Trying again! Pregnancy post miscarriage

  • By Dr. T Deepa Porkodi

Planning a baby after a recent miscarriage? There must be thousands of questions in your mind!

What caused the miscarriage? When is the right time to plan the next pregnancy? Will that too end in a miscarriage? Will I be able to conceive naturally? Naturally, all these thoughts can take a serious toll on your health!

Miscarriage is the spontaneous loss of pregnancy before the 20th week. It may happen due to problems in the mother like uncontrolled diabetes or obesity. Chromosomal anomalies in the fetus that don’t allow it to grow further can also be a cause for termination of pregnancy. A recorded 10 to 20% of pregnancies end in miscarriages. The number can be higher as most of the abortions occur very early when the lady doesn’t even know that she is pregnant.

Miscarriage is a one off occurrence. Most women who miscarry go on to have a healthy pregnancy later on. Less than 5% of women have two consecutive miscarriages and less than 1% have three or more consecutive miscarriages.

If you have had two or more miscarriages, you need to know what is wrong before you plan for the next pregnancy. There are several tests. They include:

  1. Blood tests - Tests for hormonal or immune system problems are conducted on your blood sample.
  2. Tests for chromosomal anomalies - These are blood tests done on you and your partner to rule out any chromosomal anomalies that are leading to repeated miscarriages. A tissue sample of the miscarried fetus, if available, is also tested.
  3. Uterine tests - This includes scanning your uterus to look for any structural anomalies that may be the reason for the embryo not getting implanted properly leading to miscarriages. The same things may be examined by advanced tests like a hysterosalpingography or a hysterography.

The female body is ready immediately after a miscarriage to conceive again. The chance of getting pregnant again improves or remains unchanged after you have had a miscarriage.

Hormone levels are at their highest post a miscarriage, so chances of infertility is reduced and fertility increased. However, for the sake of the female body and reducing the chance of a second miscarriage, it is suggested to wait for at least one regular menstrual cycle to increase the chances of getting pregnant and maintaining the pregnancy.

Chances of getting pregnant after a miscarriage are good, in general. Eating a healthy diet rich in folic acid before attempting a second pregnancy is one of the most important factors. Some experts believe miscarriages are more likely in women with reduced folic acid levels before becoming pregnant. The fetus requires folic acid during the first weeks of development. Taking a prenatal vitamin after having a miscarriage and through the time between the miscarriage and trying again, can boost folic acid levels.

Though a miscarriage can be a traumatic event, it is not the end of your happiness. Pregnancy can happen a second time too. With the proper precautions and right diet, you will very well have a happy and healthy pregnancy!

The chances of getting pregnant after miscarriage are often the same as they are before miscarriage. Women who try for a second pregnancy tend to be successful 95% of the time.