After 3 miscarriages 33-year-old woman finds hope again to embrace motherhood

Poojarsquos journey to motherhood began with hope in early 2021 but soon turned into heartbreak after her first miscarriage Despite emotional recovery the couple faced a second miscarriage in mid2022 followed by a third loss in late 2022 leaving them devastated and anxious about future pregnanciesClinically recurrent pregnancy loss is defined as two or more consecutive miscarriages Experiencing three pregnancy losses between 2021 and 2022 placed Pooja in the RPL category warranting specialised care RPL affects nearly 1ndash2 per cent of couples and in close to 50 per cent of cases identifiable and treatable medical causes are foundAfter nearly a year of emotional and physical recovery the couple sought specialised treatment in November 2023 A detailed evaluation revealed high blood pressure hormonal imbalance thrombophilia a bloodclotting tendency and insulin resistance conditions known to increase the risk of miscarriage and pregnancy complicationsFollowing medical optimisation and counselling the couple proceeded with in vitro fertilisation IVF under close supervision The pregnancy was confirmed in early 2024 and closely monitored at Motherhood Hospital in Gurgaon under the care of Dr Preety Aggarwal who is the medical director ndash Obstetrics and Gynaecology at the hospital The early months progressed smoothly offering cautious hope after years of uncertaintyHowever at around 31 weeks of gestation her BP increased and a routine ultrasound detected foetal growth restriction FGR and reduced blood flow to the baby FGR affects nearly 5ndash10 per cent of pregnancies and occurs when a baby does not grow at the expected rate in the womb increasing the risk of foetal distress and preterm birth if not managed in timeRecognising the risk the medical team administered antenatal steroid injections to accelerate lung maturity and placed the mother under close monitoring When early signs of foetal distress appeared doctors made a planned decision to proceed with a caesarean section at 325 weeks of pregnancy early eighth month to ensure the safety of both mother and babyThe preterm newborn was immediately shifted to the NICU for specialised care The baby required respiratory support temperature regulation and assisted feeding and remained in the NICU for approximately 18 days Kangaroo Mother Care skintoskin contact was encouraged helping stabilise breathing promote weight gain and strengthen motherndashbaby bondingWith gradual improvement the baby began accepting feeds independently and showed steady growth Both mother and baby were discharged in stable condition and advised regular paediatric followups growth monitoring and developmental assessmentsCommenting on the case Dr Aggarwal said ldquoRecurrent pregnancy loss is physically and emotionally exhausting for couples This patient came to us with a history of three miscarriages and significant anxiety Her evaluation revealed multiple medical risk factors all of which required careful management Close monitoring throughout pregnancy helped us identify complications earlyShe added ldquoAt 31 weeks foetal growth restriction and reduced blood flow indicated compromised nourishment Timely steroids continuous observation and a planned preterm delivery ensured a safe outcome Although the baby was born early structured NICU care supported steady recoveryrdquoSharing her experience Pooja said ldquoAfter losing three pregnancies we were scared to hope again When the doctors explained that my condition was recurrent pregnancy loss and that the causes were treatable it gave us strength Delivering early was frightening but I trusted the medical team Today seeing my baby grow stronger every day feels like a miraclerdquoThe case highlights the importance of early evaluation even after a first miscarriage While a single pregnancy loss may occur due to chance timely assessment can identify hormonal and metabolic disorders before they lead to recurrent loss Early diagnosis planned conception and specialised highrisk care can significantly improve outcomes offering hope to couples facing similar challenges