Why repeated miscarriages are a growing concern for young mothers in Chad

In N’Djamena and other cities across Chad, the rising number of repeated miscarriages among young women in their twenties is becoming a silent yet devastating crisis. Without proper medical attention, these women face not only physical health risks but also deep emotional and relational turmoil within their families.

Understanding the medical causes behind miscarriages

Dr. Deubalbe Djonka Djoret, a general practitioner, explains that a miscarriage occurs when a pregnancy ends spontaneously before the 20th to 22nd week. Several factors can contribute to this painful reality:

• Local issues: Structural problems like uterine fibroids or cervical incompetence, where the cervix fails to support the fetus until full term.
• Hormonal and nutritional imbalances: Disruptions in estrogen and progesterone levels, as well as deficiencies in iron or folic acid, can lead to fetal developmental issues.
• Genetic factors: Chromosomal abnormalities or Rh incompatibility between mother (Rh-negative) and father (Rh-positive) increase miscarriage risks.
• Infections: Malaria, amniotic fluid infections, syphilis, and toxoplasmosis are dangerous yet often overlooked threats.
• Chronic illnesses: Uncontrolled diabetes, hypertension, kidney disease, or heart conditions heighten risks, especially when combined with self-medication or exposure to toxic substances.

Why young mothers are particularly vulnerable

The specialist highlights that young women face additional risks due to:

• Improper use of hormonal medications or contraceptives.
• Engaging in high-risk behaviors, such as alcohol consumption during pregnancy.
• Lack of awareness about pregnancy-related dangers and prevention methods.

The psychological toll of repeated miscarriages

Beyond physical health, the emotional impact of miscarriages is profound. Many women experience depression, loss of self-esteem, and strained relationships. Dr. Djonka stresses the importance of early medical intervention to mitigate these effects.

Prevention and early action: key steps to protect future pregnancies

The doctor advocates for proactive measures, including:

• Preconception consultations: Identifying and correcting risk factors before pregnancy.
• Regular prenatal check-ups: Ensuring timely detection of potential issues.
• Access to specialized care: Encouraging the use of advanced diagnostic tools like endovaginal ultrasound and genetic testing.

By raising awareness and improving healthcare access, young mothers in Chad can better safeguard their pregnancies and well-being.