The risk of recurrent pregnancy loss, which can be defined as the consecutive miscarriage of fetuses weighing 500 grams or less, more than 3 times before the 20th week of pregnancy, is around 1%.
The problem of recurrent pregnancy loss. Although it is not always possible to diagnose why couples face this problem, the cause can be identified in approximately 50% of them. While the likelihood of the next pregnancy ending in miscarriage increases as the number of consecutive miscarriages increases, it is known that this risk decreases in people who have given birth before.
Factors Leading to Recurrent Pregnancy Loss
In some cases, there is a single cause. While it can lead to recurrent pregnancy loss, in some cases, more than one factor can trigger recurrent pregnancy loss. These reasons may need to be identified in order to apply the treatment.
Genetic Factors: Chromosome disorders are one of the most common causes of early pregnancy termination. For couples experiencing this problem, having a genetic examination is an important step in detecting the problem. As a result of genetic examination, it can be understood whether people are carriers of reciprocal translocation and robertsonian translocation or whether there is a mosaicism problem.
Suppressor Cell and Suppressor Factor Deficiency:Suppressive elements in the immune system between the mother's body and the baby. weakens the connection. It is thought that the lack of suppressive element in the uterus is the cause of fetal loss.
Congenital Anatomical Problems:Having congenital anatomical problems in the expectant mother's uterus increases the risk of recurrent pregnancy loss. Factors such as a curtain in the uterus and adhesions in the uterus increase the risk of pregnancy.
Cervical Insufficiency:The diagnosis of uterine insufficiency, which can be defined as the cervix being wider than normal values, usually depends on any complaint. It is placed during miscarriages that occur without pregnancy.
Myomas:About 20% of women over the age of 30 have g� The detected benign tumors, that is, "myomas", can be of different sizes. The size of myomas and the areas where they are located may increase the risk of pregnancy loss. The main reason for this is that myomas can prevent the fetus from feeding and the embryo from attaching to the uterus.
Apart from all these reasons, advanced age, cases of infection, the presence of clotting problems in the mother, diseases such as diabetes and polycystic ovary syndrome, smoking and alcohol use. It is known that recurrent pregnancy loss may occur for different reasons such as.
Recurrent Pregnancy Loss Diagnosis and Treatment
In cases where the birth process cannot be completed due to recurrent pregnancy problems, genetic tests should be performed first. In cases where it is understood that genetic factors cause miscarriage, preimplantation pregnancy can be performed.
If genetic problems are not detected, diagnostic methods such as intrauterine film and hysteroscopy are used to reveal anatomical disorders in the uterus. If a problem is detected in the data obtained, problem-based treatment methods are applied.
Since hormonal factors may also cause recurrent pregnancy loss, doctors make special interventions for the expectant mother as a result of the examinations. In this context, the level of thyroid hormones can be balanced, insulin resistance can be regulated, and luteal phase failure can be supported with progesterone hormone.
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