Why Some Pregnancies Don’t Progress and What You Can Do

A failed pregnancy is heartbreaking. There are many reasons behind this, from health to lifestyle influences. To make informed decisions and reduce risks going forward, one should know the causes. This blog is about why some pregnancies don't go forward and what can be done to improve one's health and increase their chances of a successful pregnancy next time.

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You may have always pictured the moment of holding your baby, but the pregnancy journey is not always easy. For many, it comes with doubts, questions, and unexpected challenges.Pregnancy is a sensitive process where many things need to work in harmony. Not everything will be in your hands, but knowing what can go wrong and how to take care of your body can make a real difference. With the right choices, you can give yourself a better chance of a smooth and healthy outcome.

Here are some reasons why pregnancies do not progress and what you can do for yourself.

1. Genetic or Chromosomal Issues

In many cases, pregnancies stop progressing when the baby has an abnormality. On optimal development, embryos require the correct number of chromosomes.
This is mostly by chance and does not indicate anything about you. However, recurrent sub-fertility due to chromosomal abnormalities puts both partners into genetic counselling.

What you can do:

  • If you have had more than one pregnancy loss, ask your physician about genetic testing.
  • If indicated, fertility specialists may proceed with more advanced approaches such as IVF with genetic screening to lower the risk.

2. Hormonal Imbalances

Hormone regulation is essential throughout pregnancy. Low progesterone levels, which are necessary for the uterine lining to be sustained, could present problems with the development of the embryo.
Hormonal imbalances caused by thyroid disorders and unregulated diabetes also interfere with pregnancy.

What you can do:

  • Before or shortly after becoming pregnant, test your hormone levels.
  • Follow your doctor’s advice if supplements (like progesterone) or treatments are prescribed.
  • Keep conditions like diabetes or thyroid disease under control with regular monitoring.

3. Uterine or Structural Problems

Many times, the problem lies within the uterus. An irregular uterine septum, fibroids, or tissue scarring may hinder implantation or the baby's healthy development. Sometimes, cervical problems might induce mid-term loss.

What you can do:

  • If you have a history of more than one non-viable pregnancy, consider requesting an ultrasound or hysteroscopy from your doctor.
  • Surgical or medical treatment can eliminate structural issues and improve your chances of a successful first pregnancy.

4. Infections

Certain infections, such as rubella, toxoplasmosis, or untreated sexually transmitted infections (STIs), can result in not being able to sustain a pregnancy.

What you can do:

  • Before considering a pregnancy, be certain to get screened for infections.
  • Take all recommended vaccines and treatments as advised by your doctor.
  • Consistently follow safe food and hygiene practices to minimise infection risk.

5. Lifestyle Factors

Lifestyle choices also influence pregnancy health. Smoking, drinking, and using illegal drugs recreationally can all increase the risk of pregnancy problems. In addition, constant exposure to harmful chemical agents either at work or at home may have its say on fertility and pregnancy.

What you can do:

  • Avoid smoking and alcohol completely if you’re trying to conceive or are already pregnant.
  • Eat a well-balanced diet that is high in vitamins, folic acid, and iron.
  • Maintain your physical activity level by doing the safe activities that your doctor has prescribed.

6. Age-Related Risks

Being above 35 would mean an increase in chromosomal problems and becoming increasingly susceptible to complications such as high blood pressure or diabetes once pregnant. This is not a restriction for having a normal pregnancy, but would rather require extra care.

What you can do:

  • Have regular prenatal visits and screening sets.
  • Work closely with your doctor to manage risks.
  • Never delay seeking medical advice if you have any difficulty conceiving.

7. Immune System Problems

Oftentimes, immunity is insufficient to support pregnancy. Conditions like antiphospholipid syndrome (APS) or other autoimmune disorders can cause blood clotting or may interfere with the placenta's functioning and so cause pregnancy loss.

What you can do:

  • If you have repeated pregnancy loss, ask for an evaluation for immune-related conditions.
  • Treatments like low-dose aspirin or heparin may be prescribed under medical supervision.

8. Unknown Reasons

Even after so many tests, nothing turns up as a cause. Unsatisfactory, but it doesn't mean you may not have a successful pregnancy someday. A lot of individuals go on to become mothers of healthy babies after unexplained losses.

What You Can Do to Support a Healthy Pregnancy

You can support a healthy pregnancy in several ways:
  • Regular health check-ups
  • Maintaining a healthy weight
  • Stress management
  • Taking the doctor-recommended supplements on time
  • Avoiding self-medication
  • Listening to your body and seeing a healthcare professional, if anything feels off
Spontaneous abortion deeply brings pain. It is good to keep reminding oneself that, in numerous cases, it is not someone`s fault, and that there are other people in the world going through the same thing.
Knowing the reasons for miscarriage can help you in the future: for example, genetic components or lifestyle behaviours. By working with your physician, you can improve the likelihood of bringing a pregnancy to birth. The better health you work towards, the closer you will get to becoming a parent.
Whether you’re pregnant, a new mom, or navigating postpartum, you don’t have to do it alone. Join our support group to connect, share, and support one another.

FAQs on Why Some Pregnancies Don’t Progress and What You Can Do

  1. Does one failed pregnancy mean I cannot conceive again?
    Many individuals face one or two pregnancy losses but go on to have healthy pregnancies later. One miscarriage does not equate to infertility.
  2. When should I see a doctor after a pregnancy loss?
    If you have had more than one pregnancy loss, or you have a medical condition like diabetes or thyroid disease, you need to speak to your doctor before you try for another pregnancy.
  3. Can lifestyle changes really make a difference?
    Yes, these contribute to successful pregnancies. Staying active improves reproductive health and decreases the likelihood of complications in future pregnancies.
Disclaimer: Medically approved by Dr Priya Agarwal, Senior Consultant – Department of Obstetrics and Gynecology at Cloudnine Group of Hospitals, Patparganj, New Delhi