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Clinical care for women seeking pregnancy after miscarriage
Evangeline R Shalou1, Alex Polyakov2
1MBBS, MRepMed, Reproductive Biology Fellow, Reproductive Services Unit, The Royal Women@s Hospital, Melbourne, Vic; Fellow, Department of Obstetrics and Gynaecology, Northern Hospital Epping, Melbourne, Vic.
Background:
Miscarriage is a common and distressing event that impacts women's physical and psychological wellbeing. Determining the appropriate time for a subsequent pregnancy and providing holistic care are essential for affected individuals.
Objective:
This article aims to address the question of when it is deemed safe to attempt conception after a miscarriage and discuss strategies to promote a healthy pregnancy, considering inter-pregnancy intervals, psychological implications and medical management.
Discussion:
Current evidence suggests that delaying conception does not yield any tangible benefits, and conception immediately after a miscarriage is safe. Psychological support, screening for depression and access to mental health services are crucial for comprehensive care. Medical considerations, including addressing modifiable risk factors and preconception counselling, play a vital role in reducing the risk of future miscarriages. A multidisciplinary and patient-centred approach is essential for holistic care and improving overall outcomes.
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