Miscarriages

Twenty percent of all pregnancies end in miscarriage at different stages of pregnancy before 20 weeks (Five Months) are on the increase. Each loss, a complexed medical puzzle is emotionally and physically difficult to endure

Two or more pregnancy losses are defined recurrent miscarriages and need specialized care. Some women lose all her pregnancies to miscarriages, others have a child or two before are unable to successfully complete her pregnancy and give birth to another baby

Referrals

Most of the Ob/Gyn doctors have no time and no experience to treat patients who lose every pregnancy they conceive. Patient often gets a referral to genetics and/or hematologist and not to the pregnancy loss expert, best equipped to treat women facing pregnancy losses or recurrent miscarriages

Genetics and Hematology Studies

Patient and partner appointment with genetics consists of personal and family history intake, miscarriages details, use of medications, environmental exposure, work conditions, medical issues and treatments and some other questions followed by blood test for patient and her partner

Genetic Causes

Genetics are most often investigated, but genetic problems are found in only 3% of patients who suffer frequent miscarriages. Carriers of genetic diseases are served best with IVF with embryo biopsy and genetics testing utilizing Pre-implantation Genetic Diagnosis (PGD) to select disease free embryo for the implantation in the uterus

Hematology Studies

Hematology appointment starts with the history taking and patient has detailed coagulation profile for ‘thick blood’ testing. Usually ‘baby aspirin, 81 mg daily is recommended, regardless of the coagulation results

Low- dose aspirin, OB/GYN doctors prescribe to pregnant women to lower risk of pre- eclampsia.  Hematologists recommend folic acid already taken with prenatal vitamins

OB/GYN

OB/GYN doctors order hysterosalpingogram, Xray of uterus and tubes. Uterus with the congenital defect and abnormal shape or fibroids interfere with normal pregnancy growth

No explanation and no clear directions are often given to patient what should she do in the future. When a routine evaluation ‘miscarriage workup’ turns negative problem remains unsolved with encouraging advise ‘try again since everything is fine with you’. Self- referral for the complete and accurate diagnosis is an important first step toward successful treatment

Women, Who Lost Two, Three or More Pregnancies

Patients with recurrent losses have rightfully difficulties to accept grim prognosis that nothing could be done to protect her tiny baby from destruction early on in the womb. Patient becomes withdrawn depressed and surely convinced that she will never become a mother.

What Causes Recurrent Miscarriages?

• Recurrent losses usually follow similar course; bleeding starting at the same stage (weeks) of pregnancy, similar onset of symptoms and clinical progress leading to miscarriage
• Accurate diagnosis, is the first step towards successful treatment. Hanna, miscarriage specialist, offers expert advanced and comprehensive evaluation, support and treatments for early pregnancy losses and recurrent miscarriages
• Genetic testing on the expelled pregnancy tissue determines if baby was had abnormal genetics and no chances to survive
• Uterus supplies nutrients necessary for the normal pregnancy growth. Uterine support is especially important at the beginning of pregnancy before development of the fetal placenta. Later in pregnancy placenta supplies all baby needs
• Tailored treatment for the early pregnancy with frequent blood tests monitoring and ultrasound growth surveillance to assure normal pregnancy development

Early Fetal Demise

Early fetal demise happens when pregnancy stops growing in very early

stages of development are more common in older patients diagnosed with recurrent losses. Fetal genetic testing is recommended 

Advances in Diagnosis and Treatment Option Under Dr. Hanna Miscarriage Care

Recent advances in understanding pregnancy hormonal issues and maternal Immune system role in early pregnancy gave much needed in- site into demystifying nature of the many unexplained miscarriages

Maternal Immunology

Abnormal maternal immune responses may cause recurrent implantation failure producing biochemical pregnancies (pregnancy that stopped growing before could be visualized by the ultrasound) and failed multiple IVF attempts after transferring embryo embryos with normal (genetic) karyotype

New Therapies and dr. Hanna Specialized Treatment Options for Women with Two of More Pregnancy losses:

• New therapies emerged giving good chances to reverse ‘bad luck’ needed to for successful pregnancy.
• In early miscarriages it is absolutely essential to implement therapy as early as possible, virtually at the START of pregnancy.
• IVF and embryo transfer gives unique opportunity to synchronize time of starting medications that will protect early pregnancy and neutralize destructive, aberrant reactions at the time when embryo is small and defenseless

Hardly ever any patient is referred with recommendations to be treated with IVF and/or undergo advanced investigation; both needed to improve outcomes.

Patient self- referrals choose dr. Hanna and other patients’ success with empathy and experience:

• Decade of experience with miscarriage cases
• Personal experience and emotional support
• State- of the art diagnostic tools
• Trusted care by patients across NYC

Gestational Carrier

• Gestational for Pregnancy Losses Women who were born without uterus or had surgery need gestational carrier (other women) to carry and deliver her baby.
• Many recurrent miscarriages patients feel that use of somebody else’s uterus is going to solve problem of their body ‘killing’’ pregnancy. Finding a suitable gestational carrier, hire lawyer to prepare legal contract before treatment, is a difficult task.
• When there is no a family members or friend to become a carrier and help, patients look for a stranger to ‘hire’.
• There are professional agencies contracting ‘third-party reproduction’ (name used for gestational carrier services). Not many families, however, can afford surrogacy service fees that average over $100, 000 charged by those agencies.

 The Good News from Us

The good news is that majority of our pregnancy loss patients successfully carried pregnancy in their own wombs, once we diagnose you and UNDERSTAND