Recurrent pregnancy loss or miscarriage is a profound personnel tragedy to couples seeking parenthood. It is defined as the loss of three or more consecutive pregnancies. It is the spontaneous loss of a pregnancy before the fetus has reached viability. Miscarriage occurs in approximately 22 to 25% of all pregnancies. The risk for recurrent miscarriage increases with age.
Miscarriages can be caused by several disorders like infections, hormonal problems or certain problems in the blood like Thrombophilias or by Genetic defects etc. These disorders are quite irreversible. Miscarriages can also be due to some anatomical problem which and such cases can be easily treated by a gynae laparoscopic surgeon.
Mrs. Shagofa from Dubai had nineteen miscarriages and she was totally distraught & disappointed. She was suffering from an anatomical disorder. “Laparoscopic Encerclage” was performed when she was twelve weeks pregnant. After this procedure, she went on to have a healthy baby at thirty four weeks of pregnancy.
- Presence of fibroid in the uterus.
- “SEPTUM” (wall) present in the cavity of the uterus.
- “POLYP” or any other growth present within the uterus.
- Cervical Incompetence: In this condition the mouth of the uterus (CERVIX)which is supposed to open only during childbirth (labour)opens before time(before the child is full term) and leads to either a miscarriage or the birth of a very premature baby
Previously women with anatomical disorder were treated by applying a stitch on the mouth of the uterus from below during pregnancy (called as vaginal encerclage). Unfortunately, it is not a risk-free procedure. There is a chance that a cervical stitch could cause bleeding or an infection or could make your contractions start. Any of these may set off a chain of events that could end in miscarriage or premature labour.
“LAPAROSCOPIC ENCERCLAGE” is a new procedure designed for these unfortunate women wherein the mouth of the uterus is tied from above by the help of laparoscopy. Studies have reveled that it is highly successful in women who have had repeated miscarriages or preterm babies. In the last one year, more than eighty patients at Sunrise hospital, which offers “LAPAROSCOPIC ENCERCLAGE” had success in their pregnancy.
The other causes of miscarriages like fibroid, Polyp, Septum or any other anatomic problem in the uterus can also be treated by Laparoscopy or Hysteroscopy. The problems of hormonal imbalances or infections or genetic defects also can all be diagnosed and treated simultaneously.
All these investigations and treatments done can not only save the parents of the psychological trauma of having a miscarriage for the parents but also helps them get the most beautiful gift of a healthy baby delivered on time.