Recurrent Abortion is defined as a sequence of 3 or more consecutive Pregnancy Loss / Abortion.
It’s a condition of frequent pregnancy loss in early or later pregnancy. The patient goes through immense physical and emotional trauma which is the irony here.
The condition may be primary or secondary (after few pregnancies before too). The causes are complex, difficult, and multi-factorial.
These causes may be also recurrent or non-recurrent and multiple in nature.

The causes are different in First Trimester (up to 12 weeks) and Second Trimester (up to 24 weeks).

First Trimester Causes –

1. Genetic Factors – Parental chromosomal abnormalities can never lead pregnancy to go further
2. Hormonal and Metabolic Factors – Poorly controlled diabetes, thyroid disorders, progesterone hormone deficiency, PCOD ( excessive LH – Leutenizing hormone)
3. Infection– TORCH , Syphilis, STI, Chlamydia, Malaria, HIV, Brucella and few more can affect the fetus and
result in abortion
4. Auto Immunity – The Mother’s body reacts with certain immunity and doesn’t allow the fetus to grow
further. e.g. APA , LA
5. Bad Life Style – Substance abuse of alcohol, tobacco, smoking, excessive starvation and many more unhealthy life style
6.Unknown Causes – Majority of the times, cause/s of recurrent abortion are unknown

Second Trimester Abortion/Pregnancy Loss Causes –

Congenital Anatomic abnormalities as Septum Uterus, Bicornuate – Double Uterus, Short Cervix, Intra-Uterine Adhesions, Uterine Fibroids don’t allow to proceed pregnancy beyond 24 weeks.

Treatment –

The management of recurrent abortion is mainly on particular cause which is involved.

• Certain investigations as karyotyping (Genetics), blood test, ultrasound , HSG & radiology are very crucial.
• There can be a single or multiple cause in a particular patient.
• Medical, surgical & hormonal treatment is required.
• Life style modification
• Holistic health, spiritual positivity can help to cope up with recurrent pregnancy loss.
• Ancient Ayurveda – Medical Management – Shaman Chikitsa, Panchkarma, detoxification – Uttar Basti (Medicated Intra Uterine Lavage , Rasayana and Garbh sthapan treatment is also useful.

Comments