Pregnacy & Miscarriage

A miscarriage is losing the developing fetus in your uterus before the 20th Week of your pregnancy. In the medical world, it is called spontaneous abortion. Maybe, for the reason that the miscarriage happens unexpectedly.

As per the March of Dimes, a non-profit organization set up by the US President Roosevelt in 1938, nearly half of all the pregnancies terminate in miscarriage, much before a female misses her menstruation or periods and comes to know her pregnancy status. Nearly 15 to 25 percent acknowledged pregnancies conclude in a miscarriage.

Nearly 80% or above miscarriages happen during the initial 3 months of pregnancies causing depression in couples. There is a less probability of a miscarriage after the gestation of 20 weeks.  If at all, they happen, they are called late miscarriages.

Symptoms of a Miscarriage

The miscarriage symptoms are:

  • Light Bleeding, that progresses and becomes heavy, (Mennorhagia)
  • Back Pain
  • General weakness
  • Developing a fever
  • Pain in the Abdomen
  • Severe cramps

If you happen to have any of the above symptoms, there is a need of making an SOS call to your doctor.

Causes of Miscarriage

Most miscarriages occur if the unborn baby has serious genetic issues. Generally, these issues are not connected to the expectant mother.

The other reasons of miscarriage are:

A female runs a higher risk of miscarriage, if she:

  • Is 35 or above of age
  • Has ailments, like thyroid or diabetes
  • Has suffered 3 or more miscarriages

Cervix issues

At times, a miscarriage occurs because of a weak cervix.  The condition is known as incompetent cervix, wherein the uterus becomes incapable of holding a pregnancy.

A miscarriage happens because of a weak or incompetent cervix during the second trimester of pregnancy.

There are generally a very few symptoms before a miscarriage happens because of cervical insufficiency. A female may experience pressure abruptly, her amniotic sac may get ruptured, and tissue of the fetus and placenta may get expelled without causing much of a pain.

An ineffectual cervix may generally be cured by doing cervical cerclage during the ensuing pregnancy, generally around 12-14 weeks. The cervical cerclage, rather a stitch, seizes the cervix clogged until it is pulled out near the delivery time.

The stitch is required to be done even if there is no history of a miscarriage and the insufficiency of the cervix has already been detected early much before the miscarriage.

Miscarriage Diagnosis and Treatment

Your treating doctor may do your pelvic examination, an ultrasound and the working of blood for confirming a miscarriage. In case the miscarriage is total and the womb is found empty, there is no need of any additional treatment. More than often, the uterus is not found empty and a miscarriage leaves behind some traces of pregnancy. In such an eventuality, dilation and curettage (D & C) method is done for emptying the uterus.

In this method, the cervix is opened with dilation and the fetal remains or the tissue of the placenta are tenderly eliminated for emptying the uterus.  Alternatively, some medicines are given that help in driving out the uterine content out of the body. This procedure is found to be preferred by those who want to avoid surgical operation and are otherwise secure.

The proper working of blood is ascertained by measuring the presence of pregnancy hormone (hCG) and monitoring the miscarriage progress.

After stopping the bleeding, you may be allowed to resume your routine activities. In case the cervix has been opened with dilation and cervical insufficiency is detected, the procedure for closing the cervix (known as cerclage) is carried out if the pregnancy is still feasible.

In case your blood is found to have Rh negative factor, your treating doctor may like to give you Rhogam (Rh immune globulin). This medicine for your blood may help you in preventing development of antibodies.  The antibodies may harm your developing baby and future pregnancies.

The females confronted with multiple miscarriages recurrently are required to undergo genetic and blood testing or using prescribed medicines.

For evaluating the root cause of the miscarriages recurrently, some investigative procedures are essential, such as:

  • Pelvic Ultrasound
  • Hysteroslpingogram – In this procedure, The Fallopian tubes and the uterus are examined with X-rays.
  • Hysteroscopy – In this procedure, the uterus and cervix are examined by a telescopic camera, which is inserted via the vagina.

How to know a Miscarriage?

There are a number of factors you may come across when a miscarriage takes place. They are:

  • Bleeding
  • Mild discomfort
  • Fever with chills and pain
  • Infection

Getting pregnant after a Miscarriage?

Of course, you can. Usually, nearly 85 percent females who have undergone miscarriage, their following pregnancies have been successful with normal. Confronting a miscarriage does not signify any fertility issue. However, only 1 to 2 percent may confront miscarriages recurrently. The medical experts attribute this to the body’s autoimmune reaction.

In case you have undergone miscarriages recurrently, you are advised to stop making efforts for achieving pregnancy and use a kind of birth control.  Meanwhile, you may consult the doctor for ascertaining the root cause of your miscarriages.

When can I try again to achieve pregnancy?

You may like to consult your doctor and plan your next pregnancy. Some medical experts believe that waiting for a certain period, strategically after a miscarriage is the best option.  Maybe, your doctor may suggest you to wait for one to three menstrual cycles before you try to conceive again.  For preventing the possibility of another miscarriage, he or she may prescribe you taking progesterone.  This hormonal treatment helps in embryo implantation and provides initial support to your pregnancy and the uterus.

Give yourself the healing time – both emotionally and physically after undergoing the loss of a developing baby. Never ever blame yourself for the loss of miscarriage.  After all, who would want such a loss?

For coping with the miscarriage loss, seek counseling from local non-profit social organizations and, especially, from your partner.

How to prevent a miscarriage?

A miscarriage, usually, is not preventable.  It often happens if the pregnancy is abnormal. For identifying a precise issue you need to undergo the required examinations and tests.  After identifying the issue, seek the advice of your treating doctor for the available treatments.

At times, improving the overall health and lifestyle changes, like avoiding the use of alcohol and smoking, of the mother may brighten the probability of a successful pregnancy.

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