WOMENS-HEALTH Messages for June, 1997: Re: miscarriage:chromosonal disorder

Re: miscarriage:chromosonal disorder

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Sun, 22 Jun 1997 20:27:19 -0500 (CDT)

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At Sun, 22 Jun 1997, Peggy wrote: >
>I had my second miscarriage in five months. The second one
>went 12 wks and the remains went to path, which showed a
>chromosonal disorder. does this mean
>that I will never be able to have children.

Peggy-

First of all, I'm very sorry about your loss. Miscarriages are certainly difficult to go through, and it's understandable that you are searching for information on why this happened, and the implications for your future pregnancies.

Chromosomal problems, where the genetic material that develops after the sperm and egg unite somehow does not develop correctly, are the most common cause of early miscarriages. So common, in fact, that somewhere between 20 and 50% of early pregnancies end in miscarriage. We're not sure why humans are so inefficient at getting and staying pregnant, or why so many pregnancies end in miscarriage, but we *do* know that in over 80% of cases, the next pregnancy turns out perfectly normal. In other words, chromosomal problems may be common but in most cases the next pregnancy turns out fine. Your situation is unfortunately different, since you had 2 losses in a short time. Still, the statistical chance is that the next pregnancy will turn out normal.

Because some women have a problem with "recurrent pregnancy loss" and lose many pregnancies in a row, your doctor may advise you to have a workup to evaluate for this. It really depends on many factors, including your age, prior pregnancy history, medical status, physical exam, etc. Therefore, please voice your concerns to your doctor; they are both reasonable and important.

If you are like most women who have had a miscarriage you are probably wondering if there is anything you did that could have caused this. The answer is no. Despite "old wives' tales" there is no evidence that things like diet, sex, excercise, reasonable stress, etc have anything to do with miscarriage. Like I tell my patients, it's most often just plain bad luck.

I sincerely hope that everything turns out well and you have many successful pregnancies.

Ashley

--
Ashley Hill
D. Ashley Hill, M.D.
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
Orlando, FL
dahmd@gate.net

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