7 Eylül 2009 Pazartesi

recurrent miscarriages and having baby

I am 31 years old. In the last three years I've been pregnant three times, resulting in early miscarriages. My doctor says there is nothing wrong with me. I want to have a baby -- what can I do?
Recurrent miscarriages are really a tragedy for a couple, and I wish you good luck. And looking at statistics, I really think that you will have good luck. The chance of a miscarriage happening in any pregnancy is about 15%. The majority of miscarriages are caused by the sperm and egg failing to join together properly. If you study the genetic makeup of most fetuses that are miscarried, they are abnormal. Given all the tricky things that can happen when fertilization occurs, I am really surprised there aren't more miscarriages occurring.

The good news is that if one suffers a miscarriage, the odds are the same 15% of suffering a miscarriage in the second pregnancy. And even if a woman has gone through three miscarriages, the odds are 75% that she will carry a healthy pregnancy on the fourth attempt. (mary jane minkin, MD)

There are certain medical conditions that do increase the risk of recurrent miscarriages, and it sounds like you have had some of these investigated. Occasionally, women do not ovulate well enough -- a condition called inadequate luteal phase -- which can be monitored by doing a blood test to measure your progesterone level a few days before you are due to get a period. Some women have antibodies to a pregnancy, and these can be checked by blood tests for anticardiolipin antibody and lupus anticoagulant. Rarely, either you or your husband may have a genetic abnormality, which can be checked by looking at the chromosomes (called balanced translocation) from either parent. Finally, you could have some abnormality in your uterus, such as a polyp, fibroid or septum, which can be removed -- this would be discovered by doing an x-ray of your uterus called a hysterogram, or by looking inside your uterus with a hysteroscope.

If all these tests have been done and are normal, the odds are overwhelmingly in your favor. I would encourage you to go for it, Naureen. If these tests uncover a problem it can be dealt with, and I encourage you to, as the ads say, just do it. Good luck.

1 yorum:

  1. Cause for miscarriages is found but the possible causes include genetic defect, abnormally shaped uterus, uterine fibroids, scar tissue, hormonal imbalances and illness such as diabetes. Increased age, habits such as smoking, caffeine and alcohol, and the use of certain medications increase a woman's risk for miscarriage.

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