Got a question? Our expert is here to help.
Got a question? Our expert is here to help.
I’m expecting again after a miscarriage, but the stress of delivering a healthy baby has put me on edge. What’s the risk that I may miscarry again?
After one miscarriage, studies have shown there is a 14 to 21 per cent chance of a repeat miscarriage.
But to keep things in perspective, up to 20 per cent of all pregnancies end up as losses. So the risk of miscarrying is not higher than other expectant mums, given that you had one previous miscarriage.
Only 1 per cent of women will have recurrent miscarriages (that is, three consecutive pregnancy losses), and these may be due to genetic or immunological problems.
It is not unusual to feel anxious or paranoid in your situation, as there is a constant worry that the emotional trauma may occur again. Having a supportive spouse and family may help alleviate your anxiety.
Try to do things that normally relax you and avoid strenuous activities or exercises until the end of the first trimester. Once you reach 10 weeks of your pregnancy, the chance of a pregnancy loss is greatly reduced.
It is also important to know that based on scientific studies, there is no evidence to show a link between stress and miscarriage.
How many C-sections can a mum safely have?
A There are no set rules. Studies show that the risks increase after a third C-section, although research has yet to determine the exact number one can have and be considered safe.
Each repeat C-section may be more complicated than the last and also takes longer. That’s because women who have repeat C-sections are at a higher risk of bleeding, infection, bladder and bowel injuries, as well as scar tissue forming after each surgery.
Risks of excessive bleeding increase with the number of repeat C-sections. This, in turn, boosts the risk of needing a hysterectomy (removal of the uterus) and the need for blood transfusions.
There is also a higher chance of placental problems such as praevia (placenta sited very low in the uterus) or accreta (the placenta implants into the muscle layer of the uterus). Both problems heighten the risk of massive post-delivery bleeding, necessitating a hysterectomy.
ASK THE EXPERT
These questions were answered by Dr Goh Shen Li, a consultant obstetrician and gynaecologist in S L Goh Women’s Clinic at Mount Alvernia Medical Centre D. Got a question? E-mail us at magyoungparents@sph.com.sg.
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