Indian women seem more likely than other ethnicities to miscarry on their first pregnancy or suffer recurrent miscarriages, a study conducted by a Mumbai-based doctor has found.
The five-city research, published in The Journal of Obstetrics and Gynecology of India, notes that 32% of the 2,400-odd participants suffered miscarriage. Spontaneous abortion without medical means has so far been presumed to make up for just 10% of all abortion cases across the globe.
The study’s lead author says his main finding is that recurrent spontaneous miscarriage is as high as 7.46% among Indian women while the global figure is pegged at 0.81.4% of all pregnancies.
We found the main causes for these repeated miscarriages were genetic, history of infections such as tuberculosis or structural defects in women’s uterus.
The study’s miscarriage figures for Indians seem a bit high but that it highlighted important issues. A few decades ago, women would not go to the doc tor until they spontaneously miscarried three to four times. But in an age of nuclear families, every pregnancy is treated as a precious one. Pregnancies are planned these days. So, if a woman miscarries the first time, she rushes to a doctor for complete analysis.
Women can have anatomical problems leading to frequent miscarriages. While these can be fixed with small medical procedures, some miscarry due to hormonal or immunological reasons and need medications.
Most Indian doctors follow western data and reasons for recurrent miscarriages. This study tells us that infections are, for instance, a major contributor for miscarriages in India, she says.Other doctors say in many cases, it is difficult to pinpoint the exact reasons for frequent miscarriages. Infertility specialist says, Spontaneous first trimester miscarriages are very common and occur because of random genetic errors in the embryo. Most women need reassurance that their risk of another miscarriage is very low. They usually do not need any testing or treatment, he says. Over 90% of them will have a healthy baby without any medical intervention.
Source: Times of India 27 Dec’2015