Understand the causes of repetition abortion

Understand the causes of repetition abortion


Genetic, anatomical, thrombophilic and endocrine factors are related to this gestational loss

Recently, the presenter Sabrina Sato revealed that in 2024 she suffered two gestational losses, or two spontaneous abortions. In an interview with Glamor Magazine, he said he had lived in mourning while working, he suffered hospitalizations and two curettage procedures and decided to share his story now more peacefully.




Abortion is a more common situation than you think, with an incidence of a pregnant woman out of five. “This number is worth both for natural pregnancies and for cases of fertilization. The most attentive period is in the first quarter, when the child is still forming, but abortion can take place in any Moment of pregnancy“, Explains Dr. Rodrigo Rosa, specialist in human reproduction and clinical director of the Mater Prime Clinic, in San Paolo.

Characteristics of repetition abortion

There are different types of abortions, such as retained abortion, inevitable or incomplete, complete abortion and repetition abortion. “The interruption of a pregnancy is characterized by abortion before the fetus can survive out of the mother’s belly. This means that this interruption should be before 22 weeks and the fetus should weigh less than 500 grams,” says the doctor.

According to dr. Rodrigo Rosa, repeated abortion takes place when the woman suffers three consecutive losses. “In such cases, fear can be an unpleasant companion: pregnant woman And he is worried without knowing if you will be able to carry on the pregnancy. Understanding the causes of repetition abortion is inevitably one of the main needs of those who cross this situation, “he adds.

Causes of Repetition abortion

According to the doctor, there are genetic, anatomical, thrombophilic and endocrine causes related to repetition abortion. “As for genetics, a normal child has 23 pairs of chromosomes. When this number changes, up or down, abortion can happen. This is the nature itself” eliminating “a living being that may not have the necessary skills to survive out of the mother’s body”, he explains.

The mother’s age can also be related to the cause of repetition abortion. “The greatest possibilities of this is when a pregnant woman in old age, for example, at the age of 40. However, the 35 years are already an age when Maximum careBecause it is already more common for the mother to have children with genetic diseases, “says Dr. Rodrigo Rosa.

Anatomical causes

As regards the anatomical causes, it is common that even the changes in the anatomy of the uterus are distinguished as the causes of repetition abortion. “The bicorn uterus, the separate uterus and others are examples of these anomalies. Another factor are fibroids above 4 cm or, in some way, they influence the endometrial cavity (endometrium and tissue in which the fetus begins to develop). Another anatomical change that can lead to abortion is the formation of polyn or women who have adenomyosis”, says the doctor.



Trombofilia patients may suffer repetition abortion

Thrombophilic causes

Thombofilia patients, a type of disease that increases the risk of thrombus formation, are also more sensitive to repetition abortions. “The trombers are clots that settle down blood vessels And it can hinder the passage of the blood. It can develop serious cases such as pulmonary embolism (when a thrombus goes to the lung). Some anticoagulants, drugs used to “tune the blood” and prevent thrombus formation, can be prescribed in pregnancy “, explains Dr. Rodrigo Rosa.

Endocrine causes

Endocrine disorders that usually develop in this phase and influence pregnancy are very particular, being the gestational diabetes The main one. “Spear abortion rates, still, congenital malformations and morbidity and perinal mortality are higher in the children of diabetic mothers. The luteum insufficiency of the body (reduction of progesterone) is also one of the endocrine changes that lead to abortion,” says the doctor.

Pregnancy after the repetition abortion

It is possible to get pregnant and have healthy pregnancy even after the repetition abortion. “The first point to consider to get pregnant after the episodes followed by abortion is to look for a human reproduction specialist. This professional will be able to help the couple from identifying the causes. Discovering the cause, the treatment can be started and performed in various ways, based on the need for each patient”, explains dr. Rodrigo Rosa.

Depending on the causes of repetition abortion, a change of habits. “It may be necessary to perform an in vitro fertilization (in vitro fertilization) so that the woman is able to get pregnant – and the technique can help select chromosomically normal embryos. Pregnancy should be accompanied deeply by the expert team,” says the doctor.

With the necessary care, pregnancy can be carried out. “The good news is that, regardless of the causes of repetition abortion, the women who have gone through this situation have a 70% probability of getting pregnant and having a healthy pregnancy. The most correct to do is looking for an expert,” he concludes.

By Paula Amoroso

Source: Terra

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