Miscarriage in the 1st trimester

In 2011 The Royal College of Obstetricians and Gynaecologists Modified the Definition of Miscarriage

Miscarriage is when the pregnancy is lost before the fetus reaches viability. This includes all pregnancy loss from time of conception to 24 weeks.

Recurrent miscarriage is when you lose 3 or more pregnancies in a row. Statistically speaking, this affects 1% of couples and it’s estimated that 1-2% of pregnancies miscarry before 24 weeks.

The Causes of Miscarriage

There is no one reason why a miscarriage happens, and there are cases where no explanation can be found.  1 in 4 women will endure a miscarriage and three of the reasons a miscarriage may occur are:

1. Genetic abnormalities passed on to the embryo

A genetic cause is perhaps the most common cause of miscarriage. Chromosomal abnormalities of the fetus occur when there is an error in the transmission and division of the chromosomes. If this occurs, it means that the fetus will either have too few or too many chromosomes, which usually means that unfortunately the fetus is incompatible with life and the pregnancy miscarries.

What should be noted is that these sorts of errors happen randomly and rarely are the reason behind recurrent miscarriage. On the off chance that a parental chromosome abnormality is found you and your partner can be referred to a Clinical Geneticist.

2. An abnormality in the woman’s anatomy (for example: polyps and fibroids)

Thanks to recent advances in medical science there is a now a non-invasive method of reliably detecting abnormalities in the shape of the uterus.  At our clinics in St Leonards and Penrith, OMNI provides patients with the latest 3D/4D ultrasound scans that provide clear pictures of the shape of the uterus.

With the help of this new technology, the skilled team at OMNI are able to ascertain the presence of a uterine structural abnormality. If such an abnormality exists OMNI can arrange for corrective surgery if applicable.

3. Blood clotting disorders

That a woman’s blood becomes thicker during pregnancy has been known for quite some time, what was not known until fairly recently is that blood clotting disorders can cause recurrent miscarriage.

Blood clots can occur in the blood vessels of the placenta. If this happens, blood flow to the baby is decreased and has one of two outcomes: the first is that it can lead to miscarriage; the second is that, if the pregnancy proceeds, the baby may be smaller than he or she should be.

Professor Condous has developed a new test which is around 80% accurate in reassuring women that their pregnancy is progressing well.

OMNI Ultrasound & Gynaecology Care and Your Pregnancy

OMNI specialises in investigating recurrent miscarriage, and it is important to note that recurrent miscarriage does not mean that you cannot have a successful pregnancy. An interesting point is that the prognosis for a future successful pregnancy in women whose miscarriage is usually better than woman whose miscarriage has a recognised cause.

Talk to your obstetrician about getting an ultrasound from OMNI today, or book an appointment with us today

OMNI Ultrasound & Gynaecological Care

Condous performs Advanced Endosurgery procedures for women needing intervention for pelvic masses, adnexal pathology, severe endometriosis or hysterectomy. He also runs ‘Hands on’ Live Sheep Laparoscopic Workshops for gynaecologists at Camden Veterinarian School.
Having completed an undergraduate degree with the University of Adelaide, he left Australia in 1993 and moved to London where he completed his training in Obstetrics and Gynaecology. From 2001 to 2003 Condous worked as a Senior Research Fellow at St George’s Hospital, London. At St George’s he set up the Acute Gynaecology Unit, the first in the United Kingdom. It was also during this time that he developed an interest in Early Pregnancy and especially the management of pregnancies of unknown location (PULs). Condous has developed many mathematical models for the prediction of outcome of PULs which have been featured in numerous peer review journals. In 2005, he returned to Australia where he completed his Laparoscopic Fellowship at the Centre for Advanced Reproductive Endosurgery, Royal North Shore, Sydney.

Condous was appointed as a Consultant Gynaecologist and Senior Lecturer at Nepean Hospital in 2006 and soon was made Associate Professor. In 2010, he was made Departmental Head of Obstetrics and Gynaecology at Nepean Hospital. He obtained the MRCOG in 1999 and was made FRANZCOG in 2005. In 2009, he was awarded his Doctorate in Medicine (MD), University of London, for his thesis entitled: “The management of pregnancies of unknown location and the development of new mathematical models to predict outcome”.

Condous has edited three books including the “Handbook of Early Pregnancy Care”, published over 100 papers in international journals and is internationally renowned for his work in Early Pregnancy. He is the Associate Editor for Gynaecologic Obstetric Investigation, which is a European based journal, as well as the Australasian Journal of Ultrasound in Medicine (AJUM). He is on the organising committee and is an invited speaker at the International Society of Ultrasound in Obstetrics and Gynaecology (ISUOG) Scientific meeting in Sydney 2013. His current research interests relate to the management of ectopic pregnancy, 1st trimester growth, PULs and miscarriage and the use of transvaginal ultrasound (in particular sonovaginography, to predict posterior compartment deep infiltrating rectovaginal endometriosis).Condous is also actively involved with post-graduate education including the annual running of the Early Pregnancy and Gynaecological Ultrasound Interactive Courses for Sonologists, Radiologists, Sonographers and Gynaecologists in Australia.