Recurrent Pregnancy Loss is a profound personnel tragedy to couples seeking parenthood. Miscarriage occurs in approximately 22 to 25% of pregnancies.
Miscarriages can be caused by several disorders like Infections, Hormonal problems or certain problems in the blood like Thrombophilias or by Genetic defects etc.
As Laparoscopic Gynaecologists the “ANATOMIC” problems that come to us are the most completely reversible cause of Recurrent pregnancy loss
Amongst these “Anatomic” problems the miscarriage can be caused by:

  1. A fibroid present in the uterus.
  2. A “SEPTUM” (wall) present in the cavity of the uterus.
  3. A “POLYP” or any other growth present within the uterus.
  4. Cervical Incompetence: In this condition the mouth of the uterus (CERVIX)which is supposed to open only during childbirth (labour)opens before time(before the child is full term) and leads to either a miscarriage or the birth of a very premature baby .

TREATMENT OPTIONS FOR THESE WOMEN

Previously these women were treated by applying a stitch on the mouth of the uterus from below during pregnancy(called as vaginal encerclage). But sadly many of these women still continue to have miscarriages.

Hence at SUNRISE we have a new procedure designed for these unfortunate women wherein the mouth of the uterus is tied from above by Laparoscopy, this procedure is called as “LAPAROSCOPIC ENCERCLAGE” and it is highly successful in women who have had repeated miscarriages or preterm babies.

We at Sunrise have had success in 80 such patients over the last 1year. One such patient Mrs. Shagofa came to us at our Dubai centre with 19 Miscarriages she was totally distraught & disappointed and was 12weeks pregnant when she came to us we performed a “Laparoscopic Encerclage” on her and she went on to have a healthy baby at 34weeks of pregnancy.

Other  causes of Miscarriages like fibroid, Polyp , Septum or any other anatomic problem in the uterus can also be treated by Laparoscopy or Hysteroscopy.The problems of hormonal imbalances  or infections or genetic defects also can all be diagnosed and treated simultaneously.

All these investigations and treatments done can not only save the parents of the psychological trauma of having a miscarriage for the parents but also helps them get  the most beautiful gift of a healthy baby delivered on time.

Lap Encerclage and Hysterescopic Septal Resection by Dr Nikita Trehan Sunrise Hospital