12/10/2026
Multiple pregnancy losses can leave a couple wondering what they should do differently the next time. But sometimes, the more important question is: is there an underlying reason the pregnancy is finding it difficult to continue?
This patient travelled from Tripura with a history of multiple early pregnancy losses, followed by a preterm loss at 26 weeks associated with cervical insufficiency. She later presented with secondary infertility.
A detailed evaluation also identified a septum within the uterus. After hysteroscopic septal resection, she underwent IVF and conceived.
Considering her previous obstetric history, a cervical cerclage was placed during pregnancy, followed by close antenatal monitoring. And this time, the journey reached a very different ending a term delivery and a healthy baby boy. 🤍
Cases like hers are an important reminder that recurrent pregnancy loss is not one diagnosis with one solution. Uterine anatomy, cervical factors, genetic, hormonal and other medical causes may need to be evaluated depending on the individual history.
For couples going through repeated losses, the next step should not simply be about trying again.
It should begin with understanding what may have happened before.
🥼 Dr. Monica Gupta
🤰 Senior Consultant, Gynecologist and Obstetrician
📍 High-Risk Pregnancy and Infertility Care at Manipal Hospital, Bhubaneswar
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