understanding recurrent miscarriages among young women in Chad
Across N’Djamena and secondary cities in Chad, an alarming rise in recurrent miscarriages among young women in their twenties is causing growing concern. These mothers face a dual challenge: medical complications and social stigma that often go untreated. The lack of awareness, limited access to specialized care, and deep-rooted taboos surrounding women’s health are worsening the emotional and relational toll on affected couples.
what doctors identify as leading causes
A medical expert, Dr. Deubalbe Djonka Djoret, sheds light on the root causes of spontaneous abortions and their far-reaching consequences. “A miscarriage occurs when a pregnancy ends before the 20th to 22nd week of amenorrhea—before the fifth month,” he explains. While common, repeated miscarriages rarely stem from a single factor.
Local uterine issues play a significant role, including uterine fibroids and cervical incompetence, where the cervix fails to hold the fetus until full term. Hormonal imbalances—particularly disruptions in estrogen and progesterone levels—can also disrupt a healthy pregnancy, as can deficiencies in iron or folic acid, which may lead to neural tube defects in the fetus.
Genetic anomalies are another critical factor, often surfacing in the earliest stages of pregnancy. The Rh factor also poses a serious risk when the mother is Rh-negative and the father is Rh-positive, potentially triggering immune responses against the fetus.
infections and chronic illnesses: hidden threats to pregnancy
In Chad, infectious diseases such as malaria, amniotic fluid infections, syphilis, and toxoplasmosis are frequently overlooked yet devastating during pregnancy. Chronic conditions—including diabetes, hypertension, kidney disease, and heart disorders—further elevate risks, especially when left unmanaged. Self-medication and the use of certain medications can also harm fetal development.
why young mothers are disproportionately affected
Young women are particularly vulnerable due to lifestyle and medical factors. “Many misuse hormonal contraceptives or medications, consume alcohol during pregnancy, or follow harmful traditional practices without understanding the risks,” warns Dr. Djonka Djoret. These behaviors, combined with delayed medical intervention, increase the likelihood of repeated miscarriages.
the importance of early detection and preventive care
To reduce recurrence, early diagnosis is critical. The specialist emphasizes the need for specialized screenings, such as endovaginal ultrasound cervicometry and genetic testing, which remain underutilized in Chad due to cost and accessibility barriers.
the psychological burden of repeated miscarriages
The emotional fallout from recurrent miscarriages extends beyond physical health. “The trauma leaves deep scars—shame, guilt, and depression are common,” shares Dr. Djonka Djoret. Couples often struggle with strained relationships, compounding the distress.
expert advice for safer pregnancies
The doctor strongly advises all expectant mothers to seek early prenatal care from a general practitioner or obstetrician-gynecologist. He also recommends preconception consultations to identify and address risk factors before pregnancy begins.