Idiopathic Recurrent Miscarriage Study 1999

I was sent a link on this interesting, even if lengthy and techno-filled, study on Idiopathetic (Unexplained) Recurrent Miscarriage.

Bulleted sections of interest:

  • Consequently, by 8 weeks gestation, if a fetal heart beat had been identified, the chances of a successful outcome in a subsequent pregnancy were 98%, climbing to 99.4% at 10 weeks gestation.
  • Women with a history of two previous miscarriages had similar chances of success in a subsequent pregnancy to those that had a history of three previous miscarriages (76 versus 79% respectively, as calculated from the logistic regression model).
  • The concept of gestational milestones has been used to predict pregnancy success at 6, 8 and 10 weeks gestation. For the entire population there was a 22% loss rate at 6 weeks gestation, which dramatically fell to 2% at 8 weeks and subsequently at 10 weeks gestation fell to 0.6% of the remaining population. The conclusion would be that the most perilous time of gestation for women with idiopathic recurrent miscarriage is between 6 and 8 weeks.
  • Women with a history of idiopathic recurrent miscarriage, understandably exhibit a marked stress reaction following early diagnosis of a subsequent pregnancy. Ultrasound reassurance and emotional support in a specialized Miscarriage Clinic may address this problem and go some way to alleviating this stress.

The last point emphasises the importance of involving an empathetic physician who is vested professionally in having their patient go onto a successful pregnancy. Too many times, women begin to “accept” their pregnancy’s fate and no longer bother seeking their physician’s advice. If your doctor (and one that is acutely aware of your recurrent miscarriage history) who once he is told that you are newly pregnant has you wait until nine weeks to see you, it’s time to find a new doctor.

Support by not just your physician, but loved ones, is crucial within the early stages of a pregnancy. Do not accept and “wait and see” attitude and complacency from anyone, including yourself.

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2 Comments

Filed under Technical Studies and Data

2 responses to “Idiopathic Recurrent Miscarriage Study 1999

  1. The last bullet is the truth. My ob whom I love, but seriously is out of his element with recurrent loss probably thought we were nuts with the amount of u/s’s that occurred with the NN at the beginning. Our RE however totally understood. We had an u/s at 5, 6, 7, 8, 9.5 weeks and I think there was another one in there as well. It was practically an open invitation to the u/s room. He got it and for that I am so very thankful. D even lived for those moments. Primarily because he was fearful in the beginning that a boulder was hanging right over our heads and waiting to drop on it… I think that accurately describes my feelings on what pregnancy after loss is like… moments of relative calm, then moments of fear. Such is life right?

  2. =====================
    I honestly am not sure about this one. I have a different point of view. But anyway …

    cheers, Optimal.

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