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Recurrent Miscarriage
According to the American Society for Reproductive Medicine, about 25 percent of known pregnancies end in miscarriage.
What is Recurrent Miscarriage?
It is when a woman experiences the loss of two or more consecutive pregnancies in the first or second trimester or the loss of three or more pregnancies before 20 weeks gestation.
What causes Recurrent Miscarriage?
The causes of miscarriage are not completely understood, but researchers believe that most miscarriages that occur in the first trimester (first 12 weeks of pregnancy) are caused by randomly occurring chromosomal abnormalities in the fetus that prevent it from developing normally. Medical conditions in the mother (e.g. diabetes) can also lead to miscarriage. Several autoimmune conditions as well as structural problems within the uterus may affect implantation and result in first trimester miscarriages.
Other possible causes:
- Uterine and/or cervical abnormalities
- Chronic illness
- Hormonal problems—too much or too little progesterone. miscarriage of
- Infections
- Fever
- Blood incompatibility. In some cases, the fetus’ and mother’s blood type do not match, causing the mother to develop antibodies to the fetus. This type of incompatibility between mother and fetus-called Rh incompatibility.
- Previous miscarriages
- Women over age 40 are at a higher risk due higher chromosomal abnormalities
- Folate insufficiency
- Smoking
- Alcohol
- Use of certain medications and/or illegal substances
- Prenatal testing like amniocentesis and chronic villus sampling
- Trauma
- Environmental factors. Exposure to environmental toxins, radiation and immunologic factors has been associated with miscarriage.
Symptoms for Miscarriage:
- Pelvic pain
- Cramping in the abdomen or low back
- Weight loss
- White-pink mucus or discharge
- Painful contractions (occurring every 5 to 20 minutes)
- Frequent bowel movements
- Brown or bright red bleeding or spotting
- Decrease in signs of pregnancy (e.g. morning sickness or loss of breast tenderness)
Prevention of Miscarriage:
It is recommended that women try to achieve a healthy lifestyle by doing the following:
- Eating a healthy and well balanced diet
- Low impact regular exercise
- Managing stress
- Take folic acid
- Stop smoking
- Avoid use of alcohol and illegal drugs
- Not cleaning the cat’s litter box-helps avoid toxoplasmosis
- Limiting or eliminating caffeine
- Avoid environmental hazards, such as radiation and x-rays
- Avoid certain foods which may have harmful bacteria, such as raw or uncooked meats, deli meats, liver, fish, raw shellfish, raw eggs, soft cheeses, and unpasteurized milk
Western treatment for Recurrent Miscarriage:
- Surgery. Surgical procedures may be performed to correct any uterine and/or cervical abnormalities. Sometimes, a cervical cerclage procedure that stitches the cervix shut in women with incompetent cervix is helpful in preventing pregnancy loss resulting from this abnormality.
- DNC
- Hormone therapy. Human menopausal gonadotrophin (hMG) hormone and Clomiphene Citrate (Clomid) may be useful in treating women who experience recurrent miscarriage due to low levels of the hormone progesterone.
- Medical treatment of chronic illness. Women with chronic diseases, such as diabetes, thyroid dysfunction and polycystic ovarian syndrome.
- Treatment for immune system problems. Treatment administering a combination of low dose aspirin and low dose heparin may be effective in improving pregnancy outcome in women with recurrent pregnancy loss.
- In vitro fertilization (IVF) and preimplantation genetic diagnosis (PGD). A combination of IVF and PGD is often successful in preventing recurrent miscarriage due to chromosomal abnormalities in the embryo.
Treatment with Chinese Medicine:
Traditional Chinese Medicine offers effective solutions for recurrent miscarriages due to immune factors, hormonal imbalances and stress. Our program addresses these issues via acupuncture, herbs, diet, and Reproductive Organ Massage. |
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