Recurrent Miscarriage: Causes & Care with Dr. Abdel Hamid Sand

Recurrent miscarriage is one of the most emotionally distressing experiences for both parents. It requires thorough evaluation to identify the root cause and develop an effective treatment plan.
Dr. Abdel Hamid Sand, Consultant in Fetal Medicine, explains that recurrent miscarriage is defined as three or more consecutive pregnancy losses, and can result from various factors—some related to the fetus and others to the mother.

Fetal Causes of Recurrent Miscarriage

According to Dr. Abdel Hamid Sand, several fetal issues can lead to pregnancy loss, including:

• Chromosomal abnormalities, the most common cause, where the fetus is not viable.

• Severe congenital malformations, often detected via advanced ultrasound.

• Early developmental issues, possibly linked to an unstable uterine environment or delayed implantation.

Maternal Causes

Dr. Abdel Hamid Sand highlights maternal conditions that can lead to repeated miscarriages, such as:

• Blood clotting disorders (e.g., antiphospholipid syndrome)

• Uterine abnormalities such as uterine septum or cervical insufficiency

• Hormonal imbalances like thyroid dysfunction or elevated prolactin

• Chronic or untreated infections

• Autoimmune conditions

How Is It Diagnosed?

Dr. Abdel Hamid Sand relies on a comprehensive assessment, which includes:

• Hormonal, immune, and chromosomal tests for both partners

• Detailed uterine imaging using 3D ultrasound or MRI

• Doppler studies to assess blood flow to the uterus and placenta

• Advanced fetal evaluations in future pregnancies

Can It Be Prevented or Treated?

Yes. According to Dr. Abdel Hamid Sand, accurate diagnosis is key, followed by a personalized treatment plan such as:

• Aspirin or heparin for clotting disorders

• Surgical correction of uterine abnormalities

• Hormonal support in cases of endocrine issues

• Close monitoring with Doppler and early ultrasounds during pregnancy

Conclusion

Recurrent miscarriage does not mean the end of hope—rather, it’s the beginning of deeper understanding.
With the expertise of Dr. Abdel Hamid Sand in fetal medicine, it’s possible to determine the real cause and create a treatment strategy that gives mothers a safe and successful pregnancy.