Across N’Djamena and secondary cities in Chad, a growing number of women in their twenties are experiencing repeated miscarriages, a deeply troubling trend with significant medical and social consequences. These young mothers face an often silent struggle, compounded by stigma, limited awareness, and barriers to specialized care. The emotional and relational toll on both partners can be devastating, leaving lasting scars on families and communities.

To shed light on this critical issue, we consulted Dr. Deubalbe Djonka Djoret, a general practitioner specializing in women’s health, who shared insights into the root causes and potential solutions.

understanding miscarriages: definitions and early warning signs

A miscarriage, or spontaneous abortion, occurs when a pregnancy ends before the 20th to 22nd week of amenorrhea—typically before the fifth month. While common, its causes vary widely and often remain undiagnosed without proper medical attention.

common medical causes behind repeated miscarriages

The doctor identifies several key factors contributing to this issue:

• uterine abnormalities: conditions like fibroids or cervical incompetence, where the cervix fails to hold the fetus until full term, are frequent culprits.
• hormonal and nutritional imbalances: disruptions in estrogen and progesterone levels, as well as deficiencies in iron or folic acid, can hinder healthy fetal development and trigger miscarriages.
• genetic and chromosomal issues: anomalies during early pregnancy or Rh incompatibility (when the mother is Rh-negative and the father is Rh-positive) pose high risks.
• infections: malaria, amniotic fluid infections, syphilis, and toxoplasmosis are often overlooked but dangerous threats to pregnancy.
• chronic health conditions: untreated diabetes, hypertension, kidney disease, or heart conditions increase risks, as does self-medication with harmful substances.

why young mothers are most vulnerable

Dr. Djonka highlights specific risks faced by younger women:

• improper use of hormonal medications or contraceptives.
• engaging in risky behaviors, such as alcohol consumption during pregnancy or uninformed cultural practices.

the importance of early diagnosis and prevention

The specialist emphasizes that timely screenings—such as transvaginal ultrasound cervicometry or genetic testing—are critical to preventing recurrence. Unfortunately, these diagnostics remain inaccessible or underutilized in many regions.

psychological and relational fallout

The emotional impact of repeated miscarriages is profound. Women and couples often grapple with grief, loss of self-worth, and even depression, underscoring the need for compassionate support and mental health care alongside medical treatment.

preventive measures and expert recommendations

Dr. Djonka urges pregnant women to seek early prenatal care from a general practitioner or obstetrician-gynecologist. For those planning pregnancy, a preconception consultation is vital to identify and address risk factors before they escalate. Proactive health management can make all the difference in ensuring safer pregnancies and healthier futures.