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Recurrent Miscarriage

It is amazing to me how little good information is available on recurrent miscarriages. Partly this is because there is no medical specialty in miscarriage prevention and treatment. As a result there is little research into miscarriages. I’ve included the best resources I could find, even though there aren’t many. I am not a doctor, but from the research I’ve done, if you have had repeated miscarriages, I would recommend that you first have a chromosomal analysis done on the aborted/terminated fetus. If the test results show that the fetus was chromosomally normal, then I would suggest trying to find a clinic or doctor that specializes in miscarriages. (See below) You may need to send your test results to a clinic in another state since miscarriage specialist are few and far between. If the test results show a chromosonal abnormality, I would suggest seeing an reproductive endocrinologist that treats a lot of woman with repeated miscarriages. She may recommend that you simply keep trying or she may talk with you about using preimplantation genetic diagnosis (PGD) with IVF. (See resources I have for PGD under Infertility Reesources)

In the meantime, the following statistic should give you some peace: 70% of woman that have had up to four miscarriages will successfully carry a baby to term.

Where to start:

Books, Articles, and Other Information on Miscarriage:

  • The best educational book I've seen on miscarriages is: Coming to Term: Uncovering the Truth about Miscarriage by Jon Cohen. I loved this book. Cohen succeeded to make a dry, sad topic interesting. It is exceedingly well written and informative. Cohen, a biomedical journalist whose wife suffered four miscarriages, is thorough and researched based. I strongly recommend reading this book if you have suffered more than two miscarriages.
  • Miscarriage clinics: I was amazed to learn how few doctors specialize in pregnancy loss. Finding a doctor may be a problem, but there are a few that specialize in miscarriage. If you are not located near one of these clinics, consider contacting them for a recommendation or to find out if you can send your medical information to them for a telephone consult.
  • Recurrent Pregnancy Loss Program at the University of Chicago Medical Center- headed by Dr. Mary Stephenson http://www.uchospitals.edu/specialties/obgyn/pregnancy-loss/
  • Dr. Danny Schust used to run a miscarriage clinic at Brigham and Women's Hospital. He moved to the School of Medicine at the University of Missouri-Columbia where he is the Director of the Assisted Reproduction Laboratories.
  • Save the Baby Unit at St Mary's Hospital in Paddington, England headed by Dr. Lesley Regan- I know this is a long way to go, but it is one of the best and perhaps you can get a consult.
  • Patient fact sheet on recurrent pregnancy loss put out by the American Society of Reproductive Medicine
 
 
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