Miss Sandra Watson MRCOG Consultant Gynaecologist
Miss Sandra Watson MRCOGConsultant Gynaecologist

Recurrent Miscarriages

Recurrent miscarriage is defined as the loss of three or more consecutive pregnancies. Around 1% of couples experience this devastating problem. In most cases, no definite reason is found and most couples will go on to have successful pregnancies in the future. Most couples do not need any particular treatment in their next pregnancy, apart from supportive care with regular ultrasound scans.

 

However, there are recognised factors which are thought to cause recurrent miscarriage, as follows:

  1. Genetic abnormalities: You and your partner can be screened for this but it is very uncommon.
  2. Abnormalities of the womb: You will have a 3D ultrasound of your womb cavity or a hysteroscopy to determine whether there is an abnormality in the shape of the womb.
  3. Antibodies: You will have blood tests to determine whether you have antiphospholipid syndrome. If you do, you will be advised on treatment in your next pregnancy.  The right treatment in the next pregnancy is very successful.
  4. Blood clotting problems: You will have blood tests to check for this and treatment will be advised if there is a problem.
  5. Hormonal factors: You will have blood tests to check your thyroid function and ovarian function.
  6. Psychological and emotional factors: Supportive treatment with regular ultrasound scans will ensure you are feeling confident regarding your next pregnancy, which helps to reduce the risk of miscarriage.

Late Miscarriage

Late miscarriages occur between 12 weeks and 24 weeks of pregnancy.  Some factors involved in causing late miscarriage are similar to those causing early miscarriage, including clotting abnormalities and antibodies.  The other factors causing late miscarriages include:

 

  1. Infection can cause late miscarriage and can be checked for in early pregnancy with a vaginal swab. It can be treated with antibiotics. 
  2. Cervical weakness: Some women have a weak cervix (neck of the womb) which causes it to open during pregnancy.  A cervical suture can be inserted into the cervix to prevent this happening.
  3. Cervical shortening: This can be picked up on ultrasound scan and either a suture is inserted or progesterone therapy can be used to prevent further shortening.
  4. Placenta problems: If the placenta does not develop properly, then sometimes a late miscarriage occurs. This can be due to clotting problems, antiphospholipid syndrome, and other medical problems or can occur on its own.  If this is thought to have occurred, then aspirin can be given to improve the development of the placenta in the next pregnancy.  

If you have had a late miscarriage you should be fully investigated to find the cause and to determine whether you need any particular treatment in your next pregnancy to prevent another late miscarriage. 

Private Practice Locations and Clinic Times

Holly House Hospital

High Road

Buckhurst Hill

IG9 5HX

 

Clinics Thursdays 9.00-12.00

 

Appointments: 

 

Tel: 0208 936 1201

 

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BMI London Independent Hospital

Beaumont Square

London

E1 4NL

 

Clinics Thursdays 1-4pm

 

Appointments:

 

Tel: 0207 780 2400

 

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Surgery is also performed at Spire Roding Hospital, Redbridge IG4 5PZ       02087097878

 

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For more information: Contact

Private Secretary


Telephone: 07949782339


email:medicalsec@hotmail.com

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