Dr Charlotte Elder

speaker

275 appearances 6 recordings 1 series first heard Sep 2019 last heard Mar 2021

Dr Charlotte Elder’s voice in public audio — every appearance, attributed to the second.

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The Hook Up · Why we need to talk about miscarriages · 23 Nov 2020 podcast

But in terms of once a pregnancy started, a pregnancy that's started will either keep going or it won't keep going.

The hormones that are in hormonal contraception, estrogens and progestogens, the levels of those in your body when you're pregnant are so sky high that taking a tablet's not gonna not gonna make any difference, or using a ring, which is the same dose as um as the the contraceptive pill.

There's a few other things.

So sometimes if someone has a uterus which is an abnormal shape, um, so a heart-shaped uterus or a separate uterus, some people can have two uteruses or have a uterus that's almost in heart.

And if the pregnancy sticks on the middle bit of the uterus, the blood flow's not as good and so it's a bit more likely to be a miscarriage than if it's stuck on the outside bit of the uterus where the blood flow is better.

And there are some medications that can cause miscarriages.

There are some drugs that can cause miscarriages, primarily c um cocaine.

But other drugs tend not to, so alcohol and other drugs, whilst I'm not recommending them, they tend not to cause tend not to cause miscarriages.

And there's also medication you can take to to cause a miscarriage, which is a a medical termination pregnancy or medical abortion.

Those tablets are relatively hard to get, so you need a prescription to get them.

So they're not the sort of thing you're gonna take by mistake.

Things you can buy over the counter at the chemist don't cause miscarriages.

So there's a few different ways.

Them the most common way is either to have an ultrasound scan and um be told that the scan shows a miscarriage.

Or to to start bleeding in pregnancy.

Although interestingly enough, you can actually bleed a lot in pregnancy and have a pregnancy that keeps going, or you can bleed not at all and have a pregnancy that um that is a miscarriage.

So the amount of bleeding doesn't necessarily fit with what's going on, which is why it's really important to see a doctor who deals with uh with miscarriages, who can who can look after you.

So most miscarriages happen before eight weeks of pregnancy and then some of them will happen between eight and twelve weeks and very rarely they'll happen between twelve weeks and twenty weeks.

So there's a few things.

One is that I think there's quite a few guidelines or rules or um suggestions for things to do or not do during pregnancy.

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