Patient's question:
Age 20, discovered pregnancy at the end of July this year. In the early stages, thorough check-ups revealed low progesterone, and the doctor prescribed progesterone and pregnancy preservation medicine. Later, NT scans were normal, but the triple screen test showed abnormal results. On the 22nd day, I noticed some blood streaks, but they returned to normal shortly after, so I didn't pay much attention. The third night, I experienced abdominal pain and broke water. When I went to the hospital, the doctor said it was inevitable miscarriage, as there was a water sac at the vaginal opening, and the cervix had dilated by seven centimeters—the baby could no longer be saved. Later, when I asked the doctor about the cause of the miscarriage, they said it might be due to cervical insufficiency.I would like to ask: What is the likelihood of cervical insufficiency in my case? Could the miscarriage be related to the triple screen test results?
What kind of help I need: I would like to ask: What is the likelihood of cervical insufficiency in my case? Could the miscarriage be related to the triple screen test results?
Doctor's answer:
I’d be happy to help clarify. Based on your description, your miscarriage is more likely related to your cervical insufficiency rather than the abnormal results of your Down syndrome screening. However, it cannot be said with certainty that it has no connection, as fetal abnormalities could also lead to miscarriage.I suggest that since this is your first early pregnancy, a recurrence of this situation should be considered congenital cervical insufficiency. After this postpartum recovery, you should have a thorough examination of your cervix to prepare for your next pregnancy. Regarding the abnormal results of the Down syndrome screening, did you undergo amniocentesis? For your next pregnancy, you should consult the genetics department.