Understanding and Preventing Miscarriage and Recurrent Pregnancy Loss

What causes miscarriage and recurrent pregnancy loss. What is the best treatment and what are the controversies in the diagnosing and treating of miscarriage. We talked with Dr. Lora Shahine, RE and Director of the Recurrent Pregnancy Program at Pacific NW Fertility and clinical faculty at the University of Washington in Seattle, and author of the book “Not Broken: An Approachable Guide to Miscarriage and Recurrent Pregnancy Loss.”

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Hit the Highlights

  • What is miscarriage? What other names do medical professionals use?

  • Does the name change depending upon when in the pregnancy it occurs? 

  • What is a biochemical pregnancy and is it a “miscarriage”?

  • When does miscarriage become “recurrent pregnancy loss”?

  • How common are miscarriages? How common is recurrent pregnancy loss?

  • Who should you see?

  • What is the role of the male in miscarriage and recurrent pregnancy loss?

  • What are the common causes for first trimester miscarriage?

  • What are the common causes for recurrent pregnancy loss?

  • How to diagnosis the cause of recurrent pregnancy loss?

  • How to treat/prevent recurrent pregnancy loss?

  • What should patients do to reduce their chance of a miscarriage?

  • Inherited Thrombophilia

  • Methylene Tetrahydrofolate Reductase (MTHFR)-how our body processes folate

  • Luteal Phase Defect and progesterone treatment

  • Infection

  • Thyroid

  • Immune system & immune treatment for RPL

  • Aspirin treatment

  • IVF as treatment for recurrent pregnancy loss.

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Music credit: Michael Ashworth

Image credit: Kevin McIver