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Women's Health

Miscarriage

A miscarriage is a trial, and Professor Akim Bouterra sets out above its causes, precautions, and remedies, reminding us that "it is Allah who Gives." This guide begins with what faith says to the woman who has lived through it, puts the causes in their true place (the leading one, by far, depends on no one), explains what actually lowers the risk the next time, what hive products and plants are really worth, and what should and should not be taken.

The essentials in 30 seconds

One in six or seven pregnancies ends in miscarriage, and in more than half of cases the cause is a random chromosomal abnormality in the embryo that nothing could have prevented: not the mother, not her diet, not any exertion. This is what needs to be understood first, and it is what the Qur'an says in its own way: "He makes barren whom He wills," and the lost child intercedes for its parents. When miscarriages recur, the search turns to the thyroid, diabetes, antibodies, uterine malformation, and celiac disease, as the professor lists them, and these can be treated. For the next pregnancy: folic acid even before conception, a checked thyroid and blood sugar, little coffee, no tobacco, a healthy diet, a normal weight, and rest for the heart. Hive products nourish; they do not prevent miscarriage. Sage, senna, and black seed taken by mouth are stopped as soon as conception occurs, as he reminds us.

Miscarriage can sometimes be a difficult trial to overcome, but with patience and supplications this is possible.

First, the causes should be studied, which may be due to viruses or bacteria causing malformations, uterine or tubal infections, or non-viable embryos.

Among the precautions to take before pregnancy, we can mention consuming hive products such as honey, Chinese mushrooms, ginseng, and of course eating a healthy diet.

Once pregnant, hive products such as royal jelly or propolis should be favored, in order to fight viruses and infections, given that other remedies will no longer be suitable during this period.

In addition, hygiene should be carefully maintained, and good habits such as washing one's hands regularly, which we find in ablutions, will help fight viruses and other threats to the pregnancy.

In the case of a uterine malformation, a medical examination will be required. It may also be a fibroid, or endometriosis, which will need to be treated. Miscarriage may also be caused by a hormonal imbalance such as hyperthyroidism or hypothyroidism. It may also stem from diabetes or kidney failure. High blood pressure, causing blood circulation disorders, may also be a cause. Finally, gluten allergies can also cause miscarriages.

Furthermore, when we are faced with an incompatibility of blood groups between the mother and the child, that is to say when one is Rh positive and the other Rh negative, and this is the Lord's predestination, a miscarriage may then occur.

But also, traffic accidents and post-traumatic shocks sometimes result in triggering miscarriages. To cope with this shock, the woman should protect herself by taking sedatives.

There are three fundamental sources for fighting miscarriage: vitamin B12, folic acid, and iron.

Good dietary hygiene is also essential for carrying a pregnancy to term, and one should avoid eating undercooked meat and fish due to the risk of bacterial contamination. Of course, the diet should be healthy and balanced. Taking omega-3s will be a good thing to support a healthy pregnancy, and sometimes weight gain will be necessary, or relaxation to reduce stress as much as possible. Caffeine, on the other hand, should be limited.

Among the things that can interrupt a pregnancy is taking medications contraindicated during pregnancy, so one must be careful and read the instructions thoroughly. Certain medicinal plants are also contraindicated for pregnant women, such as: feverfew (early in pregnancy), juniper, sage, laxative plants such as senna, buckthorn, rhubarb, and aloe vera (early in pregnancy).

Before pregnancy, it is recommended to consume as much progesterone as possible.

And let us not forget that it is Allah who is the Giver.

First, what faith says to the woman who has lived through it

"He grants daughters to whom He wills, and He grants sons to whom He wills. Or He grants both males and females, and He renders whom He wills barren" (42:49-50). The child is a gift, and its loss is a decree, not a fault. The Prophet ﷺ said of the child who dies before term that they "pull their mother toward Paradise by the cord" when she is patient, hoping for the reward (Ibn Majah, acceptable chain). A woman who loses a pregnancy has done nothing wrong: she did not carry too much, did not walk too much, did not eat poorly, did not lack faith. This must be said because guilt is the first harm that follows a miscarriage, and it is unfounded. One has the right to be sad, to cry, to ask for help: the prophets wept for their children. The professor begins with "patience and supplications," and that is the right order: the heart before the causes.

The causes, in their true place

CauseShare of miscarriagesWhat can be done
Chromosomal abnormality of the embryo50 to 70% of early miscarriages; the randomness of fertilization, more frequent with ageNothing for this one; the next pregnancy has every chance of going to term
Thyroid (hypo, hyper, antibodies)A frequent cause of recurrent miscarriage; antithyroid antibodies increase the risk even with a normal thyroid (J Obstet Gynaecol Res, 2024)TSH and antibodies before conception; treatment if needed
Diabetes, excess weight, hypertensionThe professor cites these; poorly controlled diabetes doubles the riskBlood sugar, weight, and blood pressure checked before trying
Uterus (malformation, fibroid, adenomyosis, endometriosis)10 to 15% of recurrent miscarriagesUltrasound, hysteroscopy; surgery in some cases
Autoimmune diseases, including celiac diseaseThe professor's "gluten": untreated celiac disease increases the risk, as do other autoimmune diseases (Lancet, 2023)Screening based on symptoms; strict gluten-free diet if celiac
InfectionsRarely a direct cause; some (listeria, toxoplasmosis, rubella) are avoidableMeat and fish well cooked, raw-milk cheeses avoided, hands washed: the hygiene the professor mentions
Rhesus incompatibilityDoes not cause the first miscarriage but can complicate the next onesAn injection after each pregnancy for an Rh-negative mother: this is standard practice in France
Shock, accidentExceptional before the third month: the uterus is protected by the pelvisSee a doctor after a severe shock; ordinary stress does not cause a miscarriage

The key point: an isolated miscarriage does not warrant any workup; it is "normal" in a statistical sense (one pregnancy in six or seven, according to a global analysis (Lancet, 2021)). Starting from two, and especially three, one looks for a cause, and a treatable one is found in a good number of cases.

What actually reduces the risk the next time

  • Folic acid before conception: 400 µg per day from the moment pregnancy is planned until 12 weeks; the Cochrane review confirms it prevents neural tube defects, a cause of some pregnancy losses (Cochrane, 2015). This is one of the professor's three pillars, along with iron and B12; the other two are measured and corrected if needed.
  • Little coffee: a meta-analysis shows that the risk of pregnancy loss increases with caffeine, by about 20% for each 150 mg per day (Int J Gynaecol Obstet, 2015); stay under one cup a day, as the professor advises.
  • Progesterone, which the professor mentions "before pregnancy": the Cochrane network meta-analysis shows it reduces the risk of miscarriage especially in women who have bleeding early in pregnancy and a history of miscarriage, by prescription (Cochrane, 2021). This is not a supplement one takes on one's own.
  • Support: women who have had a miscarriage live through the next pregnancy in anguish; a review of trials shows that support and close follow-up reduce anxiety and depression (BMJ Open, 2017). The professor's "relaxation to reduce stress," supplications, ruqyah on oneself, a listening circle of support: these matter.
  • No tobacco, no alcohol, a normal weight, no strenuous exercise: the obvious lifestyle measures.

Hive products and plants: what they do, what they don't do

The professor recommends honey, royal jelly, propolis, mushrooms, and ginseng before pregnancy, and royal jelly and propolis during it. Honey is a good food during pregnancy; royal jelly provides B vitamins and amino acids; propolis is antibacterial for the throat. These are supports for general well-being, and they can be taken in moderate doses (propolis as lozenges or spray, royal jelly a small spoonful on an empty stomach). But none of them has been shown able to prevent a miscarriage, and a woman who has experienced one should never be led to believe otherwise. Ginseng and mushrooms are stopped as soon as pregnancy is planned (ginseng in particular is not recommended during pregnancy). And the professor is right to list what should be stopped: feverfew, juniper, sage, senna, buckthorn, rhubarb, aloe vera; to these we add black seed (Nigella sativa) and costus taken orally, pennyroyal, mugwort, and all essential oils. See black seed during pregnancy.

Contraindications and precautions

After a miscarriage, see a doctor in case of heavy bleeding, fever, severe pain, or feeling unwell: retained tissue or an infection need treatment. One generally waits one cycle before trying again, with no medical obligation to wait longer. Do not take progesterone, hormones, or fertility "boosters" without a prescription. Do not go gluten-free "just in case": only diagnosed celiac disease justifies it. And do not consult a raqi for an isolated miscarriage: it is not an occult harm, it is nature, and blaming it on something else causes harm.

Frequently asked questions

What does Islam say about miscarriage?

That the child is a gift and its loss a decree, with no fault on the mother's part; that the woman who is patient is rewarded, and that the lost child intercedes for its parents. Sadness is permitted; guilt has no place.

What natural remedy prevents a miscarriage?

Strictly speaking, there isn't one: the leading cause is an embryo abnormality that nothing can prevent. What reduces the risk the next time: folic acid before conception, thyroid and blood sugar checked, little coffee, no tobacco, a normal weight, and a workup if miscarriages recur.

Do royal jelly and propolis protect a pregnancy?

They support general well-being and immunity at moderate doses, but no study shows they prevent a miscarriage. Take them as foods, not as insurance.

When should a workup be done?

Starting from two miscarriages, and always at three: thyroid and antibodies, blood sugar, coagulation panel, ultrasound of the uterus, karyotype of the couple, celiac screening based on symptoms. A treatable cause is found in a good number of cases.

Which plants should be stopped as soon as one is pregnant?

The professor's list: feverfew, juniper, sage, senna, buckthorn, rhubarb, aloe vera; and also black seed and costus taken orally, mugwort, pennyroyal, all essential oils. From the moment pregnancy is planned, not only at a positive test.

This article is for informational and educational purposes only. It does not replace medical advice or personalized care.

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