In neighborhoods across N’Djamena and smaller towns in Chad, a growing number of young women in their twenties are silently grappling with the heartbreaking reality of repeated miscarriages. This medical and social challenge remains largely unaddressed, compounded by societal taboos, limited awareness, and barriers to specialized care. The emotional and relational toll on these women and their partners is profound, often leaving deep scars that extend far beyond the physical.

what causes repeated miscarriages, and why is early detection critical?

Dr. Deubalbe Djonka Djoret, a general practitioner, sheds light on the complexities of this issue. He explains that a miscarriage occurs when a woman loses a pregnancy before the 20th to 22nd week of amenorrhea—essentially before the fifth month. While common, its causes are varied and demand close attention.

local and hormonal factors at play

The doctor identifies several key contributors, including:

• Uterine abnormalities, such as fibroids, which interfere with the normal development of the fetus.
• Cervical incompetence, where the cervix fails to support the pregnancy to term, leading to early labor or miscarriage.
• Hormonal imbalances, particularly between estrogen and progesterone, which disrupt the pregnancy’s progression.
• Nutritional deficiencies, such as low iron or folic acid levels, which can result in fetal neural tube defects.

genetic, infectious, and lifestyle risks

Beyond structural and hormonal causes, genetic anomalies—often present from the earliest stages of pregnancy—can also trigger miscarriages. Additionally, Rh factor incompatibility poses a significant threat when the mother is Rh-negative and the father is Rh-positive.

In Chad, infectious diseases are a major concern. Conditions like malaria, amniotic fluid infections, syphilis, and toxoplasmosis are frequently underestimated yet highly dangerous during pregnancy. Chronic illnesses, including diabetes, hypertension, kidney failure, and heart disease, further elevate the risk—especially when left unmanaged.

Young mothers face unique vulnerabilities. According to Dr. Djonka, improper use of hormonal medications, self-medication, alcohol consumption during pregnancy, and unsafe traditional practices contribute to these risks. Without proper guidance, these behaviors can have devastating consequences.

the psychological burden of repeated miscarriages

The emotional aftermath of repeated miscarriages is often overlooked. Women and their partners may experience profound grief, loss of self-esteem, and even depression. The silent stigma surrounding this issue can exacerbate feelings of isolation, making it even harder for affected individuals to seek the support they desperately need.

prevention and early intervention: key steps to reduce risks

Dr. Djonka emphasizes the importance of proactive measures to prevent miscarriages and their recurrence. He advocates for:

• Early prenatal consultations to monitor pregnancy health and identify potential risks promptly.
• Preconception screenings to detect and address risk factors before pregnancy occurs.
• Access to advanced diagnostic tools, such as endovaginal ultrasound and genetic testing, which are still underutilized in many regions.

By prioritizing early medical intervention and raising awareness about these risks, young women in Chad can take meaningful steps toward healthier pregnancies and stronger futures.

By Boureima Amadou — Reporter