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Miscarriages - By Dr. Mansukhani

What are the common causes of miscarriages

Miscarriages generally take place in the first two trimesters.  The chance of a miscarriage in the third trimester is extremely low.

First trimester

  • Hormonal imbalance due to deficiency of progesterone making the uterine environment less receptive
  • Chromosomal abnormalities of the foetus
Second Trimester
  • Incompetent os i.e. weakness of the cervical muscles
  • Excessive water i.e. hydramnios
  • Low-lying placenta causing bleeding and consequently abortion
  • Lifting heavy weights
Third Trimester
  • Very low chances of miscarriage
  • After 28th week, it is considered premature labour


What kinds of women are at high risk for a miscarriage

  • Pregnancy with twins or multiple babies
  • Women who conceive with IVF treatment for hormonal imbalance
  • Women with abnormalities of the uterus


When should I try to conceive again after a miscarriage

There is no one answer for when you should try to conceive again after a miscarriage.  It entirely depends upon the reason for miscarriage.  For example, in the case of foetal anomaly, genetic counseling of both parents is a must before the next conception.  In the case of intrauterine viral infection, it has to be treated first before another conception can be planned.

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