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Health » Sexual-health » Miscarriage-misconceptions-061211
 
Ten miscarriage misconceptions

Dr. Aniruddha Malpani Dr. Aniruddha Malpani
Renowned infertility specialist. He runs an infertility clinic in Mumbai and has written many books.

Ten miscarriage misconceptions
One of the most amusing books I have read on infertility is A Few Good Eggs: Two Chicks Dish on Overcoming the Insanity of Infertility by Julie Vargo and Maureen Regan.
The book is targeted towards infertile women living in the US, and is written in the currently fashionable "chick-lit" style. It's amusingly written and is a breath of fresh air, especially if you are the sort of person who finds that a sense of humour helps you cope better with infertility.

The book has lots of Top-10 lists, and here's their list of Ten Miscarriage Misconceptions
  1. Miscarriage always means there was something wrong with the fetus.
  2. Miscarriage always means there is something wrong with you.
  3. Miscarriage can't happen after the first three months.
  4. Miscarriage won't happen to me.
  5. My doctor's explanation of my miscarriage must be true. (We can't blame everything on old eggs!)
  6. Miscarriages can't happen twice.
  7. The miscarriage was caused by something you did.
  8. A miscarriage is no big deal.
  9. A miscarriage is God's way of telling you something.
  10. Miscarriage means you are a bad person and an unfit mother-to-be.

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Here are my comments:
  1. Miscarriage always means there was something wrong with the fetus.
    While it is true that the commonest reason for a first trimester (in the first 12 weeks of pregnancy) miscarriage is a genetic problem in the embryo (usually because of random events which do not recur in the next pregnancy), this is not always true.

  2. Miscarriage always means there is something wrong with you.
    Miscarriages, which occur in the second trimester (after 12 weeks) maybe because of a defect in the uterus (such as an incompetent cervix), which cannot "hold" the baby. This is why a medical evaluation is needed, to rule out possible medical problems.

  3. Miscarriage can't happen after the first three months.
    While the majority of miscarriages occur in the first 12 weeks (first trimester), they can occur after this date also. While the risk of a miscarriage after a fetal heart is documented on ultrasound scanning is low (less than 3%), it is not zero.

  4. Miscarriage won't happen to me.
    A miscarriage can happen to anyone! It can occur even if you've had 2 healthy babies in the past. Each pregnancy is a new event, and past performance cannot guarantee future results! Of course, when a miscarriage occurs after infertility treatment, it's much harder to cope with, because it's now a double whammy!

  5. My doctor's explanation of my miscarriage must be true.
    The fact is that most of the time we do not have a clue as to why the miscarriage occurred. Unfortunately, our technology for determining the reason why a miscarriage occurred is still not very good, which is why we often have to rely on guess-work and empirical treatment.



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