Recurrent abortion: the role of psychotherapy

Stray‐Pedersen, Babill; Stray‐Pedersen, Sverre

doi:10.1007/978-1-4471-1658-5_60

Cited by 53 publications

(23 citation statements)

References 13 publications

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“…142 Pregnant women who previously experienced repetitive abortions received increased attention but no specific medical therapy (''tender loving care''). These women (n = 16) were more likely (85%) to complete their pregnancy than women (n = 42) not offered such close attention (36%).…”

Section: Psychologic Factorsmentioning

confidence: 99%

Causes of Fetal Wastage

Simpson¹

2007

Clinical Obstetrics and Gynecology

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Fetal wastage has many causes, but genetic factors are by far the most common. The earlier the pregnancy loss occurs, the greater the likelihood of genetic causation. Among first trimester abortions, 50% to 80% show chromosomal abnormalities, usually aneuploidy. This is greater than all other causes combined. Chromosomal numerical abnormalities can be recurrent and sporadic; failure to take this into account is a major pitfall in many reports addressing causation. Moreover, many causes of fetal wastage that are traditionally considered to be "nongenetic" are actually the result of perturbations of gene products-proteins. Among nongenetic causes of first trimester fetal wastage, the best established are thyroid abnormities; antifetal antibodies; and the inherited and acquired thrombophilias. The latter are more established in the second trimester. Uterine anomalies can lead to second trimester losses. Infections seem uncommon, and alloimmune causes are not validated.

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Section: Psychologic Factorsmentioning

confidence: 99%

Causes of Fetal Wastage

Simpson¹

2007

Clinical Obstetrics and Gynecology

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“…One study found that depression increased the risk of early miscarriage,86 but overall results have been inconclusive 2,7. However, some studies have shown that psychological support is important in couples with RPL 87,88. The concept of tender loving care refers to psychological support with weekly medical and ultrasonography examinations, and instructions to avoid heavy work, travel, and sexual activity.…”

Section: Etiologiesmentioning

confidence: 99%

Recurrent pregnancy loss: current perspectives

Hachem

Crepaux

May‐Panloup

et al. 2017

IJWH

342

209

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Recurrent pregnancy loss is an important reproductive health issue, affecting 2%–5% of couples. Common established causes include uterine anomalies, antiphospholipid syndrome, hormonal and metabolic disorders, and cytogenetic abnormalities. Other etiologies have been proposed but are still considered controversial, such as chronic endometritis, inherited thrombophilias, luteal phase deficiency, and high sperm DNA fragmentation levels. Over the years, evidence-based treatments such as surgical correction of uterine anomalies or aspirin and heparin for antiphospholipid syndrome have improved the outcomes for couples with recurrent pregnancy loss. However, almost half of the cases remain unexplained and are empirically treated using progesterone supplementation, anticoagulation, and/or immunomodulatory treatments. Regardless of the cause, the long-term prognosis of couples with recurrent pregnancy loss is good, and most eventually achieve a healthy live birth. However, multiple pregnancy losses can have a significant psychological toll on affected couples, and many efforts are being made to improve treatments and decrease the time needed to achieve a successful pregnancy. This article reviews the established and controversial etiologies, and the recommended therapeutic strategies, with a special focus on unexplained recurrent pregnancy losses and the empiric treatments used nowadays. It also discusses the current role of preimplantation genetic testing in the management of recurrent pregnancy loss.

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“…Women with a confirmed diagnosis of malformation may need some form of longitudinal guidance and support (Leon, 1990;Stray-Pedersen & Stray-Pedersen, 1988). This could consist of clear information about risks, teaching of coping skills, anxiety reduction techniques, cognitive-behavioral therapy or more psychodynamically oriented psychotherapy to work through previous pathological or traumatic grieving (Condon, 1986;Ladker & Toedter, 1991;Lin & Lasker, 1996;Theut, Pedersen, Zaslow, & Rabinovich, 1988), or group counseling (Kaiser et al, 2002).…”

Section: Discussionmentioning

confidence: 99%

Effects of Previous Pregnancy Loss on Level of Maternal Anxiety After Prenatal Ultrasound Screening for Fetal Malformation

Brisch

Munz

Kächele

et al. 2005

Journal of Loss and Trauma

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The impact of previous stillbirth, miscarriage, or preterm delivery on anxiety in pregnant women in various subgroups at high risk for fetal abnormality in comparison with a nonrisk control group of women with healthy uncomplicated pregnancies was studied longitudinally. The level of anxiety in women (n ¼ 674) during early pregnancy was assessed by questionnaire. Data were collected at three points in time: immediately before the ultrasound scanning, at 5-6 weeks, and at 10-12 weeks after the prenatal examination for fetal malformation. In general, all women with high-risk pregnancies (n ¼ 506) showed high levels of anxiety immediately before ultrasound scanning. There was a significant decrease in anxiety over the following 10-12 weeks. By contrast, level of anxiety was not raised in the no-risk control group (n ¼ 168). However, pregnant women

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Recurrent abortion: the role of psychotherapy

Cited by 53 publications

References 13 publications

Causes of Fetal Wastage

Causes of Fetal Wastage

Recurrent pregnancy loss: current perspectives

Effects of Previous Pregnancy Loss on Level of Maternal Anxiety After Prenatal Ultrasound Screening for Fetal Malformation

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