Recurrent Pregnancy Loss
We make pregnancies safe & joyful
Early pregnancy loss is the most common complication of human gestation, occurring in at least 75% of all women trying to become pregnant. Most healthy women do not need evaluation because of one or even two miscarriages. Approximately 80% to 90% of women with a single spontaneous abortion will deliver a viable live infant in the next pregnancy. After a second pregnancy loss, couples want to know the risk of yet another loss and what they can do to ensure a successful pregnancy. Such abortions are spontaneous expulsion of the fetus weighing 500 g or less, and about 20 to 22 weeks gestation. When the incidence of such spontaneous abortions is more than 2 or 3 then they are referred to as Recurrent Pregnancy Loss or RPL. It's management and treatment is multidisciplinary - involving gynecology, genetics, endocrinology, immunology and psychology.
The Recurrent Pregnancy Loss Clinic at Pushpanjali Crosslay Hospital provides all the required facilities for the management and treatment of recurrent pregnancy losses under one roof.
Frequently Asked Questions What is an abortion? Pregnancy loss occurring before 20 weeks (i.e., 4.5 months) is called an abortion or a miscarriage. What are recurrent abortions? When 3 or more miscarriages occur consecutively, they are called recurrent abortions. What is the risk of spontaneous abortion in any pregnancy? 15% is the risk, if there is no history of a previous abortion. However, the risk is increased if there are already more than one or more abortions. RPL affects 2% of women in the child bearing age. When to consult a Gynecologist? A Gynecologist can be consulted at any time. It is not essential to wait for the next pregnancy, as there are several investigations that are best performed in the non-pregnant state and appropriate treatment started. If already pregnant, do not delay your first visit to the Gynecologist. When you do so, remember to carry all previous records of prior pregnancies. What are the causes of recurrent abortions? The various causes of recurrent abortions include: £ Chromosomal anomalies in both or either parent £ Hormonal disorders: Thyroid disorder, Diabetes, PCOS etc. £ Uterine structural defects £ Medical diseases of the mother £ Infections like TORCH, Genital Kochs etc. £ Immunological disorders: 60%-70% of females in whom all
the above causes are ruled out could have an underlying immunological deficiency, like APLA (Antiphospholipid Antibody Syndrome) or Alloimmune causes.
Why is it important to visit an RPL clinic as soon as possible? It is important that immediate help should be sought. The Gynecologist will thoroughly evaluate your case, search for the cause and suggest treatment options so that your precious pregnancy continues till term. Will any test be required? Depending upon what the doctor suspects certain tests may be prescribed like: £ Hematological investigations £ Ultra sound £ HSG £ Laparoscopy £ Hysteroscopy
What are the treatment options? Depending upon the cause, the treatment may be medical, surgical or both. What is LIT therapy and when is it used? Lymphocyte immune therapy (LIT) is used in women with recurrent spontaneous abortions where an underlying immunological cause is suspected. In certain pregnancies the paternal part of the fetus is not recognized as to be own, by the cells of the uterine lining. Hence the fetus is rejected by the mother with the help of natural killer cells thereby causing an abortion. In such patients LIT therapy is given by separating lymphocytes from about 20ml of husband's blood and injecting under the skin of the forearm of the wife. This reduces the rejection chances. This is done twice, separated by one month. Testing to see that it has worked is done one month after the second treatment. Common reactions to this treatment include: swelling, irritation, and itching at the injection site which can be rectified by simple cold compresses.
Clinic timings Every Wednesday - 2:00 pm to 4:00 pm (OPD block)
The Team Dr Sharda Jain - HOD Dr Uma Rai – Unit Chief Dr Raj Bokaria – Unit Chief Dr Jyoti Aggarwal
Dr Sushma Dikhit
Dr Debasis Dutta
Dr Rini Goyal
Dr Jyoti Mishra
Dr Anita Jain
Dr Ila Gupta
Dr Pawan Bhasin
Visiting Consultants Dr Aruna Saxena
Anjana Singh
Dr Shubha Saxena
Sangeeta Goel
Dr Nalinee Garg
Dr Pooja Gupta
Dr Manju Barik
Dr Jigyasa Govil
Dr Archana Verma
Location Map
Pushpanjali Crosslay Hospital W-3, Sector-1, Vaishali, Ghaziabad-201012, UP, India Tel: +91 120 4173000, 4188000 Email: info@pushpanjalihealthcare.co.in www.pushpanjalicrosslayhospital.com