Recurrent Pregnancy Loss (RPL)
Recurrent pregnancy loss(RPL), also referred to as recurrent miscarriage or habitual abortion, is historically defined as 3 consecutive pregnancy losses prior to 20 weeks form the last menstrual period. Incidence recurrent pregnancy loss is 1 to 2 percent. Recurrent Miscarriage, which is defined as a sequence of two or more spontaneous pregnancy losses, is much less common, with an estimated occurrence of 1 percent. Further evaluation is recommended when a woman has three or more miscarriages.
There are many reasons for recurrent pregnancy miscarriages:
Genetic : Many early miscarriages(the ones that happen in the first 3 months of
Pregnancy, balanced translocation ) are due to genetic abnormalities in the embryo or fetus.
Anatomic : Conjenital abnormalities of the uterus,like complete septum or
bicornuate uterus, aquired reasons like submucosal myoma,
endometrites and adhesion.
Auto immune : APL syndrome, other thrombophilias
Lifestyle : Smoking
Medical : Hormonal problems.
To diagnose recurrent miscarriage, a specialist can take a medical history performs a physical exam, and orders certain tests like: