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Miscarriages - your questions answered

continued from page 2
eaton0171: I have read that having a D and C (dilation and curettage) can weaken the cervix and therefore cause further miscarriages maybe at a later stage of pregnancy (around 12 weeks) how true or common is this? Are you more likely to have a further miscarriage if you have had a DC? I had a full term baby ten years ago with no problems. I had been on the pill for ten years prior to trying for the baby we have just lost. Can being on the pill for this long have damaged anything in any way which would prevent me having a full term pg now I have now been off the pill for 7 months.
Dr Gillian Lockwood: One or two D and Cs will not weaken the cervix. Miscarriage from 'an incompetent' cervix tends to happen later in pregnancy (after 20 weeks). A cervix can be weakened by repeated late TOPs (if done surgically) and also by cone biopsies. Laser treatment and DLE (loop diathermy) for CIN II or III (pre-cancer of the cervix) does not cause this problem. Being on the pill does not affect your chance of pregnancy or increase the risk of miscarriage

l-sonyasrose: One of our posts on the board the other day has triggered this question. Karen said this "I don't know if you remember but I lost my baby boy Gabriel at 18 weeks due to a faulty placenta. Well my problem is this... Most nights I wake up suddenly feeling 'movement' in my tummy. It's not just little flutters it feels like there is a party going on in there! It feels like when I was heavily pregnant with DS and DD, lurches and rolls and proper kicks. Each time it wakes me it breaks my heart, I just don't know why this is happening. It happened a few months after I had my early m/c at 9 weeks last year but not as often. It is making me so miserable otherwise I am just about accepting my loss but this is making things worse because for a split second I forget he is no longer there." Is there something that is going on inside us after we have lost our babies that could cause these feelings (shrinking, etc), or is it just something that we are imagining?
Dr Gillian Lockwood: I saw Karen's message and wasn't quite sure how to answer. Certainly, I have had patients who have reported similar heartbreaking feelings after losing a pregnancy quite late on. The uterus shrinks back to its normal size quite quickly after delivery, but the pattern of bowel activity can be altered for some time. Some women have told me that they have these feelings of kicks and flutterings after a successful pregnancy and delivery too! I think the clue lies with Karen saying that the feelings 'wake her up'. I think she is dreaming and her sub-conscious mind is 're-running' the tape of the lost pregnancy as a way of coming to terms with it.



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