Recurrent first trimester miscarriage

 🌸

Recurrent First-Trimester Miscarriage

Losing a pregnancy, especially in the first trimester, is one of the most painful experiences for any woman or couple. When this happens more than once, it becomes even more devastating — and is medically defined as recurrent miscarriage.

🔹 Traditionally, this meant 3 or more consecutive losses before 12 weeks, but today, most guidelines (ASRM / RCOG) recommend starting investigations after 2 consecutive losses.

🔍 Common Causes

Genetic factors: Chromosomal abnormalities in the fetus (the most common cause).

Anatomical: Uterine anomalies (septate uterus, fibroids, adhesions).

Endocrine: Poorly controlled diabetes, thyroid disorders, PCOS with insulin resistance.

Immunological/Thrombophilia: Antiphospholipid syndrome (APS), inherited clotting disorders.

Lifestyle: Smoking, alcohol, obesity, excessive caffeine.

Infections: Rare, but sometimes considered.

Age : advanced maternal age.

🧪 Recommended Investigations

Karyotyping (parents or products of conception if possible).

3D ultrasound / hysteroscopy for uterine assessment.

Screening for APS (anticardiolipin, lupus anticoagulant, β2-glycoprotein).

Thyroid function, HbA1c.

Optional: thrombophilia screen (case-by-case).

💊 Management Options

Preconception care: Optimize weight, control diabetes/thyroid.

APS confirmed → Low-dose aspirin + LMWH during pregnancy.

Uterine anomalies → Surgical correction (e.g., hysteroscopic septum resection).

Genetic causes → Sometimes miscarriages happen due to repeated chromosomal issues. In these cases, doctors may recommend IVF with advanced embryo testing (Preimplantation Genetic Testing, PGT). This means embryos are checked in the lab before being transferred to the womb, so that only healthy ones are chosen — reducing the risk of miscarriage.

Emotional support & close monitoring — proven to improve pregnancy outcomes.

💡 Key Message

Not every recurrent miscarriage has a clear cause — up to 50% remain unexplained. But with thorough evaluation, lifestyle optimization, and compassionate follow-up, most women can go on to have a healthy pregnancy. 💙

#DrRababCares — 

because every woman deserves hope, answers, and support on her journey.

#WomensHealth #MiscarriageAwareness #FertilityCare #DrRababCares #ForestParkHospital

Share: