Dr Samina's blog posts

Insights on different aspects of gynaecology and pregnancy from Dr Samina





Blog Post:  Understanding Miscarriage

The term miscarriage refers to the loss of a baby in the first 20 weeks of pregnancy. Unfortunately, miscarriages are a common complication of pregnancy, with most miscarriages occurring within the first trimester or first three months of pregnancy. Experiencing a miscarriage can be devastating, and we hope that this blog post will provide some support and understanding navigating all the available information on what you can expect during and after a miscarriage.

A miscarriage usually occurs because the pregnancy is not developing properly. The development of a baby from a female and a male cell is a complicated process. If something goes wrong with the process, the pregnancy will stop developing. Miscarriages are more common in older women than younger women, largely because chromosomal abnormalities are more common with increasing age.


If you lose your baby in the first 12 weeks of being pregnant, this is called an early miscarriage. Most miscarriages are early miscarriages and sadly 1 in 5 women will experience an early miscarriage with no obvious cause. Early miscarriages can sometimes happen before a woman has missed her period or is even aware that she is pregnant (3, 4)


If you lose your baby after 12 weeks but before 24 weeks of being pregnant, this is called a late miscarriage. Late miscarriages are sometimes called second or third trimester pregnancy losses. They are much less common than early miscarriages, occurring in around 1-2 out of every 100 pregnancies. 


When a woman has three or more miscarriages in a row, this is called recurrent miscarriage. Around 1 out of every 100 couples trying to conceive suffer with recurrent miscarriage.

For some women who suffer from late or recurrent miscarriage, there is no specific cause found. However, other times, there is a reason identified for why a late or recurrent miscarriage has occurred. There are numerous factors which may make you more likely to suffer from late and/or recurrent miscarriage, such as parental age.


If you have had a late miscarriage, or been diagnosed with recurrent miscarriage, you might have lots of questions about what can be done to reduce your risk of having further miscarriages. The first step will likely involve a series of tests to determine if a cause can be found for your miscarriage. If these tests reveal a possible cause, the second step will involve exploring treatment options with an Obstetrician or Gynaecologist. 


If you have been affected by late or recurrent miscarriage, it is understandable to be concerned about what this means for your future pregnancies. When you next conceive, you and your partner should be seen by an Obstetrician / Gynaecologist.  Your doctor will be able to offer individualised support for your circumstance and discuss the likelihood of you having a successful pregnancy. If a cause has been found for your miscarriage, treatment options to improve your chance of carrying to term will be discussed.

The good news is that most couples who have suffered from late or recurrent miscarriage will have a successful pregnancy at their next attempt. Women who receive regular supportive care from a doctor from the beginning of their pregnancy have an increased likelihood of successfully carrying a baby to term. Reassuringly, for couples with no identifiable cause for recurrent miscarriage, around 75% will have a successful pregnancy with early supportive medical care.

If you need some help or advice on miscarriage, please contact your local GP or get a referral to see Dr Samina.


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