MANAGEMENT OF RPL

By definition, “recurrent” pregnancy loss is defined as the loss of two or more pregnancies from the time of conception until 24 weeks of gestation. At Aastha fertility care we provide TREATMENT PLAN, SUPPORTIVE CARE AND PSYCHOLOGICAL CARE.

Recurrent pregnancy loss (RPL), also known as recurrent miscarriage, is defined as the occurrence of two or more consecutive pregnancy losses before 20 weeks of gestation. The management of recurrent pregnancy loss involves a thorough evaluation to identify potential causes and the implementation of targeted interventions. Here are some key aspects of managing recurrent pregnancy loss:

1. Comprehensive Evaluation:
   • Both partners should undergo a thorough evaluation to identify potential causes of recurrent pregnancy loss. This may include genetic testing, hormonal assessments, uterine cavity evaluation, and blood clotting disorder screening.
2. Genetic Testing:
   • Genetic abnormalities in either partner can contribute to recurrent pregnancy loss. Chromosomal analysis, karyotyping, and other genetic tests may be recommended.
3. Hormonal Assessments:
   • Hormonal imbalances, such as thyroid disorders or insulin resistance, can impact fertility and contribute to recurrent pregnancy loss. Hormonal assessments may be conducted to identify and address these issues.
4. Uterine Assessment:
   • Hysterosalpingography (HSG) or hysteroscopy may be performed to evaluate the shape and condition of the uterine cavity. Abnormalities like polyps, fibroids, or adhesions can be identified and treated.
5. Blood Clotting Disorders:
   • Screening for blood clotting disorders, such as antiphospholipid syndrome, may be considered as these conditions can increase the risk of recurrent pregnancy loss.
6. Immunological Factors:
   • Autoimmune conditions may contribute to pregnancy loss. Immunological testing may be conducted to assess for any immune system dysregulation.
7. Lifestyle Modifications:
   • Addressing lifestyle factors such as diet, exercise, smoking, and alcohol consumption is important. Making healthy lifestyle choices can positively impact fertility.
8. Progesterone Supplementation:
   • In some cases, progesterone supplementation may be prescribed, especially if there is evidence of luteal phase deficiency or inadequate progesterone support.
9. Cervical Insufficiency:
   • Cervical incompetence or insufficiency may be addressed through cervical cerclage, a procedure in which a stitch is placed around the cervix to provide support during pregnancy.
10. Aspirin and Heparin Therapy:
    • For individuals with blood clotting disorders, low-dose aspirin and heparin therapy may be recommended to improve blood flow and reduce the risk of clotting.
11. In Vitro Fertilization (IVF) with Preimplantation Genetic Testing (PGT):
    • IVF with PGT may be considered to screen embryos for chromosomal abnormalities before implantation.
12. Psychological Support:
    • Experiencing recurrent pregnancy loss can be emotionally challenging. Couples may benefit from counseling and psychological support to cope with the emotional impact.