Four mis­car­riages in a row

Sunday Trust - - BEAUTY -

I am 37 and have had four mis­car­riages in a row. The first mis­car­riage was at five months while the last three were be­tween six weeks and three months. I am get­ting frus­trated. Toyin, Zaria

Your problem is called re­cur­rent mis­car­riage. Also, the last three oc­curred in the first trimester, while the first was in the sec­ond trimester.

Most first trimester mis­car­riages are due to chro­mo­so­mal ab­nor­mal­i­ties, while the sec­ond trimester mis­car­riages are com­mon in pa­tients with cer­vi­cal in­com­pe­tence.

You need ex­am­i­na­tion: screen­ing for di­a­betes, syphilis and TORCH Syn­drome. The lat­ter com­prises of tox­o­plas­mo­sis, rubella, Cy­tomegalovirus (CMV) and her­pes virus.

In case of an­other preg­nancy, the steps to take are pro­ges­terone sup­port in the first trimester and cer­vi­cal cer­clage in­ser­tion at around 14.

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