Friday, April 15, 2011

Facts about Miscarriage

A recent comment somewhere by a patient of mine (Don't know the real name as that person has used pseudonym) that my mistake led tomiscarriage has led me write this post.First of all I am sorry for the loss as Miscarriage is a traumatic event for a couple,but unfortunately 25% of pregnancies end up in miscarriage.Commonest cause is an unhealthy pregnancy.........Nature takes care by eliminating these pregnancies (theory of survival of the fittest).1% of the ladies might have a reason for recurrent miscarriage and need further investigations.
There are certain myths about miscarriages and not supported by any evidence.They are as follows.......
  • One needs bed rest to prevent miscarriage.There is no role of bed rest in modern day Obstetrics apart from an incompetent OS(Mouth of the womb).
  • Travelling causes miscarriage,unless it is a really bumpy road.
  • One needs progesterone and HCG injections to 'support' the pregnancy.No evidence that they support pregnancy.
  • Sex leads to miscarriage.It doesn't!!(Penetrative sex is contraindicated if placenta is low lying.)
  • Flights cause miscarriage.Modern day aircrafts have a very good pressure control in the craft and is not at all a reason of miscarriage.
  • TORCH group are responsible for recurrent miscarriage.
  • Driving car causes miscarriage.It doesn't
Conditions which can increase the risk of miscarriage are
  • Increasing age of mother (Ladies in their 30s)
  • Uncontrolled Thyroid problem
  • PCOD
  • Any structural defect in uterus
  • Small uterus
  • Fibroids
  • Severe UTI or any other severe infections
  • High grade temperature
  • Taking certain medicineswhich can have abortificient effect
  • IVF or pregnancy after infertility treatment.


jeetcp said...

This is very helpful.

Apart from this, please comment about following if they cause miscarriage:

1) Lifting heavy things?
2) Climbing the stairs?
3) What about eating habits?

Dr Kaushiki Dwivedee said...

1) Lifting heavy things?
You can lift 4 to 5 kgs of weight without any problem.There is no association between lifting weight and miscarriage but as a pregnant ladies gait is clumsy lifting too heavy a weight should be avoided to prevent fall and thus injury.
2) Climbing the stairs?
Climbing stairs is no way associated with an early miscarriage unless the Lady has incompetent mouth of the womb
3) What about eating habits?
Caffeine (Tea and coffee) in moderation.Avoid cheese,unpasturaized milk and sea food.Papaya and pineapple don't cause miscarriage.