Missed abortion - do not lose faith in yourself

March 1, 2014

  • Missed abortion - do not lose faith in yourself
  • Signs
  • Treatment

 missed abortion
 Missed abortion - is a condition in which the fetus dies, but the cervix is ​​not disclosed without the bleeding begins and the fetus is still inside the uterus. Pregnancy may cease to grow due to chromosomal abnormalities in the fetus, hormonal imbalance in the body of the mother, acute and chronic infections. In addition, it can occur as a result of abuse of alcohol and illicit drugs. Missed abortion may cause some medications, diseases, sexually transmitted infections, severe stress.


Missed abortion - Statistics

Missed abortion in early pregnancy occurs much more frequently than later. Thus, in the first trimester (first 12 weeks) missed abortion is the cause of 50-80% of spontaneous abortions and at least 10% of all pregnancies desired.

How often missed abortion later? In the second trimester (13-14 weeks), the number of cases of missed abortion is reduced, and missed abortion in the later period is quite rare.


Why is missed abortion

Missed abortion is a type of pregnancy loss Miscarriage - why you lose the most precious thing?  Miscarriage - why you lose the most precious thing?
 Which more often result in spontaneous miscarriage or premature birth. Nevertheless, sometimes for several reasons dead fetus stays in the uterus and begins to undergo a variety of changes that could adversely affect the status of women.

The reasons are many missed abortion. All of them can be divided into two groups: random and non-random. Random reasons cause, as a rule, only missed abortion, after which subsequent pregnancies begin and evolve without complications. Such single missed abortion and most often they are caused by a random combination of external factors (intoxication, physical activity, stress How to beat stress? Create an oasis  How to beat stress? Create an oasis
   and so on) that lead to fetal death.

But if you missed abortion had two or more, the woman and her husband should be a complete examination and determine the cause for which she can not bear a child. In recent years, it is believed that the most frequent cause of missed abortion Reasons for missed abortion - a set of factors  Reasons for missed abortion - a set of factors
   is an inherited genetic characteristics of the female organism, which lead to the development of the structure of the anomalies of the fetus incompatible with life. Organism "disposes" of such fruits, as part of natural selection.

Another common cause of fading pregnancy are infectious and pelvic inflammatory disease. All of these infections in women occur often hidden, causing a variety of changes in the genital organs, impeding the development of the child (eg, adhesions in the uterus). Anatomical changes genitals innate nature (two-horned uterus) can also cause a missed abortion.

Abortion and obstructed labor can lead to persistent violations of the mucous layer of the uterus, hormonal disorders (such violations may also have an innate character), it is impossible to introduce the embryo or its development in the uterine wall. For injuries of the cervix during abortion and obstructed labor can develop cervical incompetence: the weight of the growing fetus cervix opens, the uterus becomes infected, causing fetal death, spontaneous miscarriage or missed abortion.

Finally, there are infections that represent a particular danger to the fetus, which often leads to his death (TORCH infections). It toxoplasmosis, rubella, chickenpox, herpes simplex Herpes simplex - in fact, not so simple  Herpes simplex - in fact, not so simple
   and cytomegalovirus infection.

Great importance is attached today immunological factors causing miscarriage. The mother's immune system may react too aggressively on the fetus, forming antibodies to its tissues (incompatibility of mother and fetus Rh blood group or). Antibodies can be generated with respect to the mother's own tissues. An example of such a state is antiphospholipid syndrome (APS), in which antibodies produced to phospholipids the mother's blood. This can lead to small vessel thrombosis, placental, fetal malnutrition and fading pregnancy.

The reason for the fading of the fetus can be any intoxication: smoking, alcohol or drug abuse, use of various drugs, industrial hazards. Fading of the fetus can occur after exposure to radiation, trauma, severe stress.

Miscarriage - why you lose the most precious thing?

October 30, 2013

 Miscarriage - the so-called voluntary termination of pregnancy, which occurs up to 37 weeks after 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 premature birth may be slightly different, but in any case, for miscarriage fetal rejection occurs when it is not yet fully viable, or not at all can 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 allocation - what do they say?  Brown allocation - 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. Some women also disappear the previously symptoms of pregnancy such as nausea and breast tenderness.


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, it can not develop further, and dies. It is estimated that up to two-thirds of early miscarriages due to chromosomal abnormalities.

The 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

The following chronic illnesses can cause a miscarriage:

  • Diabetes (in the absence of adequate treatment);
  • Severe forms of hypertension;
  • Systemic lupus erythematosus;
  • Kidney disease;
  • Hypothyroidism;
  • Hyperthyroidism;
  • Celiac disease.

Miscarriage can also be caused by some infections, e.g., such as rubella, cytomegalovirus Cytomegalovirus - what is its danger?  Cytomegalovirus - what is its danger?
 , Toxoplasmosis, bacterial vaginosis and HIV, chlamydia, gonorrhea, syphilis Syphilis - punishment of Venus  Syphilis - punishment of Venus


Risk factors

The following factors may increase the likelihood of miscarriage:

  • Obesity;
  • Smoking during pregnancy;
  • Drug use during pregnancy;
  • Use of more than 200 mg 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:

  • Women under the age of 30 years 1 in 10 pregnancies end in miscarriage;
  • At the age of 35 to 39 years ending in miscarriage 2 of 10 pregnancies;
  • At the age of 45 years, more than half of pregnancies are terminated 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:

  • The emotional state of a pregnant woman, for example, severe stress or depression;
  • The 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. Can also be analyzed for hormones of pregnancy, first of all - on the human chorionic gonadotropin (hCG) and progesterone Progesterone - norm and pathology  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 foster children who were 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 a miscarriage occurs before 23 weeks, the fetus is not viable. Usually in such cases, the product of conception rend their uterus naturally; 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, should pass an examination 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 the 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 are psychologically difficult to wait for the miscarriage is complete by itself.

The 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.

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