One of the frequent questions that I field tends to be about testing after a loss. The standards by the American College of Obstetrics (ACOG) suggests no testing until after two or more *consecutive* losses. What my experience in talking with women has been is that many doctors do not offer testing until after 3, 4, or 5 losses. Some NEVER mention it to their patients.
The most common question we have in our minds after experiencing a pregnancy loss is "why"? It is true that many times there really isn't an evident answer. Physicians often point out that 50 % of pregnancy losses are the result of chromosomal abnormalities. Agreed. This percentage is especially more likely to be a cause in early loss.
What often goes unaddressed however is the obvious -- what about the other 50 %??
Preventing Pregnancy Loss points out the following staggering statistic: "An estimated 700,000 pregnancies are lost every year to treatable but undetected disorders."
Please understand that I am not posting this here to upset anyone. With my own (multiple) losses I was not offered testing despite having a doctor that I truly respect and trust. Through researching, I'm not sure in my situation that honestly it would have made a difference as there are certain factors unique to my situation that I believe contributed.
That said, I will likely not know that for sure.
I do want to share this information with other women here in order that you can read and research for yourself. Unfortunately, despite all the strides made in pregnancy health issues we still have to become armed with information to become our own advocates.
I do know that there are many now onsite that have had testing and -- in some cases have received treatment which enabled them to sustain a subsequent pregnancy. Of course there is no way of insuring that testing can pinpoint a reason or prevent future loss... but it may in some.
Darci Klein, founder of "Prevent Pregnancy Loss" and author of To Full Term: A Mother's Triumph over Miscarriage, exemplifies the loss experience shared by far too many women... far too many of US. (I will tell you that this book is both difficult to read and extremely validating over the emotional road of loss -- along with her positive notes as well! Despite reading it a few years ago it continues to touch me even today.) With Darci's story - after advocating for testing, she was diagnosed with two treatable disorders, Factor V Leiden and cervical incompetence.
What has been your experience? Were you offered testing following your loss(es)? If so, what type of testing did you have (if you recall)? This page offers some explanation on the types of testing that may be available.