Recurrent miscarriage – How can we help?

Two or more consecutive miscarriages is termed as recurrent miscarriage or recurrent pregnancy loss (RPL). We believe no one should get to the point of asking “Why I keep having miscarriages repeatedly?” The chances of experiencing another miscarriage in such a case rise marginally, from 15% to 35%, but the odds of pregnancy going smoothly are still high. Women over the age of 35 are more likely to miscarry.

What are the causes of recurrent miscarriages? 

In up to 50 % of women with recurrent miscarriages, no cause is found. The chances of successful pregnancy are higher if you have at least one child, before or in between miscarriages in comparison to women who have repeated miscarriage without a baby.

These are the possible causes of recurrent miscarriages:

• Chromosomal abnormalities in either parent’s genetic makeup 

If one of the two parents has an abnormal chromosome that gets passed along to the embryo, it won’t survive. This happens when a piece of a chromosome breaks off and attaches to another chromosome — an event called translocation. This accounts for only 3-5 % of recurrent miscarriages.

• Problems with the uterus 

Some women are born with a septate uterus, a dividing wall inside the uterine cavity which can cause recurrent miscarriage. Other problems such as polyp of the uterus, fibroids inside the uterus and scar of the uterus especially from the previous D & C procedures can cause miscarriages. This is treatable.

• Hormonal Problems 

Thyroid problems, Luteal phase defects and excess prolactin may increase the risk of miscarriages. We can get your hormones back in balance and decrease the risk of another miscarriage.

• Autoimmune disorders 

Antiphospholipid antibodies and lupus anticoagulant are autoimmune conditions where a woman can make proteins that attack normal tissue in the body, including the baby’s placental tissue when pregnant. These increase the chances of miscarriage and, in some rare cases, can cause serious blood clots in the mother. We have treatments to prevent miscarriage in women with these antibodies.

• Diminished Ovarian Reserve 

If less eggs are left in ovaries, they are more likely to be abnormal eggs and greater chances of miscarriages. Higher the age especially over 35, the quality of the eggs deteriorates. However, diminished ovarian reserve can occur in younger women. This can be checked by doing some tests.

• Lifestyle Factors 

Heavy drinking, smoking and coffee can contribute to pregnancy loss. 

When Should I see the Specialist?

If you have experienced recurrent pregnancy loss, we are here to help you. The good news is that most causes of recurrent miscarriage are treatable, and you can expect to conceive and deliver a healthy baby.

Please contact Rockingham Women’s Health Centre on 0895918943 to book an appointment or www.rockinghamwomenshealth.com.au