Recurrent Pregnancy Loss: Causes and Treatment Options

Introduction and Statistics 

Recurrent pregnancy loss is defined as 2 or more pregnancy losses before the 24th week of pregnancy. Pregnancy loss, which is a sad fact, occurs in approximately 15% of all pregnancies. However, the rate of couples who experience recurrent pregnancy loss by chance is only 1-2%. This means that couples go through a difficult process both physically and mentally. In addition, as the number of losses increases, couples' anxiety levels also increase.

 

Treatment Options: Antiphospholipid Antibody and Thyroid Function Tests

In cases with a history of recurrent pregnancy loss, low-dose aspirin and low molecular weight heparin are recommended for those with positive antiphospholipid antibody tests. At the same time, L-thyroxine treatment is recommended in cases with abnormal thyroid function tests and clinical hypothyroidism. These treatment options can help increase the chances of a healthy pregnancy.

 

Investigation of Anatomical Disorders and Surgical Treatment

In cases of recurrent pregnancy loss, it is important to determine whether there is an anatomical abnormality of the uterus. For this purpose, imaging methods such as three-dimensional ultrasound and uterine film can be used. If a disorder is detected, surgical treatment may be recommended. In this way, anatomical problems in the uterus can be eliminated and the chance of a healthy pregnancy can be increased.

 

Additional Research Genetic and Immunological Tests

Additional investigations such as genetic tests, immunological tests and hereditary thrombophilia tests may be considered, taking into account the medical and family history of the couple. These tests can help to identify possible genetic or immunological problems. In this way, the treatment plan can be shaped more effectively and the chances of achieving a healthy pregnancy can be increased.

 

Lifestyle Changes and Support

In 60 per cent of cases of recurrent pregnancy loss, the cause of the miscarriage cannot be determined. In these cases, couples are advised to adopt a healthy lifestyle, including a balanced and regular diet, maintaining a normal weight, quitting smoking, avoiding excessive alcohol consumption and adopting a healthy lifestyle. In this way, the general state of health can be improved and the ground can be prepared for a healthy pregnancy. It is also important that couples receive psychological support during this difficult time. Specialists and support groups can help to reassure couples, answer questions and provide emotional support.

 

Conclusion

Recurrent pregnancy loss can be a challenging experience for couples. However, with the right diagnosis and treatment approach, the chances of a healthy pregnancy can be increased. It is important to use low-dose aspirin and low molecular weight heparin in antiphospholipid antibody positive cases, regulate thyroid function tests, surgical correction of anatomical disorders and additional investigations. In addition, lifestyle changes and psychological support are among the supportive measures.

Recent Posts;