Miscarriage - the so-called voluntary abortion that occurs before 37 weeks from conception.If pregnancy ended before 28 weeks, talking about abortion, if that happened between 29 and 37 weeks, we are talking about premature birth.
By the standards of some countries in terms of preterm delivery may be slightly different, but in any case, the rejection of fetal miscarriage occurs when it is not yet fully viable, if any, can not survive, even if the quality of care.
Symptoms of miscarriage
The most common sign of miscarriage is vaginal bleeding.Some women appear dark brown discharge brown discharge - what do they say? , others from the vagina is bright red blood.In the first trimester of pregnancy lungs, smearing bleeding occur quite often, and they are not always a sign of miscarriage.However, in a more or less severe bleeding as soon as possible to contact your doctor.Other symptoms of miscarriage may be severe cramping and abdominal pain, vaginal discharge in the form clots or fluid.S
Miscarriage in the first trimester
In most cases the causes of miscarriage in the first three months of pregnancy are chromosomal abnormalities in the fetus.Because of these anomalies fetus becomes viable, can not develop further, and dies.It is estimated that up to two-thirds of early miscarriages due to chromosomal abnormalities.
cause of miscarriage in early pregnancy may be the problem with the development of the placenta - an organ needed to supply the baby in utero.
Miscarriage in the second and third trimester
following chronic illnesses can cause miscarriage:
- Diabetes (in the absence of adequate treatment);
- Severe forms of hypertension;
- kidney disease;
- Celiac disease.
Miscarriage can also be caused by certain infections, for example, such as rubella, cytomegalovirus Cytomegalovirus - what is its danger? , toxoplasmosis, bacterial vaginosis and HIV, chlamydia, gonorrhea, syphilis Syphilis - punishment Venus , malaria.
The following factors may increase the likelihood of miscarriage:
- Smoking during pregnancy;
- drug use during pregnancy;Use
- 200 mg of caffeine per day (one cup of tea contains about 75 mg of caffeine in one cup of coffee - about 100 mg);
- alcohol abuse.
In addition, the woman's age matters:
- In women under the age of 30 years 1 in 10 pregnancies end in miscarriage;
- in age from 35 to 39 years ending in miscarriage 2 of 10 pregnancies;
- the age of 45 years, more than half of pregnancies may end in miscarriage.
In addition, among the factors that increase the risk of miscarriage can be: taking certain medications (eg, methotrexate and retinoids), especially the structure of the uterus, uterine fibroids, polycystic ovarian syndrome.
Common Misconceptions about miscarriage
Contrary to popular belief, the following factors are usually not lead to miscarriage:
- emotional state of a pregnant woman, for example, severe stress or depression;
- shock or fright endured during pregnancy;
- Sports during pregnancy (however, should discuss with your doctor what loads are acceptable to you during the gestation of the child, especially if you do not have a very high level of physical fitness);
- Lifting weights during pregnancy;
- Having sex during pregnancy.
Diagnosis and treatment
If a pregnant woman began vaginal bleeding, it can be assigned to a series of tests to determine the fetus continues to develop, or not.In most cases, this is used transvaginal ultrasound.It can also be analyzed for hormones of pregnancy, first of all - to human chorionic gonadotropin (hCG) and progesterone Progesterone - norm and pathology .
In some cases it is possible to increase the length of term of pregnancy by using drugs that prevent uterine contractions.If the drugs do not help and will begin preterm labor, the patient is delivered to the maternity ward and the delivery took place allowing for the state of the mother and the age of the fetus.The likelihood that the fetus will survive is directly dependent on whether, at what time he was born.The possibilities of modern medicine allow nurse infants born at 23-24 weeks of pregnancy, if their weight exceeds 500 grams, however, the younger the child, the greater the likelihood that he will not survive;In addition, the equipment necessary for the care of children born at very early stages, there is not all hospitals.
If miscarriage occurs before 23 weeks, the fetus is not viable.Usually in such cases, the product of conception the uterus expels them in a natural way;this may occur for 7-14 days.If during this time of pain and vaginal bleeding stopped completely, it may mean that the pregnancy ended.However, it should be examined or do a pregnancy test three weeks after the first signs of a miscarriage.
If the results of the survey show that there are still in the uterus fragments product of conception, for their removal may require surgery.
If ultrasound shows that the development of the fetus stopped and had no signs of life, a woman may also wait for 7-14 days until the miscarriage is complete naturally, or take medications that open the cervix and cause uterine contractions.It may be preferable because for most women fetal death becomes a great shock, and many of them psychologically difficult to wait for complete miscarriage itself.
result of miscarriage can be a variety of psychological problems, as a woman and her partner, and if necessary they should both seek help from a specialist.
Before you try to get pregnant again, you should consult on this matter with your gynecologist.New pregnancy should not occur before the woman is ready for it physically and psychologically.