A new recommendation from gynaecologists after miscarriage

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A new recommendation from gynaecologists after miscarriage

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The gynaecologists modify their recommendations: from now on, one must try to get pregnant again quickly after a miscarriage, without waiting several months.




  1. Does this new recommendation cover all miscarriages?
  2. What about repeat miscarriages?
  3. Why this evolution in practice?
  4. Should we still provide psychological follow-up?

One or two months, even six months according to the World Health Organization, before trying to get pregnant again: this is the time currently recommended for a woman who has just had a miscarriage.

This practice will change, announced the gynaecologists. The point with Dr Cyrille Huchon, a gynaecologist at the CHI of Poissy and coordinator of recommendations in clinical practice within the CNGOF (National College of French Gynecologists and Obstetricians).

Does this new recommendation cover all miscarriages?

No. It concerns only early miscarriages, that is to say before the end of the third month of pregnancy.

The cause of a miscarriage at this stage of pregnancy remains generally unknown: most often, the embryo carries an abnormality that does not make its development possible. The fertility of the woman is not a priori in question.

There are however risk factors: age, overweight, tobacco, alcohol.

What about repeat miscarriages?

This is actually different when it comes to repeated miscarriages, that is to say from three miscarriages in a row (no pregnancy completed) with the same partner.

You have to understand why pregnancy cannot be completed. An assessment is then essential, in the search for a possible malformation of the uterus, a gaping of the cervix, an infection, a hormonal insufficiency ...

Why this evolution in practice?

It is the analysis of numerous studies published in the scientific literature which has led to this observation:  after a miscarriage, the more quickly a woman resumes pregnancy, the more likely she is to carry it through and without complications.

Should we still provide psychological follow-up?

No study has shown this benefit after a simple miscarriage.

In the case of recurrent miscarriages, psychological monitoring of the patient, associated with an assessment by ultrasound, makes it possible to slightly reduce the risk of new miscarriage.

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