
What Are The Various Causes For Trimester Abortions?

genetic causes are more common
Detailed Answer:
Hello dear,welcome to healthcare magic.I understand your concern.
Its good to know that you dont have any drug addiction.
In my opinion there are various causes for first trimester abortions.They are:-
1)Genetic anamolies- most common.
2)Infections- TORCH infections ,chlamydial infection ,Gonorrheal infection etc.
3)Hormonal abnormalities - thyroid abnormalities,diabetes,progesterone insufficiency.
4)Immunological factors- Here the mother s body might reject the fetus leading to miscarriage.
So in case of frequent miscarriages all the above causes should be evaluated.
Age also might be a factor.And the risk of genetic anamolies increase after 35 years of age.
The big clots doesn't indicate anything specifically.Sometimes when the spontaneous miscarriage occurs some products of conception might be retained in uterus.And the uterus tries to expel that retained products.In this process the excess bleeding associated with clots occur but still the products might not come out.During that time D&C is done to remove them and stop bleeding.
Dont worry madam even after frequent miscarriages there is every chance for normal pregnancy.
The miscarriages might or might not run in families.So you are experiencing even though your mother and sister dont have.
Plan your pregnancy after 3 months.Take folic acid tablet one per day one month before planning the pregnancy.
Hope this satisfies your query.
Feel free to discuss furthur.
Best regards...Dr srilatha


unexplained causes are upto 60%
Detailed Answer:
Hello dear,I got your query.I understand your concern.
In my opinion all the causes which I explained you in my previous query might be investigated.
1)Karyotyping of husband and wife to exclude any genetic abnormalities.
2)Toxoplasmosis antibodies IgG and IgM ,VDRL to exclude TORCH infections.
3)Thyroid profile to exclude thyroid abnormalities.
4)Fasting and postprandial blood sugar to exclude diabetes.
5)Autoimmune screening like anticardiolipin antibodies.
6)Endocervical swab to detect chlamydia,mycoplasma and bacterial vaginosis.
About 40 to 60% of abortions remained unexplained.
Dont worry usually a normal pregnancy might occur after subsequent abortions.
Hope this satisfies your query.
Feel free to discuss further.
Best regards...Dr srilatha

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