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Miscarriage or recurrent pregnancy loss is devastating. What are the latest ways to treat miscarriage? Host Dawn Davenport, Executive Director of Creating a Family, the national infertility and adoption education and support nonprofit, interviews Dr. Lora Shahine, a reproductive endocrinologist, the Director of the Recurrent Pregnancy Loss Program at Pacific NW Fertility and author of Not Broken: A Guide to Recurrent Pregnancy Loss.

Highlights of the show (click to expand)
  • What has happened in the last several years in medical science that has changed so much of our understanding of recurrent pregnancy loss?
  • How common are miscarriages in general?
  • What is considered recurring pregnancy loss? In other words, when should a woman begin to worry?
  • Do miscarriage very very early in the pregnancy count in this number?
  • If we include miscarriages that occur very early after a pregnancy test (biochemical pregnancy), what is the percentage of all pregnancies that end in miscarriage.
  • Let’s distinquish between first trimester miscarriages and 2nd or 3rd trimester losses. What are the different causes?
  • What type of doctor should a woman see if she has had more than one miscarriage in the first trimester? In the 2nd trimester?
  • What are the chances of having a baby after a miscarriage?
  • Is it true that most often a cause for recurrent pregnancy loss is never found?
  • Is there a way to test the mother to determine if the embryo has a chromosomal imbalance?
  • Will embryos that were created through IVF and genetically tested have a lower chance of being miscarried?
  • Most often miscarriages are caused by a problem in the embryo, but what are some anatomical problems in women that can cause recurrent pregnancy loss?
  • Does use of an IUD result in scarring of the uterus that can contribute to causing a miscarriage?
  • Can elective abortions increase a woman’s chance of a miscarriage?
  • Genetic issues in the parents that can lead to miscarriage
  • Immune issues in the mother that can cause miscarriage.
  • Antiphospholipid Syndrome (APS)
  • How to diagnose and treat Antiphospholipid Syndrome.
  • Can hormonal imbalance in the mom increase her risk of miscarriage?
  • Are women with diabetes at higher risk?
  • Are overweight woman at higher risk?
  • What are some of the current controversies in the treatment of recurrent pregnancy loss?
  • If you have had 2 or more miscarriages, should you be tested for thrombophilia? Should you be tested for MTHFR?
  • Should you supplement with progesterone if you have had 2 or more pregnancy losses?
  • Should you have your thyroid tested if you have had 2 or more miscarriages?
  • Should you take a baby aspirin if you have had 2 or more miscarriages?
  • Can a woman’s immune system cause her to miscarry?
  • Lifestyle modifications to help reduce the chance of miscarriage.

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Image credit: Iain Middleton-Duff