What is miscarriage?
Miscarriage is a pregnancy that is discontinued
before the end of week 22 or the fetus weighs less than
The miscarriages are divided into three different
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.
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.
If the miscarriage is complete, bleeding often
subsides rapidly and the woman loses the feeling of
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
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
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
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