From a contact to OurHopePlace.com

Dear www.OurHopePlace.com,
This (miscarriage) is such an important topic, which I just covered on ABC.

Here’s a link to the segment and to my blog. I’d be happy to provide you with more content.
Be well,
Barb Dehn NP
Barb’s Daily Dose.
Health information you really need to know now!

Coping with miscarriage

Though everyone experiences pregnancy loss in their own way, for many women, this is a heart breaking experience. Many women are surprised to discover that 1 in 5 pregnancies will miscarry. Often a cause for the miscarriage can’t be determined, which can lead to more confusion and questions. The mood changes that occur from surging hormones in pregnancy are magnified when the hormone levels drop suddenly with a miscarriage. These wild swings in hormone levels can push women into despair. Couples need time to grieve before they can try again. Wanting a baby, allowing ourselves to be hopeful, and yet preparing for a possible loss is like walking an emotional tightrope over a chasm of worry.

Rates of pregnancy loss
About 1 in 5 (20%) pregnancies miscarry. Most are discovered before 12 weeks. Women over 40 have a slightly higher rate of loss, which is estimated at between 25 to 30% or higher. One miscarriage DOES NOT mean that there is a greater chance of miscarriage with the next pregnancy. The likelihood of a 2nd miscarriage is the same, about 20%; it’s not higher.

Recurrent Miscarriage
Thankfully, only about 5% of women will experience 2 or more miscarriages in a row, yet miscarriage rates are higher if a woman has experienced more than 2 miscarriages in a row. For recurrent miscarriage, testing for possible causes is recommended, though in 50 – 75% of cases a cause can’t be determined according to ASRM, the American Society of Reproductive Medicine.

Basic Tests for Recurrent Miscarriage
• TSH – Thyroid Stimulating Hormone – An under or over active thyroid can lead to pregnancy loss.
• ACA – Anticardiolipin antibody – A positive result indicates that there may be problems with the mother’s blood forming tiny clots that can interfere with how the blood flows through the placenta to the baby.
• ANA – Antinuclear antibody – Tests for Lupus and Rheumatoid
Arthritis, both of which are auto-immune diseases associated with higher rates of miscarriage.
• APA – Anti-phospholipid antibody – A positive result indicates that there may be problems with the mother’s blood forming tiny clots that can interfere with how the blood flows through the placenta to the baby.
• Chromosomes – Both partners are tested for genetic disorders that can lead to recurrent miscarriage (pregnancy loss).
• Ultrasounds – And other procedures, such as hysteroscopy, and sono-hysterography to look for abnormalities in the uterus.

Treatment options
• Baby Aspirin – Treats positive APA, ACA. Helps prevent blood clotting and improves blood flow to the baby.
• Heparin injections – Helps prevent blood clotting and improves blood flow to the baby.
• Enbrel – To help the uterine lining sustain the pregnancy.
• Progesterone – Given after ovulation to help the uterine lining sustain the pregnancy.
• Prednisone – An anti-inflammatory medication that may help decrease the effects of the antibodies

For more information see: www.ASRM.org and www.resolve.org

To buy Barb’s award winning Personal Guide to Fertility, click here.

Advertisements