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Morning Rounds

Miscarriage

Despite how common a miscarriage can be … experiencing one for yourself can be a time filled with sadness and guilt. While the majority of miscarriages are either unexplained or caused by chromosomal abnormalities and therefore are not preventable … women and their families want to know what they can do to lessen their risk of miscarriage.

 

There are several risk factors associated with miscarriage that have scientifically studied. Women over thirty five begin to see significant increases of miscarriage and birth defects when they become pregnant. While tobacco use has known associations with low birth weight in babies … women who smoke more than ten cigarettes per day triple their risk of losing their baby during pregnancy. Cocaine use and moderate to high levels of alcohol consumptions can also lead to higher rates of miscarriage and the American Academy of Pediatrics currently recommends that expectant mothers stay away from any alcohol consumption during their pregnancy. One substance that has been a bit of a mystery is caffeine.

 

Since caffeine is present in so many safe consumer products ... many pregnant women don’t think twice about having a soda or a cup of coffee. However … even before this weeks new study on caffeine in pregnancy … there have been researchers concerned about its effects and studies that have shown drinking four or more cups or coffee per day can increase the risk of miscarriage.

 

Looking closely at the study published on Monday … researchers concluded that consuming at little as two hundred milligrams or ten ounces per day of coffee can increase miscarriage risk. There are … however … critics of this study who point to the imperfections of the study design and are hesitant to fully embrace its recommendations. Also … the American College of Obstetrics and Gynecology as well as the American Society for Reproductive Medicine has not taken official positions on caffeine during pregnancy.

 

For women who are pregnant or trying to get pregnant … the best advice is to eat a well-balanced diet … take prenatal vitamins with folic acid … and try to limit consumption of any other chemicals that may affect your pregnancy … including caffeine.

Published Sunday, March 09, 2008 7:55 PM by drscottrobertson

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