Recurrent Pregnancy Loss

WEBVTT 00:00:05.040 --> 00:00:06.417 Recurrent pregnancy loss, 00:00:06.502 --> 00:00:09.333 also commonly known as recurrent miscarriages, 00:00:09.542 --> 00:00:13.750 is when a woman has had three or more miscarriages. 00:00:13.840 --> 00:00:18.083 Medically, it's three or more miscarriages in a row without a live birth. 00:00:18.680 --> 00:00:23.500 However, to a patient, two miscarriages is recurrent pregnancy loss. 00:00:23.760 --> 00:00:27.680 Patients should seek medical evaluation, 00:00:28.440 --> 00:00:30.997 A, when they're concerned about pregnancy loss, 00:00:31.080 --> 00:00:32.917 it doesn't matter if it's one or two, 00:00:33.440 --> 00:00:37.500 or medically, when they've had three or more medical miscarriages, 00:00:37.833 --> 00:00:39.750 then they should at least get evaluated 00:00:39.833 --> 00:00:44.000 to see if there is a reason why this is happening, 00:00:44.417 --> 00:00:46.256 because a lot of times there are going to be reasons 00:00:46.339 --> 00:00:47.853 that we can treat and prevent 00:00:47.958 --> 00:00:51.000 or reduce the risk for that miscarriage to occur again. 00:00:51.520 --> 00:00:53.627 The most common cause of a miscarriage 00:00:53.710 --> 00:00:56.360 is going to be something wrong with that embryo. 00:00:56.760 --> 00:01:00.557 We can do testing to make sure that the mother or the father 00:01:00.640 --> 00:01:04.360 are not carriers for abnormalities that can affect the embryo. 00:01:04.920 --> 00:01:09.797 For patients undergoing in vitro fertilization in order to get pregnant, 00:01:09.880 --> 00:01:13.888 we can also biopsy the embryos to rule out chromosomal problems 00:01:14.088 --> 00:01:16.632 that are the number one cause for miscarriages, 00:01:16.715 --> 00:01:19.997 and the number one cause for recurrent miscarriages. 00:01:20.080 --> 00:01:23.723 The test to identify the cause for recurrent miscarriages, 00:01:23.806 --> 00:01:26.971 or recurrent pregnancy loss includes blood work 00:01:27.054 --> 00:01:29.240 for both the mother and the father. 00:01:29.640 --> 00:01:31.480 Some of these are certain health labs. 00:01:31.640 --> 00:01:34.277 Do they have genetic carrier status? 00:01:34.360 --> 00:01:37.588 So they are going to pass on certain things to the embryo 00:01:37.788 --> 00:01:40.833 that will cause a miscarriage, and we can biopsy the embryos. 00:01:41.800 --> 00:01:43.105 Sometimes, fibroids, 00:01:43.208 --> 00:01:48.208 or other structural abnormalities with the uterus can cause miscarriages, 00:01:48.309 --> 00:01:49.360 we can treat those. 00:01:50.120 --> 00:01:54.875 Hormonal abnormalities, we can address the hormonal abnormalities, 00:01:55.125 --> 00:01:56.458 and take care of these things 00:01:56.542 --> 00:01:59.360 to greatly reduce the chance of a future miscarriage. 00:01:59.920 --> 00:02:01.333 Pregnancy after miscarriage 00:02:01.417 --> 00:02:05.333 is definitely possible for the vast, majority of women. 00:02:05.880 --> 00:02:08.292 So women should not give up. 00:02:08.520 --> 00:02:11.797 Many patients can achieve that wonderful outcome 00:02:11.880 --> 00:02:13.720 if they just keep trying.