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Pregnancy after Miscarriage

What is miscarriage?

Miscarriage is a pregnancy that is discontinued before the end of week 22 or the fetus weighs less than 500 g..

The miscarriages are divided into three different types:

Pregnancy after Miscarriage

Threatening miscarriages

Threatening miscarriages are not really included in the miscarriages group, but are strongly linked to that group. If vaginal bleeding occurs before week 20 of pregnancy, this is called a threatening miscarriage. Some may also have pain in the genital area.

Inevitable miscarriage

In case of an ongoing inevitable miscarriage, there is plenty of fresh blood from the vagina. For more information about pregnancy and maternity fashion, please see BESTAAH.COM maternity pillows. At the same time, the woman often suffers from spasmodic pain in the lower abdomen. Remains of pregnancy can often be seen as lumps and mucous membranes in the bleeding.

Complete miscarriage

If the miscarriage is complete, bleeding often subsides rapidly and the woman loses the feeling of being pregnant.

Presence

10-15% of all pregnancies confirmed with pregnancy tests end with miscarriage. Probably half of all fertilized eggs, where many are not known pregnancies, end in miscarriage. Loss of the fetus is most common during the first weeks of pregnancy and the proportion of miscarriages decreases with increasing duration of pregnancy.

What is the reason?

Chromosome abnormalities can be detected in 50-60% of fetuses in miscarriages before the end of week 12. Developmental defects, which are not due to genetic causes, are probably also a common cause. Miscarriage can thus, in many cases, be seen as nature's own way of preventing births of fetuses who have no chance of survival.

Hormonal causes in the pregnant woman, including lack of yellow body hormone in the ovaries, may play a role. Previous treatment of cervical cancer or malformation of the uterus may be a cause. Chronic mucosal infection in the uterus can probably lead to miscarriage. The conditions of the mother, which increase the risk of miscarriage, are spiral, smoking, high alcohol consumption, diabetes and hypothyroidism.

How is the condition diagnosed?

To be able to safely determine if the pregnancy has ended in a suspected miscarriage, the doctor must demonstrate that fetal or placental tissue has passed through the vagina or is present in the vagina. This can be done by gynecological examination when the pregnancy is still in the 1st trimester (up to week 12). If the woman has pain along with the bleeding, she should be referred to a gynecologist the same day. Then ultrasound is made, which shows whether the fetus is alive or not.

How is the condition treated?

If the fetus is dead, it is important to remove all remnants of pregnancy from the uterus. In this way, complications, including uncontrolled coagulation, are prevented, which is a complication if the fetus is not ejected. The risk of infections is also reduced.

Scraping off any residual pregnancy residue in the uterus is standard treatment. This is done under anesthesia.

However, it has become increasingly common not to carry out scraping. When the miscarriage is considered complete, that is, the bleeding decreases and ceases rapidly, research has shown that in many cases it is safe to refrain from treatment.

Anti-D-gamma globulin is given if the woman is Rh negative. In this way, the mother's immune system in later pregnancies is avoided to form antibodies that can attack the blood cells of the fetus.

What does the long-term outlook look like?

In so-called imminent miscarriages, the likelihood is that pregnancy will progress beyond 90% if live fetuses are seen with ultrasound. Subsequent pregnancies following a miscarriage in most cases go well. If a woman has had more than three miscarriages in a row, the doctor will begin an investigation to try to find the cause of the repeated miscarriages.

Losing a fetus can be difficult. In order to be strongest both physically and mentally before a new pregnancy, there are some who argue that you may have to wait two to four months after a miscarriage, before trying to get pregnant again. However, research shows that there is no reason to wait. The risk of a new miscarriage is no greater if the woman quickly becomes pregnant again. The exception is if an infection has occurred in connection with the miscarriage, then you should wait a bit.

It is also important to remember that this is a very common and in many ways a normal event that many women will experience.

 

 

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