Recurrent Pregnancy Loss is a condition characterized by two or more repeatedly failed pregnancies. Recurrent pregnancy loss requires medical evaluation and couples may benefit from psychological support. Evaluation may be performed to check for
- Genetic/chromosomal causes- Couples with chromosomal defects or abnormalities in the chromosomes of the embryo may cause miscarriages
- Age- increased maternal age increases chances of miscarriages due to chromosomal abnormalities in the embryo
- Hormonal abnormalities low progesterone (hormone responsible for maintaining healthy pregnancy) levels may increase chances of miscarriages
- Metabolic abnormalities poorly controlled diabetes or polycystic ovarian syndrome may increase your risk of abortions
- Uterine abnormalities- like presence of fibroids/polyps, scar tissue on the uterus, congenital uterine abnormalities like uterine septum, double uterus could also cause repeated abortions
- Antiphospholipid antibodies cause the blood to clot when it should not. High level of these in the blood increases your chances of having miscarriages.
- Thrombophilia- is a congenital disease causing blood clots and increases fetal mortality during second half of pregnancy.
- Male Factor- studies reveal that sperm defects may contribute to recurrent miscarriages.
- Unexplained- at times there is no relevant explanation for miscarriages
Those with unexplained causes for miscarriages have a good chance of getting pregnant in the next attempt. Folic acid supplements along with leading a healthy lifestyle may help you maintain your subsequent pregnancy. Making life style changes like quitting on alcohol and smoking, exercising etc may prove to be helpful. Attending counseling sessions can also help you cope up with the emotional stress associated with miscarriages.