Patient's question:
In June 2000, I was in a car accident, underwent surgery for spleen removal, suffered multiple rib fractures, pneumothorax, and acute internal organ failure. I recovered and was discharged from the hospital. From 2001 to 2011, I experienced habitual miscarriages six times. In April 2001, my first pregnancy was terminated with medication at about 8 weeks. The subsequent five miscarriages were also at about 8 weeks. The most recent one was in August 2011, when I underwent fetal preservation treatment at Wuxi Traditional Chinese Medicine Hospital until the fetus was over 70 days, but there was no fetal heartbeat, and I had an abortion.Doctor's answer:
This habitual abortion should be primarily prevented. Both partners should undergo thorough medical examinations before conception, including genital examinations and necessary laboratory tests. If possible, chromosomal testing can be performed. If factors or causes are identified, treatment should be targeted accordingly. For those already pregnant, different methods of fetal preservation should be followed under the guidance of a doctor, based on the identified factors or causes.Traditional Chinese Medicine (TCM) believes that this condition is often due to insufficient kidney qi and weak (Chong Ren), leading to the need for tonifying the kidneys and spleen, consolidating qi, nourishing blood, and regulating the condition before pregnancy. Specific herbal formulas such as Bu Shen Gu Chong Wan (Kidney-Tonifying and Chong Ren-Strengthening Pills) can be used.
For habitual abortion in the late stage of pregnancy caused by cervical insufficiency, cervical cerclage surgery is typically performed between the 16th and 22nd weeks of gestation to maintain the pregnancy until the later stages or full term.