Can Miscarriage Be Prevented?

QUESTION

Dear Midwife,
One week before Christmas I had a miscarriage. I was just over a month pregnant. They said about 4/5 weeks.

This month I was over one week late with my period. I took a test today and it said I was pregnant. It was one of those digital ones. It said 3plus meaning I was over 3 weeks pregnant. I am worried that I will miscarry again after getting pregnant so soon after.

I went to see a gynecologist about my blood results and it was hard to understand him as he wasn't from this country. He said something about having a high hormone that was still telling me I was pregnant? But that blood was taken from me when I was still pregnant, not afterwards! I did not realize and remember till after I left the appointment as I was in shock.

I had my period fine, no problems in January. My breasts are sore and I feel very tired and sometimes a little sick feeling.

I'm just overall really worried! What can I do to help make this pregnancy go smoothly? We both so want this baby and I really don't think I can stand the heartache so soon after and lose another baby.

Regards,
Sonia

ANSWER

There is basically nothing you can do to prevent a miscarriage assuming that you are healthy. If you had a normal period in January, chances are everything is just fine.

If the worst should happen and you miscarry again, then it is time to get a lot of blood work done to make sure you are really healthy.

Sometimes, a third miscarriage can be prevented with medication (which one depends on the problem, and all are uncommon).

Write me in 9 months and tell me the good news!

-- Cynthia, CNM. PhD.

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.