Heartland Center for Reproductive Medicine:

Our Response to COVID-19 (Coronavirus)

HCRM is dedicated to keep our patients and staff safe and healthy during the coronavirus (COVID-19) outbreak. HCRM has policies and guidelines in place aligned with recommendations from the Centers for Disease Control (CDC) and local and state health authorities to help prevent the spread of illness. We are also adhering to recent guidelines that have been published by the American Society of Reproductive Medicine (ASRM) regarding the treatment of current and new patients.

Please review the new procedures we have put into place at HCRM:

1. All patients will receive a phone call 24-48 hours prior to the appointment and complete a prescreening questionnaire with questions regarding their travel history in the past 14 days and the presence of respiratory symptoms (fever of 100.4 or higher, cough, sore throat, shortness of breath) within the past 14 days.

2. All patients and visitors will complete the same prescreening questionnaire with a HCRM staff member prior to entering the clinic on the day of the appointment. Please allow for an extra 5 minutes prior to your appointment to complete the prescreening. It is possible that a patient may need to reschedule his/her appointment based on symptoms or travel history.

3. HCRM requests that patients come to the clinic unaccompanied, leaving their partners/support waiting for them at home or in their vehicles when feasible. We request that patients do not bring children to their appointment.

4. With the use of Telemedicine, we hope to continue to provide care to our new and current patients.

5. HCRM will reduce the frequency of clinic appointments during treatment cycle monitoring.

6. HCRM will frequently enforce infection control processes within the clinic, including good hand washing hygiene, frequent disinfecting of patient rooms and surfaces, and social distancing.

We at HCRM appreciate your ongoing support as we work together and do our part to "flatten the curve." Please contact our office at (402) 717-4200 for more information or any questions.

For current travel advisories and up-to-date information on COVID-19, please visit the CDC’s COVID-19 website.

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Recurrent Miscarriage

Miscarriages can be devastating, leaving couples feeling confused and hopeless about their future. 

At Heartland Center for Reproduction in Omaha, NE, we understand how frustrating miscarriages can be, especially if they are recurrent.

Our fertility specialists can determine the underlying cause of your recurrent miscarriages and provide compassionate, dedicated care...

Contact Heartland Center for Reproduction for Your Initial Consultation

Recurrent miscarriages can be painful and disappointing. But with the help of our knowledgeable fertility specialists, you can overcome your individual infertility issues and take the first steps towards parenthood. When you visit our center, you can expect:

  • Compassionate service
  • Undivided attention
  • World-class care

Heartland Center for Reproduction in Omaha, NE, is equipped with the tools and treatment options to help you move past the trauma of miscarriage and grow your family. For more information, request a consultation online or call our practice:

(877) 831-3227

"They Patiently Answered All of Our Questions"

1

Sara Cooper

2021

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Our family is beyond thankful for everything Heartland has done for us over the last 9 months. They have been such a blessing to us! Without them, we’d have likely given up on the dream of growing our family. We always felt heard, known, and always received the most thorough explanation of any and all treatments, lab work, and scans. We felt very involved every step of the way. The positivity that radiates in this office cannot be beat. We’re so glad that we’ve trusted Dr. Gustin and her team to steer us in the right direction.

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1

Becky Rothfuss

2020

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We can’t thank Dr. Elizabeth Constance and the staff at Heartland enough! We did IVF and are 29 weeks pregnant with a baby boy! The IVF process can be hard emotionally, physically and financially but they patiently answered all of our questions and made sure we were informed before every procedure.

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Miscarriages & Recurrent Pregnancy Loss: When Should You Consult with a Doctor?

Many women are hesitant to speak about miscarriages, but they are devastatingly common. According to the American Pregnancy Association, "10-25 percent of all clinically recognized pregnancies will end in miscarriage."

A miscarriage is any pregnancy that involuntarily ends on its own during the first 20 weeks. When a woman suffers two or more involuntary pregnancy losses before they reach 20 weeks, it is called a recurrent miscarriage. According to the American College of Obstetricians and Gynecologists (ACOG), one percent of women will suffer recurrent pregnancy losses in their lifetime

The ACOG recommends scheduling an evaluation after three recurrent miscarriages to determine the underlying cause.

What Causes Recurrent Miscarriages?

Abnormal Chromosomal Activity

The most common cause of miscarriages is abnormal chromosomal activity during fertilization. This can happen randomly, although there is an increased risk that comes with age. 

Physiological Conditions

Certain physiological conditions can lead to recurrent pregnancy loss. For example, a septate uterus divided in two by a wall of tissue can create an inhospitable environment for the embryo. Another condition known as Asherman Syndrome can lead to scarring in the uterus and rejection of the embryo before a woman even realizes she is pregnant. Other physical conditions including fibroids and polyps have also been linked to recurrent miscarriages. These abnormalities can limit blood supply to the pregnancy or cause dangerous inflammation. 

Preexisting Medical Conditions

According to the National Center for Biotechnology Information, autoimmune disorders can increase the risk of complications and failed pregnancy. Additionally, thyroid disease and diabetes have been linked to an increased risk of miscarriage. 

Aging

As you age, your reproductive function and fertility also decrease. This can lead to decreased egg quality and medical conditions that can place your pregnancy at risk.

Polycystic Ovarian Syndrome

Polycystic ovarian syndrome, also known as PCOS, can disrupt your menstrual cycle and ovarian function. Although women with PCOS can still become pregnant, the condition can make it more difficult. 

Endometriosis

Endometriosis is a very common disorder that causes immense discomfort and has been linked to infertility. Research has found that 25 to 50 percent of infertile women have endometriosis.

Don't Lose Hope: Pregnancy after Miscarriage Is Possible

"77 percent of women had a successful pregnancy after pregnancy loss"

According to the University of California Los Angeles, the chance of a successful pregnancy even after pregnancy loss is approximately 77 percent for women who did not have any abnormalities during testing and 71 percent for those who did. 

What to Expect as a Patient at Our Clinic

Woman sitting with doctor

Testing

If you have suffered three or more miscarriages, it is recommended that you visit a doctor. Our Omaha, NE, team can conduct testing to determine the cause of your recurrent pregnancy loss or provide treatment that helps you increase your chances of pregnancy. Our doctors can administer a medical evaluation, review your family history and genetic history, perform a pelvic exam, or order genetic testing to determine whether a specific condition is causing your recurrent miscarriages. Karyotypes may be performed for both the mother and father to determine whether genetic abnormalities are causing miscarriage. 

Doctor pointing to model of female productive system

Imaging

Our evaluation may also include an ultrasound or hysteroscopy, which helps our doctors evaluate the health of your uterus and uterine cavity. In most cases, we will begin with an ultrasound to evaluate the shape of the uterus and detect abnormalities such as fibroids. We may use hysteroscopy to view the inside of the uterus (the uterine cavity) and identify polyps, fibroids, uterine septums, or other abnormalities that could be causing recurrent issues. During a hysteroscopy, we can also perform minor surgical treatment to remove these abnormalities. 

Doctor looking at sample through microscope

Treatment

If a specific cause is found, we can provide treatment to increase your chances of a successful pregnancy. However, it is important to note that many women show no cause for recurrent pregnancy loss. Depending on your diagnosis, our doctors can help design a treatment customized to your condition and goals. If chromosomal errors are to blame for pregnancy loss, we may recommend in vitro fertilization (IVF) with genetic testing. If physical obstructions such as a septate uterus or endometriosis are diagnosed, we may be able to perform corrective surgery to help you become pregnant.

Woman looking at pregnancy test

Awaiting Results

It is important to remain patient and optimistic throughout the process, as recurrent miscarriages do not mean that you can never become pregnant. According to a study released by the University of California Los Angeles, the chance of a successful pregnancy even after pregnancy loss is approximately 77 percent for women who did not have any abnormalities during testing. If we are unable to achieve pregnancy through IVF or other ART procedures, we can explore additional options including egg donation and surrogacy.

More Reviews from Our Patients

1

Vanessa Young

2020

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We loved the staff and facility! We are pregnant on our first IVF cycle after a fresh transfer. Unfortunately, we only had one embryo make it to day 5. We will be doing our second round with them as well!

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1

Amanda Knowlton

2019

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They deal with all aspects of infertility and hormones. They communicate well and answer any and all questions.

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Heartland Center for Reproductive Medicine

Heartland Center for Reproductive Medicine

Dr. Stephanie L.F. Gustin, Dr. Elizabeth Constance, and Dr. Elizabeth Weedin are skilled reproductive endocrinologists who offer state-of-the-art fertility treatments. An open and inclusive environment, the Heartland Center for Reproductive Medicine can address different causes of infertility and help LGBTQ couples build loving families.

Contact our practice online or call us at (877) 831-3227 to schedule a consultation.

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Omaha Office

7308 S 142nd St
Omaha, NE 68138

Open Today 7:00am - 3:30pm

Closed for Lunch from 12:00-1:00

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