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Expert Q&A

 

By Kathy Loebel
Kathy Loebel is a certified nurse midwife

I recently had miscarriage at my 8th week of gestation. How soon would you recommend trying again and why? Also, how does my previous miscarriage affect my likeliness to have a miscarriage again? When is the highest percentage of miscarriage-first trimester, second, etc."

It is always best to consult with your primary care provider who managed you during your recent loss. They have all your personal data which may influence their discussion of appropriate timing and conception. In general, it is usually recommended that a non-complicated healthy woman wait three months after a miscarriage. The rationale is that this time period allows the lining of the uterus (the endometrium) to heal and regenerate. This promotes a smooth and optimal uterine lining for the next pregnancy.

There is no data which supports the idea that after one first trimester miscarriage you are at any higher risk for a second miscarriage. Therefore, your miscarriage does not affect any future pregnancies at this time.

During the 8 to 10 week gestation period is the most frequent time a first trimester miscarriage is likely to occur. There is only a 1 to 3 percent chance of having a second trimester miscarriage in the general population. Personal medical history and family history have a great influence on your risk of having any problems."

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