tests are required but results should complement clinical assessment and not replace it. Two tests are taken as close as possible to 48 hours apart:
    • >63% increase suggests ongoing pregnancy.
    • >50% decrease suggests pregnancy is unlikely to continue.
  3. A woman with results between these parameters should be reviewed in the EPAU withing 24 hours.
  4. Slow doubling times are associated with miscarriage and declining values have high sensitivity of 93-97% in diagnosing a complete miscarriage.
  5. Rare causes of a raised hCG should also be borne in mind, including gestational trophoblastic disease or cranial germ cell tumour, which must be considered.

Progesterone

One meta-analysis has shown that a single low progesterone measurement for women in early pregnancy, presenting with bleeding or pain and inconclusive ultrasound assessments, can rule out a viable pregnancy. However, very low serum progesterone can be seen in normal viable pregnancies, so progesterone should not be used as the definitive diagnostic test without other evidence.

Management

  1. Admission to the hospital can be avoided in 40% of women with threatened or actual early pregnancy loss.
  2. Following a miscarriage, all women should have access to support, follow-up and formal counselling when necessary.
  3. Anti-D rhesus prophylaxis (250 IU) should be offered to all rhesus-negative women who have a surgical procedure to manage a miscarriage.

Treatment:

The main purpose of treatment is to prevent haemorrhage and infection. It is common that the body expels all the fetal fluid during the earlier stages of the pregnancy. In case it doesn’t, a procedure known as D&C (Dilation & Curettage) is performed to remove the fluid and prevent infection.

Anti D should be given in all cases of miscarriage.

Since most miscarriages occur due to chromosomal abnormalities, nothing significant can be done to prevent them.

Tips to be taken to ensure a healthy conception are:

  1. Regular Exercise
  2. Stress Management
  3. Daily consumption of folic acid
  4. Not smoking
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Hi, I have had 2 early miscarriage in 5 weeks pregnancy recently. My doc gave me duphaston twice a day for 15 days from 15th day of lmp on this cycle. After 2 days of finished duphaston (3 aug), I got my period with negative pregnancy result. My tsh level is 3.5 and I am taking 12.5 thyronorm. Please suggest me any medicine to prevent early miscarriage in future and dose of thyroid tab. Thanks.

Hi,
I have had 2 early miscarriage in 5 weeks pregnancy recently. My doc gave me duphaston twice a day for 15 days fr...
Hi, your thyroid levels are under control. Early recurrent pregnancy loss is a vast topic. The reasons can be many. Investigation list to find out reason can only be given after checking patient personally. Please meet your gynecologist again.
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Recurrent Miscarriage - What Are The Reasons Behind It?

Recurrent Miscarriage - What Are The Reasons Behind It?

Recurrent miscarriage is a condition when there have been three or more successive pregnancy losses. It is different from infertility as infertility is the inability to conceive. For many cases, the cause of a recurrent miscarriage has not always been found. A number of factors can cause recurrent miscarriages of which some are treatable.

It may not always be possible to identify a cause for recurrent miscarriage in a couple, even after extensive research and treatment procedures. Some of the common causes of recurrent miscarriage are described below:

  1. Chromosomal abnormalities: Incompatible chromosomes can result in pregnancy losses. When an egg and a sperm meet, of which one of them is faulty, they can't line up properly resulting in chromosomal abnormality. Such conditions lead to miscarriages.
  2. Uterine abnormalities or Incompetent cervixes: Miscarriages occur if the uterus is abnormally shaped since the embryo is not properly implanted or even if it gets implanted, it may not get sufficient nourishment to survive. If the woman has a weak cervix, it cannot hold the developing embryo, leading to miscarriage.
  3. Immunologic disorders: Under rare cases, the embryo itself is not accepted by the body. Antiphospholipid antibodies are those, which attack self-tissues, such as embryos and prevent them from building up. This leads to recurrent miscarriage.
  4. Untreated thyroid problems: Conditions such as thyroid or uncontrolled diabetes result in uterine conditions which make it tough for the embryos to survive.
  5. Polycystic ovary syndrome: Women with polycystic ovary syndrome tend to have high levels of male hormones which, result in irregular menstruation and ovulation. This can prevent the lining of the endometrium from maturing that is required for holding the embryo.
  6. Bacterial infections: There may be presence of a number of microorganisms inside the reproductive tract that may be harmless for the person. But there may be certain bacteria lined up in the reproductive tract, which can prevent the development of embryo, thus leading to miscarriages.
  7. LifestyleSmoking and drinking are harmful lifestyle habits, which may increase the chance of miscarriage to a great extent. It is always advised to avoid smoking or drinking when you wish to conceive. Other lifestyle conditions, such as working in certain environments like hospital environments, farms, laboratories, etc, may lead to miscarriages; however, the exact reason has not been identified yet.
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