It may be defined having a history of three or more successive pregnancy losses.

Spontaneous pregnancy loss is a surprisingly common occurrence, with approximately 15% of all clinically recognized pregnancies resulting in pregnancy failure. Recurrent pregnancy loss (RPL) has been inconsistently defined. When defined as 3 consecutive pregnancy losses prior to 20 weeks from the last menstrual period, it affects approximately 1% to 2% of women.

AETIOLOGY: -

Genetic: -            Parental karyotype

Anatomic: -         HSG or ultrasound. Saline-infusion sonohysterography

Endocrine: -        TSH.

• Possible testing for insulin resistance, serum prolactin level, ovarian reserve testing, antithyroid antibodies
• -Infectious: - No evaluation recommended unless patient has evidence of chronic endometritis/cervicitis on examination, or is immunocompromised.
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• Lupus anticoagulant.
• Non-APS thrombophilias. Homocysteine, factor V.

EFFECT ON MANKIND: -

- Spontaneous pregnancy loss can be physically and emotionally taxing for couples, especially when faced with recurrent losses. Recurrent pregnancy loss (RPL), also referred to as recurrent miscarriage or habitual abortion, is historically defined as 3 consecutive pregnancy losses prior to 20 weeks from the last menstrual period. Based on the incidence of sporadic pregnancy loss, the incidence of recurrent pregnancy loss should be approximately 1 in 300 pregnancies. However, epidemiologic studies have revealed that 1% to 2% of women experience recurrent pregnancy loss.2 Defining RPL as a clinical entity requiring diagnostic testing and therapeutic intervention rests on knowledge of the elevation of risk for subsequent fetal loss and the probability of finding a treatable etiology for the disorder. -An earlier evaluation may be further indicated if fetal cardiac activity was identified prior to a loss, the woman is older than 35 years, or the couple has had difficulty in conceiving.

HOMOEOPATHIC MEDICINES FOR PREVENTING RECURRENT ABORTION: -

1) Aconite nap:- effective Homoeopathic remedy helpful in treating anxiety, excitement or fear.

2) Apis Mel:- basically used during the weeks of pregnancy for preventing Recurrent Abortion.

3) Aletris far:- this Homoeopathic remedy treats conditions of typical abortion due to anaemia or weakness or other conditions.

4) Arnica Montana:- to manage abortion that is done after any accident to treat the mother.

5) Baptisia:- used in treating due to shock,fever, or depression.

6) Syphillinum :- used in cases where abortion is due to Syphilis.