For patients with recurrent pregnancy loss
Back in the 1980s, we too thought that if you had had three miscarriages, you would miscarry 100% of the time on the next attempt. After gaining clinical experience, I am now confident that I can deliver a baby even after three miscarriages. Even today, patients who have had three miscarriages believe that they have a 100% chance of a miscarriage the next time around. Some miscarriages come as a shock to some patients who have used contraception over a long period, but the fact is that wasting those important years makes it more difficult for them to give birth at a later age.
Patients who have miscarried tend to blame themselves and have low self-esteem. However, many cases are caused by aneuploidy in the fetus and are not the result of a woman's inactivity or negligence.
Trisomy 16 is the most common aneuploidy found in miscarriage, and it is not found in the newborn. The fetus is fated to never be born if they have a serious developmental abnormality. These children have a life span which does not extend beyond the first trimester of pregnancy, and they are ultimately miscarriaged.
Often, the cause of the miscarriage is not properly understood. In our survey of 1,219 people in Aichi Prefecture, 62% of respondents, who indicated that they knew or somewhat knew the cause, attributed their miscarriages to "genetic factors such as chromosomal abnormalities," a lower percentage than in the United States (32). Prolonged stress, stressful events, and heavy lifting accounted for 75%, 65%, and 49% of the respondents, replies, respectively. However, these life events have never been proven to cause a miscarriage. Sixty-five percent reported miscarriages less frequently than the actual 15%. Some of the women who have survived a miscarriage felt guilty about having caused it and believed that it could have been prevented.
Fifteen percent of patients were found to have depression and anxiety disorders. A psychological approach known as cognitive behavioral therapy can be useful in alleviating these conditions. Since 85% of you have been able to give birth, it is important to have a positive outlook on the pregnancy. Let's work together to get beyond the miscarriage and to look forward to a future baby.
- Definition of recurrent miscarriage and recurrent pregnancy loss and results of the Japan Environment and Children’s Study (JECS)
- Examination and causes of RPL
- Antiphospholipid syndrome
- Treatment of antiphospholipid syndrome
- Chromosomal translocation in either partner
- Preimplantation genetic testing for chromosomal structural rearrangement
- Congenital uterine anomaly
- Thrombotic predisposition
- Endocrine abnormality
- Fetal or embryonic aneuploidy
- Preimplantation genetic testing for aneuploidy
- Immunotherapy for unexplained recurrent miscarriage
- Drug administration for repeated miscarriages of unknown cause
- Unknown Causes
- Emotional support