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Miscarriage: Why it Happens and How Best to Reduce Your Risks--A Doctor's Guide to the Facts
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Miscarriage: Why it Happens and How Best to Reduce Your Risks--A Doctor's Guide to the Facts Review

If you have had only one miscarriage and just want a good biology lesson on the different ways miscarriage can occur, this book may be for you. However, I do not recommend this book to anyone who has suffered two or more miscarriages and is seeking advice on what to do about it. After my second, my main concern was trying to at least have an educated guess as to whether they were caused by chromosomal abnormalities or some other cause which potentially needs to be treated before trying again. This book did not give me the answers I was looking for and instead left me more frustrated and confused than ever. Additionally, after reading several books and every article I could find on miscarriage in magazines and on the internet, it seems to me that many of Dr. Lerner's opinions are in the minority. He flatly recommends that women not seek testing until they have suffered three losses in a row. However, many doctors and the American College of Obstetritians and Gynecologists (ACOG) now recommend doing so after two, especially if the woman is in her 30's or 40's. I also do not think Dr. Lerner explained that there can be certain circumstances of your pregnancy and first trimester miscarriage that point to the likelihood that it was not chromosomal abnormality - I had to learn this from other sources (examples are occurring later in the trimester and normal fetus and hearbeat shown on ultrasound before miscarrying). He also flatly says that stress does not cause miscarriages because he has seen no study proving this to his satisfaction (he uses this reasoning for a lot of his opinions but does not explain how difficult it is to prove anything in this area). I have read of numerous studies (and also acknowledged by the ACOG) that indicate that stress can in fact cause or at least contribute to miscarriage. After seeing so much information that contradicts many of Dr. Lerner's opinions, I just don't have much confidence in what he has to say. Another fault I find is that while he acknowledges progesterone deficiency can cause early miscarriages, he is against the use of progesterone supplements but does not address whether he thinks there is a possible solution for this problem, again leaving me frustrated.
My recommendation is that if you read this book, at least don't stop there - read everything you can about miscarriages from reputable sources and don't take this doctor's word as the gospel. While there doesn't seem to be any complete certainty in this subject area, by becoming as informed as possible and using your own common sense you can figure out some of the answers you need in order to go on.

Miscarriage: Why it Happens and How Best to Reduce Your Risks--A Doctor's Guide to the Facts Overview

Whether it occurs in the first trimester or later in a pregnancy, a miscarriage is always an emotionally traumatic event, sometimes a physically daunting one, and all too often an isolating experience. Adding to the frustration and disappointment of the 800,000 women who miscarry every year, busy obstetricians often lack up-to-date or specific knowledge about the causes and consequences of this profound event.Into this fact-vacuum comes After Miscarriage, a book that every physician will confidently recommend and that women hungry for information will seek out. From the chromosomal, illness-related, immunological, and genetic reasons for miscarriage to the diagnostic tests and surgical procedures now available, this authoritative guide reflects the latest medical information on why miscarriages do and don't happen and the best methodologies known for recovery and preparing to conceive again. Complete with stories from women who have miscarried and reassuring input from a female doctor, After Miscarriage also provides substantive advice for coping with the anxiety and depression that often accompany the loss of pregnancy.

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