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It is the mother's greatest wish to hold her baby as soon as possible; but sometimes these dreams can be postponed with the loss of pregnancy. Instead of saying “fate ip and accepting such losses, the reasons underlying the losses should be investigated and necessary precautions should be taken. Memorial Ataşehir Hospital, Department of Obstetrics and Gynecology Assoc. Dr. Arda Lembet, gave information about recurrent pregnancy losses.
Two post-abortion investigations should be performed
Pregnancy loss is the termination of pregnancy before the 20th gestational week. Although the detailed study is generally started after three pregnancy losses, the study can be started after 2 abortions with current information, since the incidence of two consecutive abortions is almost the same as the causes of three abortions. After a detailed history and physical examination, detailed tests are carried out. Several tests are performed within the individualized patient examination and follow-up protocols.
What are the reasons for the losses?
There are 3 main reasons for the loss of pregnancy. The first of these is anatomical factors. Fibroids are congenital or acquired conditions in the uterus of the expectant mother such as intrauterine adhesion. The second reason is the immune system related factors. The third reason; congenital thrombophilia. Disruption of blood flow in the blood vessels, especially in the vessels between the mother and the baby, and the condition in the placenta are among the main causes of loss in this group. As a result of the tests performed, 50% of recurrent pregnancy loss patients may have no cause.
Fetus should be examined after loss
Especially after loss, the fetus should be examined for genetic and pathological examination. It is important to note that, since the materials for these two investigations are examined in different solutions, the samples are obtained and examined by two different methods. Genetic mutations, coagulation tests and the latest and most widely used thrombophilia tests in the world should be applied.
When is water taken from the womb?
Abnormalities may be detected in screening tests and / or ultrasonographic evaluations of patients who become pregnant after recurrent pregnancy loss. In this case, some chromosomal abnormalities of the mother / father; amniocentesis, commonly known as 'taking water from the womb', is the wife of the baby; that is, interventional procedures such as sampling from the placenta and taking blood from the umbilical cord of the fetus.
Is it possible to identify the cause of the losses?
Before birth, many diseases that impair the health of the mother and the baby are identified by tissue sampling from the placenta and pathological studies. This field is called “perinatal pathology ada in the world. With the researches, there are some promising developments in recent years by shedding light on the next healthy pregnancy and children. With these examinations, it is possible to investigate and reveal the causes of recurrent pregnancy losses, miscarriages, fetal death in the womb, some problems related to the umbilical cord, premature birth, problems related to the development of the fetus in the womb.
What should be done to ensure that your next pregnancy is uneventful?
Especially in the patient group which results in recurrent miscarriage, premature birth, water, and death of the fetus in the womb, researches and investigations are conducted to shed light on the patient's next pregnancy. With this method, we can detect intrauterine infections, immune system problems, some clotting disorders and vascular abnormalities in the uterus bed and placenta and blood supply problems.
Why is regular follow-up important?
Some of the abnormalities we detected were to follow up the patients before conception and to treat many different drugs before pregnancy; some of them as soon as we begin to use pregnant. Again, changes in the same examinations revealed that the follow-up of the patient during her next pregnancy changes and may be completely different from a normal pregnancy follow-up. Therefore, it is important in this patient group to store the placenta and membranes, which are normally considered as post-partum residual material and destroyed, to allow pathological examinations. Thus, many patients who have had problems during pregnancy will have the opportunity to meet healthy babies after a healthy pregnancy.