How to Assess the Prognosis after Recurrent Miscarriage

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

A patient with recurrent pregnancy loss (RPL) usually requires four answers, the cause of her miscarriages, the prognosis both for the next pregnancy and whether she will ever have a live child, and what treatment can be offered to prevent a recurrence. Various predictive factors have been reported to affect the prognosis, viz.: (i) The number of previous pregnancy losses. As the number of previous losses increases, the chance of a live birth decreases. (ii) Maternal age, (iii) The karyotype of previous miscarriage, (iv) Concurrent infertility, (v) Early or late pregnancy losses, as the patient with late losses tends to have a worse prognosis, and (vi) Primary, secondary, or tertiary aborter status has been reported to affect the prognosis, with the secondary aborter having a better prognosis than the primary or tertiary aborter. Parental karyotypic aberrations have been found in 3-10% of couples with recurrent miscarriage (RM).

Original languageEnglish
Title of host publicationRecurrent Pregnancy Loss
PublisherWiley-Blackwell
Pages46-60
Number of pages15
ISBN (Electronic)9781118749012
ISBN (Print)9780470672945
DOIs
StatePublished - 8 Nov 2013

Keywords

  • Concurrent infertility
  • Early pregnancy losses
  • Late pregnancy losses
  • Maternal age
  • Recurrent miscarriage (RM)
  • Recurrent pregnancy loss (RPL)

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