Miscarriage

Repeated Pregnancy Losses What should be done and what can be done to prevent next miscarriage

 

GLOBAL experience in Miscarriage treatments from 1986.

 

 

Delhi

India's Most Advanced Miscarriage Centre, AIIMS Delhi

London

World's largest Miscarriage Centre: St Mary's Hospital, London

CARE Fertility UK

UK's leading centre of excellence for recurrent implanttion failures.

 

 

 

 

 

Road map of care of couple with  Recurrent miscarriage (RM)  & or  Recurrent implantation failure (RIF)        
 

  • Predict miscarriage
  • Prevent miscarriage 
  • Follow up of pregnancy post miscarriage
  • Manage further miscarriage       
     

Advanced sperm tests & sperm selection technique/Tests

 

 

 

Miscarriage Prevention Approach       
Testing and Treating All Four Main Causal Areas       
In a Practical  A , B, C  D model 

 

 

 

Key Groups of Tests & Treatments for RM & RIF

 

 

A

B

C

D

 

Tests & treatments for healthier  Embryo/baby

Tests & treatments for healthier Uterus/Womb

Tests & treatments for better Interaction of embryo & Uterus

Tests & Solutions for better General Health of couple and Female Pelvic environment

Normal 

 

 

 

AbNormal 

 

Test
Treatment 
 Read More    

 

From One of UK’s leading Centre of Excellence for Implantation Failures

 

AT A GLANCE : TESTS AND TREATMENTS for COUPLES with       
MISCARRIAGE/IMPLANTATION FAILURE 

 



 

 

Individualized miscarriage CARE plan based on background experience from  

 

– Worlds Largest Recurrent Miscarriage Unit: Saint Mary’s Hospital, London              
– UK’s leading Centre for Recurrent Reproductive Failures, Care Fertility

– World’s First and Noble Prize-winning Fertility Centre, Cambridge

 

Protocols will be based on a comprehensive study of 


A: Embryo Factor: Male (sperm) and female’s (Egg) ability to create a healthy embryo               
B: Uterine Receptivity Female’s ability to feed & accommodate a healthy embryo              
C: Female’s ability to successfully interact and support Implantation and Placentation with special immune privileges              
D: General Health and well-being of couples that can negatively affect A, B & C

 

 

On an average 30% of the conceptions following successful fertilisation of female egg and male sperm results in Live birth. In other words, 70% of fertilized eggs will fail to become live birth, for a variety of reasons grossly classified as A defective embryo (fertilised egg and sperm), B defective Uterus C Defects in Interaction of Embryo and Uterus/Female Body (A & B). 


 

 

  • Miscarriages are very common and Natural.
  • Over 90% of miscarriages never reoccur.
  • More than 3 miscarriages happen only in 1–2% of couples.
  • Half of those with 3 or more miscarriages will have no easily testable causes And almost Half of - these will Succeed in having Live birth without medical help.
  • Best known Pill to prevent subsequent miscarriage by 13 is DYDROGESTERONE.
  • When it is utilized after confirmation of fetal heart activity.
  • Miscarriages are very common and Natural.
  • Over 90% of miscarriages never reoccur.
  • More than 3 miscarriages happen only in 1–2% of couples. 

 

 

 

 

 

 

 

COUPLE-FRIENDLY: Unlimited Time DETAILED INITIAL CONSULTATION :

 

  • Detailed History & previous reports collected even before Consultation
  • Detailed explanation of all possible causes with visuals, references,
  • One Stop Assessment of Miscarriage.
    1. Scan, Dopplers, Contrast Scan, 3D/4D, Hysteroscopy
    2. Informed Consent
    3. for Internationally performed Cause-linked investigations/Advanced Tests
    4. all possible treatment options to conceive and to carry a healthy pregnancy.
  • All Medical and Surgical Interventions relevant to the couple’s history
  • Full explanation of Costs, implications, risks and success rates and failure rates for interventions
  • Putting in place of support to safeguard against subsequent miscarriage
  • Guidance, support and Care during ensuing Pregnancy until Delivery

 

All known TESTS  (as available at any best Centre in the World) GOLD STANDARD TESTS  & ADVANCED TESTS & LATEST TESTS 

 

 

ROAD MAP OF CARE-1

 

  • Initial Consultation: 
    • Over Telephone or Online with the Team 
    • Collect and Review Medical-Surgical – Tests Reports & Establishment of Trust between couples and Care Provider 
  • Tests (based on high and or low level evidence): Basic-intermediary-AdvancedUltrasound (2D-3D-4D,(MRI-CT as needed), Contrast Ultrasound, Genital Swabs, Hysteroscopy (luteal), Endometrial & Blood and Swab Samples (including those done it worlds most reputed Reproductive Immunology and Genetics laboratories).
    • Obtaining expert multidisciplinary proven expertise as appropriate to find and fix as many contributing factors for miscarriage and safe administration of medications and surgical interventions that could help prevent subsequent miscarriage.
    • Planning spontaneous or assisted Conception as appropriate
    • Executing and implementing interventions at the earliest opportunity under close follow up and monitoring couple with dedicated communication channels
    • Activation of tailor made early pregnancy interventions and first trimester care plans
  • Management of Fetus and Mother thought Risk stratification based on Risk assessment to Low risk medium risk and high risk Mother and or Fetus or Both: Organizing and overseeing Care that services best the interests of the ongoing Pregnancy.
  • Management of subsequent failing or failed Pregnancy with least traumatic management of miscarriage and special studies of Products of Conception
  • Continuing to support bereaved couples as they wish for possible future care to complete their family through ever improving Science and Technology in a way it is applicable to them.

 

  • Comprehensive 
  • Dedicated
  • easily accessible 
  • Empathetic
  • Experienced
  • Readily available 
  • Structured Service is most meaningful to the Couples suffering miscarriages

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Detailed history via Templates Patient-Friendly & Elaborate consultation on tests and treatments that addresses Couples potential causes and solutions Sharing of all possible published scientific  evidence          
And allowing couples to give INFORMED CONSENT For  TESTS and TREATMENTS based on HIGH LEVEL EVIDENCE OR LOW LEVEL OF EVIDENCE OR EMPIRICAL MANAGEMENT


 

ROAD MAP OF CARE for miscarriage Prevention:

  

Abnormal Embryo/Baby Abnormal Uterus/Womb Abnormal Connection of Baby & Womb Abnormal General Health

 

 

 How Dydrogesterone (progesterone)  reduces risk of  miscarriage by absolute 10%  if its given post viable stage of pregnancy

 

 

 

 

 

 

 

 

 

Medical HistoryTemplates for Couples to complete. Informed Consent, references and List of Comprehensive Tests for discussion:

 

 

 

 

  • Miscarriages
  • Abnormal Uterus/Womb
  • Abnormal Embryo Baby
  • Abnormal Connection of Baby & Womb
  • Abnormal General Health