Table 1.
Aetiology of RSM
– Genetic factors | 3 − 5% |
– Anatomical factors | } 1 − 28% |
– Cervical incompetence | |
– Infective factors | |
– Endocrine factors | |
Thyroid dysfunction | |
Diabetes mellitus | |
Luteal phase deficiency | |
PCOS | |
– Autoimmune factors/APS1 | |
Thrombophilic defects | |
(congenital thrombophilias) | |
Antithrombin III deficiency | |
Protein C/protein S deficiency | |
Activated protein C resistance | |
Factor V Leiden | |
Prothrombin G20210A | |
MTHFR C677T polymorphisms | |
– Alloimmune factors1 | |
– Unexplained recurrent spontaneous miscarriage | 40–60% |
– Other aetiological factors | |
Environmental factors/occupational factors | |
Obesity | |
Personal habits | |
Smoking | |
Alcohol consumption | |
Caffeine |
Immune-related aetiological factors.