A single sperm combining with an egg to make a perfect human is an incredibly complex process that requires numerous intricate steps. Not uncommonly, one of these steps goes wrong and so 20% of all pregnancies result in miscarriage. Whilst miscarriage may be therefore understandable, this makes it no less disappointing. The emotional reaction that follows a miscarriage is very real and often profound. Recognition and validation of these feelings is an important part of caring for a you and your supporters in this situation and I believe is a critical step in the healing process.
When processing the diagnosis of a miscarriage, you and your supporters will have a unique set of needs and a timeline you wish to follow as you begin to contemplate management. Adopting a holistic approach to the situation, I can outline management options that include waiting to see if the body deals with the miscarriage by itself, a medication based management, or a small procedure in the operating theatre. Together, we can explore which management option suits you best, as well as its chance of success. As part of your treatment we can also discuss the most common causes of miscarriage, future pregnancy attempts as well as any evidence surrounding intervention to prevent another miscarriage. I recognise patients in this situation are in particular in need of prompt care and will do my best to see you as soon as possible. I will make myself available for follow up and questions that may arise during your journey.
I also have a particular interest and experience in investigating recurrent miscarriage. These consultations invariably require a dedicated and methodical approach to history taking as well as a inclusive discussion surrounding the evidence for investigation and intervention. Based on this, we will come up with a plan of action that you have been involved in formulating and understand.