Whenever friends and family hear what happened to me, they either end up doing 2 things: asking me why or offering possible scenarios why. I believe both spring from their concern for me but my story is not as simple as everyone would like to think just as getting pregnant is not as simple as having a sperm and an egg meeting each other.
Twice I got pregnant and twice I miscarried. In both cases, a heartbeat was seen during my first ultrasound. The first time I found out I was pregnant, I was already in my 6 weeks. At the 8th week, I started bleeding and that’s when we found out that our baby grew up to only 6 weeks and 5 days. The second time I found out I was pregnant, I had an ultrasound at my 7th week. Then, on a routine checkup at my baby’s would-be 13th week, we found out our baby only reached 9 weeks.
My case is a case of recurrent miscarriage. But it is not something that can be prevented by extreme bed rest. You see, fetal death occurred first way before I miscarried. And, a case of recurrent miscarriage is better handled by an OB GYN specializing in Reproductive Endocrinology and Infertility (REI).
My REI doctor is a good friend of my OB GYN. She practices at St. Luke’s but her consultation fee is relatively cheap compared to other REI doctors. ( If you want to know details about her, leave a message and I’ll give her details ;) ). Our first consultation with her was more about a discussion of the possible causes. She wanted to educate us about what’s happening. And right now, I just want to share what I learned from her.
A miscarriage or a recurrent miscarriage can be caused by any of the factors below. These possible factors make the treatment of recurrent miscarriage quite hard, not to mention, expensive.
Anatomy – The walls of a uterus is supposed to be smooth. This is where a fertilized egg attaches itself and starts to draw blood from the mother so that it will be able to grow. However, sometimes a uterine wall may have polyps, adhesions and/or myoma. When a fertilized egg attaches itself to a polyp or adhesion, the supply of blood may become inadequate after a certain time specially because a growing baby will have growing needs. This inadequacy may result to fetal death.
Metabolic – Metabolic problems are problems such as diabetes or thyroid disorder. Now, I don’t know much about how this may cause fetal death but here’s what I know. About 15% of miscarriages can be accounted to this problem.
Genetic – An egg and a sperm both contain genetic codes that would direct how a fertilized egg will grow to be a human being. If there is a genetic abnormality in either egg or sperm, full development is not ensured.
Infection – There are some diseases that, when one is exposed to while pregnant, may cause miscarriage. This diseases are toxoplasmosis, rubella (measles), cmv and herpes.
Immunological – A pregnant woman’s immune system should be able to recognize the baby as part of her body. If a woman’s immune system is malfunctioning, her immune system will “attack” the baby in that the blood in the connection of the mother and the baby will clot. This will cut off the supply of blood the baby needs from the mother and may also cause fetal death.
Environmental – Certain stuff found in a mother’s environment (working environment, living environment, etc.) may be harmful to her and her baby. If exposed to certain chemicals or substances, this may also cause miscarriage.
---------------------------------------
With these possible causes, don’t you just realize how complicated getting pregnant is? Kaya sinasabi talaga ng iba, pag sayo, sayo, pag hindi, hindi. After our first consultation, our REI ordered as many tests as she can to rule out as many possible reasons as we can. But, more on the procedures and tests I had next time. This is way too much already.
