Pregnancy Loss: Occurrence and Recurrence

The loss of any pregnancy can result in significant grief and sorrow for couples. Questions relating to why and how did miscarriage occur naturally arise from this distressing event, and many couples wonder when they should seek consultation for treatment of pregnancy loss. Miscarriage is not an uncommon occurrence. Approximately 15 to 20 percent of clinically detectable pregnancies are lost to miscarriage. A clinically detectable pregnancy is defined as a gestational sac detectable by ultrasound. Most authorities agree that it is usually best to reserve extensive evaluation until at least two or three consecutive miscarriages occur. Under these circumstances, a cause for recurrent miscarriage will be identified in about half of the couples and treatment can often resolve the problem. Our physicians will assist you in diagnosing miscarriage, identifying the common causes of miscarriage, and outlining when the pursuit of diagnosis and treatment are recommended.

Knowledge of miscarriage is still limited. No obvious cause is detected in up to 50% percent of couples with repeated pregnancy losses. Some women who have experienced recurrent miscarriage may feel doubtful that they will ever have a child, but the encouraging news is that the success rate with treatment is high, especially with certain uterine and hormonal causes. In cases where no cause is discovered and no treatment prescribed, the chance of achieving a healthy pregnancy despite having had several miscarriages is still generally better than 50 percent.

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