Are there any miscarriages. Writing (spontaneous abortion). Hormonal imbalance as a cause of spontaneous miscarriage

21.12.2020 Analyzes

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Pregnancy is the most beautiful period of every woman, but sometimes it happens that the female organism decides to get rid of the new life. Usually, this is a spontaneous miscarriage on an early period - up to 12 weeks. Today, according to statistics, it occurs at every 5 woman.

According to medical concepts, miscarriage is a spontaneous interruption of pregnancy from 1 to 22 week. Children who were born with a weight of 500 gr (after 22 weeks), you can still save.

Very often, the woman does not even suspect his "interesting position" and does not notice how the miscarriage. In the early stages - it is plentiful bleeding for several days, but it may be similar to menstruation.

Writing is always physical and psychological trauma. Our body is very "clever" and he knows himself, take or not there is a new life in the womb. So if he believes that he is not ready for the development of a baby or something wrong with the health of the parents, the body tries to "get rid of" unhealthy organisms. " So, you need to strengthen the body and treat diseases.

Signals indicating the risk of abortion

  1. Selection. Uterine bleeding is the most dangerous sign of spontaneous abortion. At the beginning of the selection, they have brown color moving into a bright-scarlet color. Depending on when you show a specialist, the further life of the fetus depends.
  2. Pain. Be careful to your body. If painful sensations appear in the back area or at the bottom of the abdomen - this is the signal. As soon as you felt that something was wrong, go to the doctor, until it was late to take action.
  3. Tone uterus. Bad feature - a strong sensation at the bottom of the abdomen - this is shortened by the uterus.

Why is the miscarriage?

First reason - violated hormonal background

This means that the female body lacks the hormone "progesterone". With the timely intervention of the doctor, the threat can be eliminated. Also, a hormone problem refers to the existence of a large number of male hormones in the body of a future mother.

The second reason is a rhesus conflict

Rhow-conflict is when the woman's body perceives the fruit as a foreign body. Why does it happen? If the father has a rezes-factor negative, and the mother has a positive and germ inherited the Father's Russel.

Third reason - genetic disorders

75% of the cases of child loss are genetic violations of the embryo. Most often defects are an accident, that is, they depend on environmental factors. For example, viruses, radiation, etc. Therefore, nature itself knows what to do - because a sick child with health complications and pathologies can be born.


Fourth Cause - Infectious Diseases

A lot of different diseases are transmitted by sex, which can negatively affect the child. The most dangerous - chlamydia, trichomoniasis, gonorrhea, toxoplasmosis, syphilis, etc. Herpes and cytomegalovirus are 20% of cases of spontaneous miscarriage in the early stages. In order not to injury your body and the psyche of the child's loss, it is better to examine and pass the tests in advance. If you have not been examined before pregnancy and did not treat, then you can do during, only as soon as possible to minimize the degree of fetus destruction.

Five Cause - Weak Immunity and Chronic Diseases

The miscarriage can be provoked by influenza viruses, hepatitis or rubella. Even the most ordinary runny nose or angina at the beginning of the first trimester can interrupt it. But if lucky, the suffered disease can affect the right course of all pregnancy.

Sixth reason - abortion

If a woman has already made an abortion before pregnancy, then miscarriages will probably happen. Abortion is a surgical intervention, stress that can affect the normal process of nourishing the child.

Seventh Cause - Medicines and Herbs

It is necessary to carefully read the instructions for medicines, because in the first trimester, drugs may leak into the placenta and adversely affect the fetus. Medicines can provoke the development of fetal defects, and sometimes miscarriages. Especially dangerous tablets - Postinor. Perhaps at the time of admission to such a medicine, the woman did not suspect his current position.

A pregnant woman is worth being vigilant in everything: individual types of herbs can negatively affect the normal development of the fetus. This is nettle, St. John's wort and Pijm. Even parsley should be used in food carefully - it increases the tone of the uterus.

The eighth reason is stress

Banally, but from the nerves you can lose the child. For example, the death of a loved one, divorce or simply "stretched" relationships in the family or with relatives. If a pregnant woman is under stress, then the doctor can prescribe sedative medicines that help the nervous system. Self-treatment is unacceptable.

Ninth Cause - Physical Loads

Strong physical activity is 5% of all spontaneous miscarriages. So that there is no complications, it is not recommended to raise items heavier than 5 kg.

Tenth Reason - Injuries and Falls

In life there may be any - car accident or just drops, for example, on a slippery floor or on an icing road. The fruit is protected from such situations by oily water, but sometimes the blow is too strong.

Eleventh Reason - Hot Bath

It rarely, but it happens that after making a hot bath there is a spontaneous miscarriage. Therefore, for a warning, you should not swim longer than 15 minutes, and the water should not be too hot.

Twelfth Cause - Smoking and Alcohol

The harmful habits of a pregnant woman - smoking, abuse of alcoholic and caffeine with beverages can lead to serious complications of the normal course of pregnancy.

It should be very careful about their health during pregnancy planning to prevent severe consequences. Futive mothers need to strengthen their body and treat all diseases in a timely manner, then the probability of spontaneous miscarriage will be reduced to zero.

Video about miscarriages and how to survive the loss

The miscarriage is a loss of pregnancy during the first 22 weeks after conception.

The main symptom of miscarriage is vaginal bleeding, which is accompanied by spasms and pain at the bottom of the abdomen. The meager bleeding from the vagina is quite often found in the first trimester of pregnancy (the first 12 weeks) and are not a unambiguous sign of miscarriage.

The miscarriage can provoke various factors, although the exact reason is not always possible to determine. Most often, the loss of pregnancy occurs on the circumstances independent of the woman. Most women miscarriage happens only once, and the next pregnancy proceeds normally.

The miscarriages occur much more often than many think. The probability of this is approximately 1: 7. Very often, miscarriages occur unnoticed for a woman when she still does not recognize that pregnant. Three and more miscarriage in a row (t. N. The usual miscarriage) rarely happen, about 1% of women.

If you know that you are pregnant, and have noticed bleeding from the vagina and abdominal pain, call ambulance, calling 03 or from mobile 911 or 112. Ambulance will deliver you to the gynecological department of the hospital, where doctors will examine: inspection, Analysis on hCG and ultrasound genital organs.

Tactics of treatment will depend on the period of pregnancy, the desire to keep the child and the type of miscarriage. In the early stages of miscarriage it is possible to preserve pregnancy with the help of regime and drug support. If the miscarriage has already happened, it will be necessary to remove the residues of the fetus tissues and placenta from the uterine cavity, which is possible with the help of medication tools or surgically.

Symptoms of miscarriage

The most common symptom of miscarriage is vaginal bleeding. Blood selection are scarce or abundant bright red or brown-colored. Bleeding can occur periodically and renew within a few days. However, light vaginal bleeding is quite often found in the first trimester of pregnancy (the first 12 weeks) and is not an unequivocal sign of miscarriage.

Other symptoms of miscarriage:

  • spasms or pain at the bottom of the abdomen;
  • release of fluid from the vagina;
  • release of fetus fabrics from the vagina;
  • termination of pregnancy symptoms, such as nausea, soreness and lactification of the mammary glands.

Most of the miscarriage occurs in the early stages up to 4-8, less often - up to 12 weeks. At this time, a woman can still not be aware of pregnancy and take the appearance of bloody discharge for the next menstruation. More such cases ends safely. However, it is possible to develop severe complications, sometimes life-threatening. For example, the appearance of bleeding and stomach pains against the background of a small delay of menstruation is characteristic of ectopic pregnancy, which can lead to the death of a woman from bleeding and shock.

Another cause of complications may be the infection of the uterus - endometrite, accompanied by a high temperature, long secretions and stomach pains. Another reason for complications is bubble skid - the development of atypical, tumor tissues from the residues of the fetal egg. Therefore, when you appear vaginal bleeding outside menstruation, contact the gynecologist, which is if there is a delay of menstruation, or you already know that you are pregnant - call for ambulance by phone 03 - from a landline phone, 112 or 911 - from a mobile phone.

Causes of miscarriage

The exact cause of miscarriage is not always possible, but there are many factors that can affect pregnancy. The miscarriage in the first trimester of pregnancy (from 1 to 12 weeks) usually occurs due to disorders of the development of the fetus, genetic defects. The miscarriages at an early time constitute about 75% of all cases.

Miscarriage

The loss of pregnancy on an early term may be random, however there are several factors that increase the likelihood of miscarriage. The age of mother is important here:

  • in women under 30 years old, the risk is 10%;
  • in women, 35-39 years old risk is 20%;
  • women over 45 years old risk is more than 50%.

Other risk factors:

  • smoking during pregnancy;
  • drug use during pregnancy;
  • eating more than 200 mg of caffeine per day (in a cup of tea contains about 75 mg of caffeine, in a cup of soluble coffee - about 100 mg);
  • the use of more than two alcohol units per week: alcohol unit is 250 ml of the middle fortress beer, a small glass of wine or 25 ml of a strong alcoholic beverage.

One of the direct causes of miscarriage on an early term may be chromosomal anomaly. Chromosome are densely packaged DNA molecules containing genetic information about all aspects of growth, development and appearance of the future child, up to its color of the eyes. Sometimes, for unknown reasons, during conception, a failure occurs, and the embryo is formed an incorrect set of chromosomes. This means that the fruit will not be able to develop normally, and miscarriages occur. According to some estimates, about 60% of all miscarriages occur due to chromosomal anomalies.

Another possible reason is the pathology of the placenta. Placenta is a cloth connecting the blood system of the mother and the fetus. If there has been any failure in the formation of the placenta, it can lead to miscarriage.

Miscarriage in the second trimester

The risk of miscarriage in the second trimester increases with some chronic diseases, such as:

  • diabetes mellitus (decompensated);
  • extremely high blood pressure;
  • volchanka (a disease in which immunity attacks healthy fabrics);
  • hyperactivity of the thyroid gland;
  • gluten disease (gluten intolerance).

The following infectious diseases also increase the risk of miscarriage:

  • cytomegalovirus infection;
  • toxoplasmosis;
  • malaria.

The probability of miscarriage increases when taking the following medicines:

  • mizoprostol (accepted for the treatment of stomach ulcers)
  • retinoids (Vitamin A, applied to the treatment of eczema and acne);
  • methotrexate (accepted for the treatment of rheumatoid arthritis);
  • nonteroidal anti-inflammatory drugs (apply to facilitate pain and inflammation).

Before taking medication, make sure it is suitable for pregnant women.

Features of the structure of the uterus and tumor.The improper structure of the uterus and the neoplasms in the uterus (for example, benign neoplasms, etc. Moma) can also lead to miscarriage in the second trimester.

The weakness of the cervix.Some women cervix muscles are weakened. This is called Eastic-cervical insufficiency (ICN), which, as a rule, arises as a result of injury after the operation in this area. This can lead to premature revelation of the cervix, causing miscarriage.

Polycystic ovarian (PC).With polycystic ovarian, women are increased, which can cause a hormonal imbalance in the body and the interruption of pregnancy. Polycystic disease is considered the main cause of infertility. Research results also suggest that this disease increases the risk of miscarriage in women capable of conception. Nevertheless, the accurate relationship between them is not established.

Misconception

If there are no other aggravating reasons, that is, a healthy woman and pregnancy develops normally, the following factors do not increase the risk of miscarriage:

  • psychological state of a pregnant woman, for example, stress or depression;
  • shock or strong fright;
  • physical activity (the level of permissible physical exertion must be discussed with the doctor);
  • lifting weight or tension;
  • work during pregnancy;
  • sex during pregnancy.

The usual unbearable

Many women surviving miscarriage, fear that this will happen again. But only 1% of women faces repeated miscarriages. Three and more miscarriage in a row are called the usual non-penny of pregnancy. However, this problem is treated, and most of the women with this diagnosis can be pregnant and give birth to a healthy child.

Diagnosis of miscarriage

An examination in suspected miscarriage usually includes an inspection of a gynecologist, a transvaginal ultrasound and HGG analysis. The survey will confirm whether the miscarriage was, and whether the part of the fetal egg was left in the uterus (full or incomplete miscarriage).

First of all, the doctor will hold a gynecological study to inspect the vagina, the cervix, to identify the source of bleeding, the greatest disease zone, estimate the size of the uterus.

Then, as a rule, a transvaginal ultrasonic study is prescribed (ultrasound) to accurately determine the size of the uterus, the presence of the fetus or residues of the fruit tissues in the uterus, the palpitation of the fetus. To do this, a small probe is introduced into the vagina - a vaginal sensor. This procedure may be a bit unpleasant, but usually does not cause pain. Optionally, you can spend an ultrasound with an abdominal sensor - through the wall of the abdomen. Neither the other type of research will damage the fruit and will not increase the risk of miscarriage.

In addition, a blood test is assigned to hCG - human chorionic gonadotropin. This is a hormone produced during pregnancy. Sometimes also determine the level of progesterone. If the result is doubtful, analyzes can repeat after 48 hours. In some cases, it is impossible to immediately confirm the miscarriage on the basis of the ultrasound and blood test. For example, at an early stage of fetal development (less than 6 weeks). In this case, it is recommended to repeat the examination after 1-2 weeks.

Sometimes the miscarriage is diagnosed during a regular inspection within the framework of the prenatal observation. The ultrasound can be seen that the fetal heartbeat is absent or that the fruit is too small for this period. This is called frozen pregnancy.

Examination with the familiar non-banking pregnancy

3 and more miscarriage in a row are called the usual unbearable pregnancy. In this case, additional analyzes and surveys are appointed to identify the causes of non-obstruction, although approximately half of women cannot be installed. These analyzes and surveys are described below.

Karyotyping - This is a cytogenetic study that allows you to study the structure and calculate the amount of chromosomes. With the help of karyotyping, they examine both partners to identify chromosomal anomalies - the possible cause of pregnancy loss.

If the analysis declares the pathology chromosomes, you will be sent to clinical genetics - a specialist who is engaged in genetic consulting. He will talk about the chances of successful pregnancy in the future, as well as on existing methods of treatment, for example, in vitro fertilization (ECO).

Blood testsassigned to verify the contents of the following substances in it:

  • luteinizing hormone - participating in the development of an egg;
  • antibodies to phospholipids (AFL) and a lupus anticoagulant (BA) - this analysis is carried out twice with a break of six weeks before pregnancy.

Antibodies to phospholipids increase the risk of blood clots, which violate the blood supply to the fetus and lead to miscarriage.

Treatment of miscarriage

Tactics of treatment during miscarriage depends on its species, stage and survey results.

Writes in the early terms (up to 4-8, and sometimes 12 weeks) are often not diagnosed, as the woman does not know what was pregnant, takes bleeding for the next menstruation and does not appeal to the doctor. In some cases, such miscarriages are completed by the total purification of the uterine, stopping bleeding and restoring overall well-being without treatment. However, the likelihood of dangerous complications that can threaten not only to health, but also the life of a woman is high. Therefore, when there is a bloody discharge from the vagina and pain at the bottom of the abdomen, against the background of the delay of menstruation, it is necessary to contact the gynecologist as soon as possible, and with the already installed pregnancy - to cause ambulance.

The doctor will conduct an urgent examination and upon confirmation of miscarriage prescribes treatment. Modern methods of drug and surgical treatment make it possible to preserve pregnancy in some cases, and if the miscarriage has already occurred - avoid complications and restore the reproductive function of a woman.

The goal of treatment is: remove completely from the fetal fabric uterus, stop the bleeding and prevent infectious complications. If the resulting bleeding speaks about the threat of miscarriage (the rejection of the fruit has not yet happened), and the woman wants to preserve pregnancy, preserving therapy is carried out.

With suspected miscarriage, a woman is usually hospitalized to the hospital.

Drug treatment of miscarriage

Medical therapy with miscarriage adds from drug intake:

  • cutting uterus;
  • increasing blood clotting;
  • antibacterial and antifungal agents.

Sometimes special treatment is prescribed to purify the uterine cavity from the residues of the fruit tissues. As a rule, a medicine is proposed in the form of a medical candle, which is introduced into the vagina and is dissolved there, but at will it be possible to replace it with pills.

For these purposes, the drug is used more often, and in two days - Mizoprostol, which begins to act in a few hours. The result of therapy will be the appearance of gravity pain at the bottom of the abdomen and abundant bloody discharge from the vagina.

Make a pregnancy test three weeks after taking medication. If the result is positive, additional surveys will be required to make sure that you do not have ectopic pregnancy or bubble drift.

Surgical operation when miscarriage

If the miscalculation is accompanied by abundant bleeding, it is urgent to remove the remains of the fetal tissues from the uterus. For this, the uterine cavity scratches a special surgical instrument, and the resulting fabrics are sent to the laboratory for analysis. During operation, the cervix is \u200b\u200brevealed by a special expander if necessary, and the remaining fetus fabrics are removed. The operation is carried out under anesthesia.

In some cases, instead of the scraping of the uterus, vacuum aspiration is used - more gentle removal of the contents of the uterus in the early period of pregnancy. However, this method is not always effective.

With a large blood loss, it may be necessary to transfix the components of donor blood. If you have a negative blood rhesus, after surgery, you have to make an anti-D immunoglobulin to prevent rebel conflict with subsequent pregnancies.

Preservation pregnancy

In the threat of miscarriage, which began miscarriage and desire to preserve pregnancy, special therapy is prescribed:

  • bed mode;
  • abstinence from sex;
  • means that reduce the reduction of the uterus and hormonal therapy depending on the term and state of the woman.

After miscarriage

As a rule, this is an examination for sex infections, analyzes to the level of sex hormones depending on the phase of the menstrual cycle, antibodies to phospholipids (AFL) and a lupus anticoagulant (BA).

It is desirable to plan the following pregnancy and, with a successful trying to conceive as early as possible to go to the gynecologist, so that from the very beginning to control the course of pregnancy and prevent possible problems in time.

The miscarriage can have a strong psychological impact. Many are experiencing a sense of severe loss. You can feel fatigue, lose your appetite and sleep a little, as well as experience guilt, shock or anger (sometimes aimed at a partner, friends or relatives who have passed successfully).

Everyone copes with the grief in its own way. Someone helps communication with people, others are too hard to discuss what happened. Some women argue with miscarriage a few weeks and begin to plan the next pregnancy. Others, at least some time, even think about a new pregnancy.

The father of the child can also experience the feeling of loss. It may be more difficult for him to express his feelings, especially if he believes that the mother must support the mother, and not the opposite. Discuss your feelings with each other. If you or your partner can not cope with the grief, find a good psychologist or psychotherapist. There are also groups of support for people who survived the miscarriage.

Recompaning from sex until all the symptoms go. Monthly should be resumed 4-6 weeks after miscarriage, but the cycle can come back to normal after a few months. If you do not want to get pregnant, immediately start using contraceptives. Plan your pregnancy in advance: consult your doctor, make sure that you are morally and physically ready for it. Remember that most often miscarriage happens only once, and then you can successfully endure a child.

Prevention of miscarriage

You can not always prevent the miscarriage, since many of its reasons do not depend on a woman or from a man. However, some tips will help reduce the likelihood of pregnancy loss.

To reduce the risk of miscarriage:

  • refuse smoking during pregnancy;
  • give up alcohol and drug during pregnancy;
  • fit healthy food, eat at least five servings of fresh vegetables and fruits per day;
  • try to avoid certain infectious diseases during pregnancy, for example, rubella;
  • support the normal weight before conception (see below).

If the body mass index exceeds 30 talking about obesity. This disease increases the risk of pregnancy. You can independently calculate your body mass index or find out his doctor.

To protect yourself and the child, it is better to get rid of excess weight to pregnancy. Normal weight avoids risks associated with obesity during pregnancy. Meet your attending physician as you can lose weight either find a good nutritionist.

While there is no data indicating that weight loss during pregnancy will reduce the risk of miscarriage, but healthy eating and physical activity, such as walking or swimming, useful to all pregnant women. If you have conducted a sedentary lifestyle, consult your doctor before starting to regularly engage in physical education during pregnancy.

Sometimes it is possible to determine the cause of miscarriage, and in such cases the treatment helps to preserve pregnancy in the future. Below are some reasons for miscarriage.

Antiphospholipid syndrome (APS) - A disease that causes the formation of thromboms that can be medicinal treatment. Studies have shown that a combination of aspirin and heparin (drug prevention medications) reduces the risk of miscarriage in women with this disease.

Eastic and cervical insufficiency (ICN) - This is a weakening (failure) of the cervix. The ICN is eliminated by flashing the neck of a durable thread, which prevents its premature disclosure. Usually the operation is carried out after the first 12 weeks of pregnancy, and the seam is removed in about the 37th week. Sometimes instead of a seam use a special device that fixes the neck - obstetric pessary.

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All materials of the site were checked by doctors. However, even the most reliable article does not allow to take into account all the features of the disease in a particular person. Therefore, information posted on our website cannot replace the visit to the doctor, but only complements it. Articles prepared for a study destination and are a recommendatory.

When a woman is pregnant in the early stages, she often does not know about it and guesses only when menstruation delay occurs. Sometimes after a pause, monthly periods flow, but they are larger than with common life, reinforced pain syndrome are marked. Spontaneous miscarriage in the earliest time occurs with a sufficiently moderate and localized pain in the stomach with strong bleeding. In this case, often women do not come to the doctor. Sometimes bleeding does not stop over a couple of days. Then you have to sign up for a reception to the gynecologist. So a woman learns that she was pregnant, but not successful.

Sometimes monthly from the very beginning pass with constant severe pain syndrome. At a certain point it turns out quite large blood clots. According to it, it can be compared with the burst bubble. For many, it looks frightening.

If a woman noticed such a phenomenon, it is advisable to consult a doctor, since in some cases special cleaning is needed.

The miscarriage often occurs with great pain not only for the body, but also for the soul. To prevent the repeat of this phenomenon, it must be remembered that the spontaneous miscarriage of up to three months of pregnancy is a prevention for parents. He testifies either about the unwillingness of the mother to fully endure the child because of too early age, or about the problems in the health of someone from his parents, which is why the fruit is imperfect and spontaneously rejected by the mother's body.

What precedes miscarriage?

In order to designate the possibility of miscarriage in advance and prepare for him, you need to check the body to the following pathologies. If they are detected or suspected, before conceiving a child to weigh the risks and think about readiness for the birth of a child.

Possible pathologies affecting the formation of spontaneous miscarriage:

  1. Deviations in genetics at the kid.In the first weeks, the normal development of 23 chromosomes transmitted from parents is very important. Sometimes one of them mutates. Then the fruit is regarded by the body as defective, which provokes its rejection.
  2. If the mother's body suffers from negative ecology, viral infection or when working in harmful productiondirectly during pregnancy or with a large experience there is a possibility of spontaneous miscarriage, to prevent which is practically impossible to prevent. To give a chance to the body of a child normally develop, you can go on vacation and actively engage in your own rehabilitation.
  3. Hormonal disorders.Before conceiving the child, it is advisable to undergo a diagnostic survey on the balance of hormones. The progress of progesterone can be caused. In the diagnosis of this violation, therapy is specifically discharged, which reduces the risk of spontaneous miscarriage.
  4. Rhow conflict. Sometimes parents have a mismatch of the rhesus factor. The risk for miscarriage represents only the case when the father has a positive indicator that takes a toddler, and the mother has a negative. The body of a woman can identify an alien protein and turn the baby as a pathological education.
  5. Abortion. Perfect abortion may lead not only to infertility, but also functional violations of the genital organs, among whom miscarriages. Usually in this case, each subsequent pregnancy ends with this unpleasant fact.
  6. Medicines.Almost all drugs and some plants are prohibited in consumption inward, as they can lead to the development of strong pathologies of the fetus, which is why there is a miscarriage.
  7. Stresses.The formation of miscarriage affects not only a strong grief, but also a long mental overvoltage. In the formation of troubles or strong mental disorders, it is necessary to consult a doctor to extract sedative, however it is necessarily selected with pregnancy.
  8. Wrong lifestyle. If in the life of a woman there is a bad nutrition or bad habits, the probability of miscarriage is high both during primary pregnancy and under the subsequent, since the body can at any time do not withstand, the output of toxins will slow down, which is irreparable to affect the child.
  9. Physical impact.The rise of very heavy items, a long-term wearing even moderate in gravity, as well as unsuccessful falls can provoke not only miscarriage, but also other unsuccessful consequences, therefore the symptoms of spontaneous miscarriage can be very obvious.

The main symptoms of spontaneous miscarriage

The main symptoms of spontaneous miscarriage - pain at the bottom of the abdomen and abundant, sometimes long-term bleeding. Sometimes pains are interrupted by pauses, often give in the back, have a sinking character, as in the fights, only their intensity is always incomparable. If there are strong allocations from the vagina, this aspect also appears, then this aspect also points to the risk of miscarriage. When a woman detects selection in red or brown, she must immediately consult a doctor. Sometimes you can reveal and prevent the development of pathology.

If a lot of bleeding is noticeably, then the probability of miscarriage increases. With the designation of only a small amount of discharge of this unpleasant fact, it is possible to avoid much more often, so treatment makes sense. Increased uterus tone is a symptom of miscarriage, but only if the future mother feels discomfort. You need to listen on time to your feelings to quickly recognize and temper this unpleasant symptom. The main method of treating this problem is to reduce or complete liquidation of physical exertion and getting rid of stress.

How to understand that there is a threat of miscarriage?

If the pregnancy was planned in advance, the parents passed a full course of surveys and, if necessary, fully cured all diseases, then miscarriage.

When conceiving a child, it is necessary to take into account all contraindications and at the slightest manifestation of symptoms of miscarriage should be referred to a doctor to detect disorders and prescribe treatment methods.

With a sharp occurrence of pregnancy without prior passage of surveys and treatment of diseases, it is necessary to undergo a gynecologist. After determining the approximate period of pregnancy, the doctor looks at all the standard parameters of the state of the genitals.

Aspects that should accurately match the term of pregnancy:

  1. The volume of the uterus.
  2. The absence or presence of tone.
  3. Opening or closing the cervix.
  4. Results, nature and frequency of vaginal discharge.

What rules need to be performed so that there is no miscarriage?

To prevent the emergence of early symptoms of spontaneous miscarriage or its implementation in the early periods of pregnancy, it is possible to follow these actions:


When the threat of miscarriage in the early stages is very large, the woman remains in the hospital for a long time, perhaps even before childbirth or attends the hospital regularly, periodically lies on saving. Before pregnancy and in the first months of her passage, it is necessary to conduct a healthy lifestyle to reduce the likelihood of spontaneous miscarriage. To reproduce a healthy offspring, it is necessary not to deviate from the prescriptions of the attending physician to childbirth.

Video - Behavior in the threat of inconvenience of pregnancy

When complying with the main norms of the behavior of pregnant women, following the recommendations of the doctor, the necessary actions for the elimination of the risk of miscarriage practically no probability of its appearance. In the event of the above negative symptoms, it is necessary to dramatically reduce the load on the body and to engage in restoration, and when the spontaneous miscarriage is originally, it is recommended to consult a doctor.

Tell us how we can improve this information?

- This is the term used to describe the pathological interruption of pregnancy during the first 24 weeks. It is also called spontaneous abortion. From 10 to 20% of pregnancies, as you know, ends with miscarriage, and at more than 80% of them it occurs on the period of up to 12 weeks.

Experts believe that from 50 to 70% of spontaneous abortions arising during the first trimester occur due to random events, such as chromosomal anomalies inside the fertilized egg. This usually means that a simpeatozoa or egg cells did not have the desired amount of chromosomes, so it could not normally develop after fertilization. This is a kind of mechanism for protecting an unhealthy child.

When a doctor tells you that you have miscarriage, what should I do next? What happens after it? Also how can you take care of yourself after the child's loss?

How to behave in the threat of miscarriage?

What happens during miscarriage?

You can experience light spasms and bleeding for several weeks. Do not use tampons, it is better to use hygienic gaskets. Paracetamol will help cope with pain. Most of the time during the abortion of pregnancy, these symptoms will deteriorate directly before, as well as the placenta, which is sometimes called "conception products." It will look like a grayish mass with possible blood clots.

Blood clots after miscarriage can continue to stand out from several days to three weeks. If this happens longer, then you need to report this to the doctor and go through ultrasound

Action options if pregnancy is lost

Fabrics in most cases will come out independently, but sometimes this may or even make a physician or surgical path.

  1. You and your doctor decide how much way to move, if the miscarriage is still going on. In cases where your health is not at risk, you can simply wait until everything comes out ( expectant tactic). More than half of women who find out that their pregnancy is not viable, spontaneous miscarriage occurs in a week or less. In other cases, it is possible and then resort to the medical procedure.
  2. Sometimes the doctor can recommend apply mediciane preparation, such as misoprostol, so that the fabrics come out faster, but this may lead to side effects, among which diarrhea, vomiting, nausea.
  3. Some women experience too strong physical or emotional pain to wait until everything comes out. Either they have incomplete or. In this case, the doctor can perform surgical procedure called (scraping the walls of the uterus) or vacuum aspiration (suction of tissue by pump). It will also recommend to immediately remove the tissue by this way with other serious factors, such as infection or significant bleeding. Some experts are also inclined to conduct medical procedures in order to analyze tissue to identify genetic causes of the problem.

Physical recovery

You will experience pain similar to menstrual spasms, during the day or so, after which light bleeding can occur within one or two weeks. You should not use vaginal medicines, take a shower, swim and have sex for several weeks until the blood stops stand out.

Contact medical help if you find signs of infection, excessive pain or bleeding. In some cases, shock can develop, and if you feel dizziness, immediately call quick help.

How to cope with loss

Each woman will react differently on miscarriage. Some will be useful to start working on a new pregnancy, while others cannot even think about it within a few months. Talk to your partner and examine each other's feelings. If you are depressed, talk to the psychotherapist.

If incomplete miscarriage

If you have long bleeding (more than 3 weeks), too much blood is distinguished (much more than ordinary monthly), there is pain in the stomach that does not disappear after a few days or it is unbearable, fever appears, then it may be an incomplete miscarriage . You must go to the doctor to do ultrasound and start treatment if there are any of these symptoms. This is absolutely necessary, because the fabric and blood that remain in the body can cause strong bleeding or infection. The probability of incomplete miscarriage is about 3% and the higher the longer the term.

Taken from overseas forums:

"When it happened to me, the doctor allowed me to decide whether I want to resort to the scraping procedure or allow the embryo to get out naturally. She gave me a few days to decide. The term of pregnancy was already 14 weeks, so my child was big, and it caused terrible pain. The doctor told me that I could wait two to three weeks so that he would come out naturally. I was checked every week from him for the presence of infection. Otherwise, it is necessary to make scraping to avoid infection, because infection can cause the border of the tissues and prevent the birth of children in the future.

After completing the miscarriage, the doctor did an ultrasound to make sure that all the fabrics came out, and I do not attend the risk of infection. Bleeding continued, it was similar to abundant menstruation, but with clots and spasms for two weeks. "

"I had a pregnancy term about 9 weeks, when the spontaneous miscarriage began. Blood selection began on June 13, and then strong spasms appeared, and the 16th products have come out. Spasms were intense, and eventually passed after 3 hours. Then there were heavy bleeding for six days and scarce allocations six more. The doctor did not insist on the ultrasound, but yesterday I made a home test for rechecked. Always ask your gynecologist to make sure that everything is more superfluous so that you do not have any problems. "

Loss of long-awaited pregnancy is always a huge psychological trauma for any woman, but if a miscarriage occurred in the first pregnancy, the stress can be even stronger. The main question that worries a woman is why it happened to me, and who is to blame for what happened?

Unfortunately, up to 20% of all pregnancies ends with miscarriages. Of course, there are certain reasons that contribute to the loss of pregnancy in the early stages. These include:

  • Genetic abnormalities in the fetus;
  • Violation of the hormonal background in a woman;
  • Some diseases of the reproductive sphere;
  • Transferred during pregnancy viral diseases;
  • Sexually transmitted infections;
  • Stresses, injuries, falls;
  • Bad ecological situation.

But in some cases, doctors will not be able to reliably determine the cause of the first miscarriage. And this is also a fact. Therefore, the correct question after the tragedy will not "why it happened", but "what needs to be done so that the miscarriage does not happen." And such a position will be much more productive.

The first signs of miscarriage

Sometimes a woman may not notice that she was pregnant. For example, if she had miscarriage in the first week. Small bleeding is very similar to menstruation, just a little delayed. If the pregnancy test was not made, most likely, the first miscarriage will not be known.

In most cases, the causes of the abortion of pregnancy in early launches are genetic fetal anomalies. These are random chromosomal mutations, due to which the fruit becomes unviable. The miscarriage in the first week is not an exception to the rules, and usually it happens almost painless for a woman. The more pregnancy period, the more pronounced symptoms may be.

It is worth alert if you suddenly felt badly, you had a temperature of you, the head is spinning. But the first signs of miscarriage are the appearance of bleeding and pain at the bottom of the abdomen or back.

Depending on the period of gestation and on the characteristics of the female organism, pain sensations may have different intensity - from grapple-shaped regular pains to ordinary sensations as during menstruation. Allocations can also vary by abundance - in some women they are not manifested too abundantly, others have with great intensity.

If you know that pregnancy has come, but suddenly you stopped feeling her signs (morning nausea, breast swelling), it can also be a symptom of a starting first miscarriage. We need to urgently consult a doctor.

How dangerous miscarriage in the first pregnancy

By and large, the first miscarriage is no different from those that have already been giving birth to women. True, if the interrupt occurred due to the reserves-conflict of the mother and the fetus, during miscarriage, their blood mixes inevitably. So, when re-pregnancy, the reserves-positive fruit of the mother's blood antibody will begin to be produced faster. However, this is not an obstacle to re-pregnancy, but only a reason for more close control of doctors over it.

If the first miscarriage occurred due to the weakness of the cervix - Eastic-cervical insufficiency - then during re-pregnancy, most likely, the woman will fit the seams on the neck of the uterus or the obstetric unloading pessary will be installed.

Many married couples sincerely believe that after the first miscarriage you need to try to conceive a child as soon as possible. From the point of view of psychology, it is clear: the immersion in a new pregnancy will help a woman to recover from what happened. But from the point of view of medicine, this step can be very dangerous.

First, the body in pregnancy is experiencing a real hormonal explosion. And its sharp cessation also very negatively affects the hormonal background. It will take at least 3 months, and sometimes longer so that it come to normal. Moreover, if the first miscarriage occurred precisely because of the violation of the hormone levels, the woman would need to go through the relevant therapy.

In many cases, after miscarriage, the woman has to go through the gynecological cleaning procedure to remove the fetal particles remaining in the uterus. In this case, the top layer of the endometrium is scraped. It also requires the time and passing of certain therapy.

If the first miscarriage occurred due to the presence of a woman in sexually transmitted diseases, of course, you need to go through a full course of treatment not only to it, but also a sexual partner, and only after repeated tests to take the following attempts to get pregnant.

From the point of view of physiology, pregnant after miscarriage can be literally immediately, as it is the beginning of the new menstrual cycle. But it's categorically not worth doing this, as we told above. The risks of miscarriage during re-pregnancy 1-2 months after the first miscarriage increase sharply! And if the spontaneous abortion occurred three times in a row, the doctors belong to the unbearable pregnancy. Do not allow this to happen.

An optimal term for a new attempt to pregnant is considered 6-12 months. However, just this will tell you only the doctor. During this period, you need to go through a complete examination and treatment, if it is appointed, and also try not to focus on the problem and of course lead a healthy lifestyle. Then everything will definitely work out.

Text: Olga Pankratieva

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