Recurrent Miscarriage

Most of the time there is no reason found for why a pregnancy ends in miscarriage and the majority of women will have a successful next pregnancy.  For some women and their partners, they will suffer another miscarriage. Having three or more consecutive spontaneous miscarriages before 20 weeks of pregnancy defines recurrent miscarriage and it is an uncommon occurrence, with 1-3% of couples affected. If this has happened to you, Dr Budden will ask for detailed information about how far along you were and what happened at the time of each miscarriage. He will then organise for a number of investigations for you, and perhaps your partner, to look for any causes of recurrent miscarriage.

Dr Aaron Budden Recurrent Miscarriage

Causes of Recurrent Miscarriage

Although specific causes for recurrent miscarriage are sought, it is important to note that 50% of couples with this problem have no apparent cause for their recurrent miscarriage.  While this may be frustrating, in many circumstances this may mean a better chance of future successful pregnancies, so it should not always be seen in a negative way.

Treatment Options

The treatment options for recurrent miscarriage vary, according to the cause that is diagnosed.  Possible treatment options are listed below. Dr Budden will discuss specific treatments for your situation.
  1. Medical treatments may include:
    • Aspirin
    • Clexane (injections used to thin the blood)
    • Prednisone
    • Progesterone
  2. Surgical treatments may include:
    • Laparoscopy (key hole surgery) to investigate and treat abnormalities
    • Hysteroscopy (looking inside the uterus) to identify and treat abnormalities inside the uterine cavity
  3. Assisted Reproductive Technologies (ART) and in vitro fertilization (IVF)
    • Preimplantation Genetic Diagnosis (PGD) may be recommended when there is a suspected gene abnormality.

This may allow for testing and selecting genetically normal embryos and prevent miscarriage.