What is recurrent abortion?

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Repeat abortion, also called recurrent abortion, is defined as the gestational loss of 3 or more pregnancies before 20 weeks. In this case, the couple is not sterile because they can conceive, but there is a problem of infertility because they can not get the pregnancies to come to term.

Repeated miscarriages have a great emotional impact on future parents, since the disappointment of not having a baby adds to the frustration of having lost several pregnancies.

The causes of repeat abortion are very diverse, sometimes unknown, which exacerbates the situation of infertility and increases the waiting time to find the appropriate treatment that allows having a child.

Below you have an index with all the points that we will discuss in this article.

Index

What is recurrent abortion? - Causes, diagnosis and treatment

What is repeat abortion?

According to the World Health Organization (WHO), an abortion is defined as the spontaneous interruption of pregnancy before the fetus is viable (weight less than 500 grams or week 20-22 of pregnancy). If, in addition, we enclose the "repetition" tag, it means that 3 or more consecutive pregnancy losses have occurred before week 20.

On the other hand, having repeated miscarriages does not mean that you can not have a viable pregnancy and a healthy child between gestational losses. Depending on the cause of the abortions, the probability of suffering a new loss may be greater or lesser, but it is possible to get a newborn alive.

The recurrent abortion can be primary, when the woman has not managed to carry any pregnancy to term, or secondary, when the woman or the couple has already had a child previously.

Therefore, although the definition of repeat abortion specifies that gestational losses are consecutive, if there have been 3 or more abortions during the entire reproductive life of the woman, one should already think that there is a basic problem.

Obviously, to diagnose repeat abortion, only miscarriages are accounted for. In no case will voluntary and provoked abortions be included as a decision of the woman.

Finally, it should be noted that the American College of Obstetrics and Gynecology (ACOG) already considers recurrent abortion when there are 2 consecutive gestational losses, although there is no clear consensus on this.

However, specialists recommend starting studies to find out the causes of abortions if two pregnancy losses have already occurred.




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