Recurrent Pregnancy Loss and Stillbirth

Losing a baby can be physically and emotionally overwhelming. Though early pregnancy loss is relatively common, many women who miscarry feel isolated. Stillbirth (death of a baby late in pregnancy), while less common, is also devastating.

The reason for a pregnancy loss, particularly in the first trimester, is often unknown. After three miscarriages, evaluation is recommended. This might include looking for a genetic, hormonal, immune or structural (uterine) cause. Reassurance is also important, as even women who have had several miscarriages have a good chance of carrying a healthy pregnancy.

Stillbirth is generally evaluated around the time of delivery. Again, genetic abnormalities or birth defects may be investigated. Signs of infection or abnormalities of the placenta may be present. When an explanation is uncovered, risk of recurrence and any preventative measures that might be taken are discussed. But even with thorough evaluation, we sometimes don’t find an answer.

A key part of caring for families with pregnancy loss is support. This often extends from the time of the loss through the next pregnancy and beyond. Our comprehensive coordinated care model allows us to provide this service in an individualized manner.