Spontaneous early miscarriage

Miscarriage is the spontaneous abortion of the fetus and its membranes up to 20 weeks of pregnancy. Of course, miscarriage appears to be a catastrophe for a pregnant woman, but do not forget that a miscarriage at a very early age is usually an undeveloped pregnancy , the absence of an embryo or vices incompatible with the life of the fetus. And the body of a woman by miscarriage itself gets rid of non-viable fruits.

Therefore, if miscarriage begins at an early stage, treatment of it up to 12 weeks in order to maintain pregnancy in the world is not provided. But often a woman wants to stay pregnant and insists on treatment. In this case, she is necessarily warned about the possible risks of a child with developmental defects or genetic defects and prescribes treatment. And with signs of frozen pregnancy (absence of the embryo, after 7 weeks, stopping the growth of the embryo with control for 10 days, no heartbeats and fetal movements at 7-9 weeks of pregnancy on ultrasound), a medical abortion is shown.

The threat of spontaneous miscarriage

Most often diagnose a threatening miscarriage on ultrasound (segmental reduction of the walls of the uterus), and until the miscarriage it does not reach. Such a clinic is associated with a shortage of progesterone in women and a contraction of the uterus and passes after appropriate treatment. Clinically, the threat of spontaneous miscarriage is manifested by pains in the lower abdomen, without bloody discharge.

The miscarriage begins often ends with the death of the embryo, with bloody discharge of varying intensity, pain intensifies, the cervical canal of the cervix dilates and the neck itself shortens. Ultrasound reveals a partial detachment of the membranes of the fetal egg - less than 1/3, at which the viability of the fetus is preserved, and the hematoma at the detachment site does not grow in dynamics and does not continue to exfoliate the membranes. The contraction of the uterus is no longer segmental, but can seize most of the uterine wall and deform the fetal egg .

With timely treatment, miscarriage can be stopped, but it is possible that the problem is not only in the hormonal imbalance, but in the fetus itself, and there is a risk of congenital malformations while maintaining such a pregnancy. Therefore, if pregnancy has been preserved, biochemical screening tests for chromosomal abnormalities in the fetus up to 12 and 14 weeks of gestation are additionally prescribed. Later these tests are not informative.

Miscarriage in the process can not be stopped and, as a rule, it is contraindicated, especially if the detachment of the membranes is already more than half the diameter of the fetal egg, there is no palpitations or movements of the embryo, the cervix is ​​shortened, and the cervical canal is open, there are bloody or serous discharge, constant cramping contractions of the uterus.

Early miscarriage and its consequences

An incomplete miscarriage at an early stage is characterized by the fact that the amniotic fluid has moved away, the birth canal is open, the fetus or embryo has already been born, but the amniotic membranes or parts of them remain in the uterus. Incomplete miscarriage is diagnosed on ultrasound and treatment is prescribed to remove the membranes: conservative (uterine contracting agents) or curettage of the uterine cavity.

A complete miscarriage at an early stage is characterized by complete removal from the uterus and fetus cavity, and all its membranes. Usually after a complete miscarriage, the uterus contracts itself or medically, if necessary, antibacterial agents are prescribed for the prevention of uterine infections. If a miscarriage occurred in the early stages of the house, and not in the hospital, it is necessary to undergo an ultrasound examination to make sure that there are no parts of the fetus and its membranes in the uterine cavity.

If the miscarriage occurred for the first time in the early term, the consequences for subsequent pregnancies will not necessarily be negative. It is just necessary to pass the examination for torch infection, an examination with a geneticist and abstain from pregnancy within six months. But if a second miscarriage occurred in the early term, or worse - a woman has had frequent miscarriages in the early stages, then not only the above examination, examination by a gynecologist, therapist, endocrinologist, immunologist is necessary. If a woman is diagnosed with a habitual miscarriage at an early age, the patient is on a follow-up visit to a gynecologist, more than half of the women subsequently have a pregnancy.

Preventive maintenance of an abortion on early terms: to avoid physical and mental loads, infectious diseases, in due time to pass all necessary inspections recommended by the gynecologist, not to do abortions.