Hello and welcome,
I am sorry for the incident and understand your feelings.
The reasons for abortions in the middle three months of
pregnancy are fetal defects, infections,
premature rupture of membranes and leaking of
amniotic fluid, placental defects, maternal disorders like
thyroid etc.
Many times the causes are not recurrent and women have normal babies after this. We tend to investigate women if ca cause has been found or there are more than 2 losses. In many cases no cause may be found.
If a fetal autopsy had been performed, it is advantageous as it helps recognize any internal defects and genetic abnormalities.
If you are keen for investigations now, I suggests the following:
1. Screen for genetic defects in parents:
karyotype of mother and father
2. Test for blood sugar, thyroid in mother
3. tests for infections like torch and syphilis
These are the baseline.
In addition she must use
prenatal vitamins before next pregnancy as their deficiency causes many birth defects.
She may begin to plan after 3-4 months.
Do not worry as many causes are non recurrent. Just have a regular antenatal check up and early sonographies to pick up problems if any in the next pregnancy.
Hope this helped.
Thanks for the query
Dr Madhuri Bagde
Consultant Ob Gyn