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HARLEY STREET CLINIC

25 Harley street
London W1G 8QW

OPERATING THEATRE & IN-PATIENT205 – 209 Great Portland Street
W1W 5AH

+44(0)2033030316

Early Pregnancy

MISCARRIAGE

  • A spontaneous loss of a pregnancy before 24 weeks (6 months)
  • It is difficult to know exactly how many pregnancies can miscarry
  • About 3 in 100 pregnancies can be found non viable on Ultra sound scan at 11 to 13 weeks of pregnancy

EARLY MISCARRIAGE

  • Occurs in first 14 weeks of pregnancy

LATE MISCARRIAGE

  • About 1% of miscarriages can occur between 14 and 24 weeks

RISK FACTORS FOR EARLY MISCARRIAGE

  • Age. At the age of 30, the risk of miscarriage is one in five (20%). At the age of 42, the risk of miscarriage is one in two (50%)
  • Smoking
  • Heavy Alcohol consumption
  • Drug Abuse
  • Overweight
  • Some diseases can be related to miscarriage Diabetes, PCOS, SLE

SYMPTOMS

  • Vaginal Bleeding – ranging from spotting to heavy bleeding ( lumps of blood, flooding with blood)
  • Pain in the lower part of your tummy (pelvic) – mild to moderate (need to exclude ectopic pregnancy)
  • Disappearance of Pregnancy symptoms like breast tenderness, morning sickness etc

WHAT WE OFFER

  • Urgent Ultrarasound scan
  • Blood test
Depending on the findings and considering your own circumstances we can offer:
  • Expectant management (wait and see but carefully monitored during that time
  • Surgical Treatment
  • Medical treatment (with oral tablets and vaginal pessay)

RECURRENT OR REPEATED MISCARRIAGE

  • Age. The older you are, the greater your risk of having a miscarriage. Miscarriages may also be more common if the father is older

GENETIC/CHROMOSOMAL FACTORS

  • Can be found in about 2–5 in 100 couples (2–5%) with recurrent miscarriage
  • Although the parents mat not show any physical sign of genetic abnormality, it can sometimes cause a miscarriage

INFECTION

  • The role of infections in recurrent miscarriage is unclear. Any infection that makes you very unwell or affect the baby can cause a miscarriage

WEAK CERVIX

  • Can be a cause of miscarriage from 14 to 23 weeks of pregnancy

MEDICAL CONDITIONS

  • Antiphospholipid syndrome (APS), Thrombophilia ,Diabetes, Thyroid problems may cause recurrent miscarriage and in particular late miscarriages

WHAT WE OFFER

  • Complete assessment and investigation to find the root cause of your repeated miscarriages
  • Advice and treat the condition for your following pregnancy

BLEEDING AND PAIN IN EARLY PREGNANCY

ECTOPIC PREGNANCY
  • Uterus is the place where your pregnancy grow and develop.However if it grows out side the womb then it is called ectopic pregnancy
  • Pregnancy can not survive outside the womb and it is potentially a life threatening condition for the woman
  • In the UK, one in 90 (just over 1%) pregnancies is an ectopic pregnancy
TYPES OF ECTOPIC PREGNANCY
Depending on the site of pregnancy they are called
  • Tubal Pregnancy (in the fallopian tube)
  • Ovarian Pregnancy (in the ovary – rare)
  • Abdomina Pregnancy (in the tummy – very rare)
  • Cervical Pregnancy – if pregnancy is developing in the neck of the womb rather than the body of the womb
SYMPTOMS OF ECTOPIC PREGNANCY
  • Most physical symptoms are experienced around two weeks after a missed period.
  • Difficult to recognise by you if you have irregular period
  • Some women have no symptoms
  • Abnormal bleeding. Sometimes spotting or lighter or heavier than normal period . The blood may be darker and more watery
  • Pain in your lower abdomen This may develop suddenly for no apparent reason or may come on gradually over several days
  • Pain in the tip of your shoulder may be worse when you are lying down
  • Upset tummy You may have diarrhoea or pain on opening your bowels
Severe pain/collapse (Call 999 and always go to your near by A&E unit)
RISK FACTORS FOR ECTOPIC PREGNANCY
  • Any woman can have ectopic pregnancy. However, followings are the risk factors
  • Had a previous ectopic pregnancy
  • History of Acute pelvic inflammatory disease / Sexually transmitted disease
  • Pregnancy with n intrauterine device (IUD/ Mirena coil/ Cu T ) or if you are on the progesterone-only contraceptive pill (mini-pill)
  • If you had IVF pregnancy intracytoplasmic sperm injection (ICSI) pregnancy
  • Age over 40 years
  • Smoker
WHAT WE OFFER
  • Ultrasound scan at Portland Hospital Imaging department
  • Blood test
AFTER INDIVIDUALISED RISK ASSESSMENT
You can have either
  • Expectant treatment ( in a very selective cases only)
  • Surgical Treatment ( by Laparoscopy)
  • Medical Treatment In certain circumstances, an ectopic pregnancy may be treated by medication