Medical Q&As

Miscarriage - happen again?

I have just had my 4th miscarriage within 6 years. Three took place around week 10 and 11 and the last one was at 6 weeks. I am 44 now. Is it possible for me to miscarry again? We were trying for 3 years to get pregnant. Iím afraid it might happen again.

The term recurrent miscarriage is applied when a woman experiences three consecutive miscarriages before 20 weeks gestation. Recurrent miscarriage affects approximately 1% of women and in your case it could unfortunately happen again. You donít indicate in your question if you have any living children, which would be an important consideration because if that were the case it would mean that you have been capable of carrying a pregnancy through to term. If you have never carried a pregnancy to term then a different set of considerations apply. There are many causes of recurrent miscarriage. It could be happening as a result of a chromosomal abnormality, which can happen even if both parentís chromosomes are normal. An abnormality could be present in the womb such as a large fibroid or a septum, which is a partition in the womb cavity. Sometimes recurrent miscarriage can happen if the mother is suffering from a chronic medical condition. Cervical incompetence is another cause, which means that the os or opening in the cervix is lax and is unable to remain closed as the pregnancy progresses. Other causes include endocrine and metabolic disorders and certain infections such as toxoplasmosis, listeriosis and brucellosis. It is important to emphasise that although I have just listed various causes of recurrent miscarriage, most cases happen for no known reason.