The uterus after an early miscarriage. Incomplete miscarriage

A woman who could not bear a child experiences a whole range of negative emotions. She does not know how to live after a miscarriage, and enters into a kind of vicious circle. Following the observations of experts, it can be characterized as follows:

• torpor. Some women, after the tragedy, fall into a real trance. They are like zombies who only remember to breathe and only eat when prompted. Such a state speaks of a protective reaction of the nervous system of a failed mother to the grief that has occurred. Every woman reacts to a miscarriage differently, so the numbness shouldn't surprise those close to the affected family member.
• Depression. With the loss of a child, most women completely lose interest in life. For some, this passes relatively quickly, but less strong personalities are able to be in a similar state for years. The woman experienced a great mental trauma, so she will not be attracted to entertainment events for quite a long time.
• Seeking Solitude. There are people who, like air, need the support of loved ones during stress. However, there are no identical subjects, therefore, the model of human behavior after the tragedy will also be different. The point here is not at all a matter of temperament, because often a woman of a melancholic temperament experiences grief more easily than an explosive choleric lady.
• Recurring tantrums. There are people who are initially prone to such behavior at the slightest trouble. The loss of a child can make this type of woman a source of endless tears and screams. However, the calm representatives of the fair sex are not always able to courageously endure such a blow of fate.
• Offense to the whole world. It is very difficult for a girl or lady of a more mature age after a miscarriage to watch playgrounds and couples who walk with strollers. The feeling of injustice simply consumes the unfortunate victims of the loss of a child, who cease to control their actions.
• manic aggression. This concept immediately brings to mind the film by Curtis Hanson, when the pregnant wife of a gynecologist and initiator of sexual harassment towards her charges loses a child. In the future, a terrible game begins, at stake in which is the life of the main accuser of the lustful doctor. Similar in plot to the American film masterpiece and the Russian analogue of "You will pay for everything." Therefore, such cases still exist, and it is not possible to dismiss them.

The described reactions to a miscarriage are not identical, but may include several of the components listed. The more coincidences with the voiced, the more dangerous the condition of a woman who has lost her desired child. Manic aggression can turn a previously sweet woman into a real threat to people's safety.

Stimulants of depression in a woman after a miscarriage

As you know, wood is capable of fanning a real fire from a relatively weak fire. Therefore, it is necessary to deal with the factors provocateurs of the deterioration of the emotional state of a woman after a miscarriage:

1. Hushing up the problem. Some people from the close circle of the victim begin to behave as if nothing had happened after the life tragedy that has occurred. Considering themselves experienced psychologists, they try to show the unfortunate woman that nothing terrible has happened. Talking about the fact that you will still have children can lead the victim into a state of persistent depression. They do it out of good intentions, which bring quite the opposite result.
2. Selfishness of the inner circle. The coldness of a husband or parents after a tragedy can significantly affect the psychological state of a woman who has lost a child. Some relatives of the victim do not really understand why the incident caused such a resonance in the family. Not finding the necessary support among relatives and friends, the failed mother plunges into depression, from which only the help of specialists can then bring her out.
3. Condemnation of others. There is nothing more terrible when, instead of sympathy, a victim who has lost a child hears continuous reproaches. In this case, they can say whatever they want and whatever comes into their heads. The world is not without good people, so a failed mother is able to hear enough about her addictions during pregnancy, about non-observance of the daily routine and ignoring the wise advice of grandmothers at the entrance. Sarcasm in this case hides a very serious problem, when a woman after a miscarriage becomes depressed after "washing her bones."
4. An example of happy families. When everything is fine with oneself, one wants to rejoice with all one's heart for others. The exception is zealous envious people and bilious people who are bitterly tormented by the prosperity of others. If a woman has lost a child, then her psyche is often unable to see friends with children, neighbors with babies, and simply strangers with growing offspring. At the same time, it is not worth judging the victim, because such pictures that appear before her eyes cause acute pain to the failed mother.
5. Pregnancy reminders. All of us are sometimes victims of nostalgia for something or feel the influence of deja vu. Any object that is in any way connected with the tragic circumstances that have occurred can cause anguish in the injured person. It is terrible to imagine the state of a woman who has lost her child when she sees a positive pregnancy test saved as a keepsake, the first ultrasound or a child's dowry.
6. Reading books and watching movies on similar topics. Familiarization with stories that relate to the topic of miscarriages will be a gross mistake for the victim of the tragedy. You can not rub salt in the wound, because this process can turn into a protracted masochism. Comedy in this case is also inappropriate when a woman, after losing her cherished dream of a baby, is ready to grieve for days about what happened.

In all these cases, the wrong behavior of the victim of the tragedy does not always appear, but a strange position of the victim's inner circle in relation to what happened is often observed. Consequently, the woman is left alone with her problems, not finding support from family and friends.

How to recover a woman after a miscarriage

The instinct of self-preservation should always prompt a person to get out of a critical situation. A potential mother who has not been able to press her born baby to her heart must sometimes decide for herself what to do after a miscarriage.

Tips for women with early miscarriage

Incorrect is the question of how long it is easier to endure the loss of a child, because everything that happened is very individual. Even a few weeks after conception, some women begin to emotionally feel the future baby. When the embryo dies, they should heed the following recommendations from psychologists on how to survive an early miscarriage:

• Eliminate feelings of guilt. The loss of a child before the 12th week of gestation is not so rare. If you visit the department where women are being preserved, you can see a large number of them at this particular time. Some of them fail to achieve the desired result, so you should not torture yourself with thoughts about the singularity of your case.
• Taking a vacation. The sympathy of colleagues can be very contradictory and unpredictable, which will only aggravate the condition of the victim. If close people are ready to support a woman, then it is better for her to stay at home in her native walls. After a complete physical recovery, you can afford a change of scenery with your loved one, which is very often beneficial.
• Conversation with friends in misfortune. Nothing brings people together like a similar tragic situation that happened in their lives. Early miscarriage is more common than late pregnancy. Therefore, even in a close environment, it is realistic to find a friend who has experienced such grief. Mutual understanding quickly arises between the affected parties, which will help in the future to slightly reduce the pain and disappointment from the loss of the desired baby.
• Self-hypnosis method. Bob Dates, who has been in the business for twenty-five years, recommends this remedy. He advises to take several sheets of paper and write sentences-settings on them. All of them relate to the fact that a person did everything right and everything will be fine. A woman who has lost a child should post these instructions in the places she most frequents in her home.
• Keeping a diary. Some people will think that this method is somewhat childish. However, in the old days, quite serious individuals trusted their thoughts and feelings to the diary. When writing about the experiences of the day, you do not need to adapt to the opinion of the public, while remaining yourself. A woman who has suffered a life tragedy and withdrawn into herself can entrust all the bitterness of her loss to a simple piece of paper.
• Preparing for a new conception. Definitely this should not happen in the near future after what happened, so you need to wait for the next attempt to become a mother. You should also carefully study what negative factors provoked an early miscarriage. It does not hurt to consult an experienced gynecologist and geneticist, because some inexperienced girls do not even think about registering with a antenatal clinic until 12 weeks after conception. The result is a miscarriage as a result of an irresponsible attitude towards even a planned pregnancy. It is necessary to love your body and that which can begin development in it. So, at the first signs of pregnancy, it is urgent to visit a gynecologist and trust the supervision of a professional.

Tips for women after a late miscarriage

If the reasoning is fair, then if the mother has already felt her baby stirring inside herself, then the loss of him is felt very sharply. In this case, you should protect your psyche as reliably as possible in the following ways recommended by specialists:

1. Chat with similar topics. The Internet is remarkable in that it presents a lot of options in providing information. Among the proposed product, you can pick up a forum that talks about how to survive a miscarriage at a later date. In real life, a woman is unlikely to find so many friends in misfortune with such a problem. At a similar forum, she will have the opportunity to discuss her state of mind with the same failed mothers. In addition, the victim of unfortunate circumstances can be cheered up by stories about how the child was safely carried in the future after a miscarriage.
2. Rest. Not only the soul after the loss of a baby at a later date is subjected to a serious test that befell a woman. The body also experienced palpable stress, because it was already ready to reproduce the child. Therefore, it is necessary to temporarily limit physical activity and allow your body to fully return to normal.
3. Temporary cessation of sexual activity. If you do not talk for a long time about the physical recovery of a woman's body after the loss of a child, you should think about your psychological state. It is worth waiting for some time with intimate relationships so that spiritual wounds heal. In addition, as practice shows, a second pregnancy is highly undesirable after the tragic events that have occurred.
4. Careful selection of interlocutors. We all know what our immediate environment is sometimes capable of. Relatives, as they say, are not chosen, but after a late miscarriage, you need to protect yourself from narrow-minded or frankly evil people. Absolutely everyone cannot like us, therefore secret or obvious ill-wishers with a caustic word (supposedly in support) can cause significant damage to the psyche of the victim of circumstances.
5. Finding out the causes of miscarriage. At an early date, such a misfortune happens much more often, so you should understand what happened. Getting up on the same rake twice is a very frivolous act. If chronic diseases have become the cause of the miscarriage, then you need to seriously take care of your health. When the doctor cannot determine the cause of what happened, then this is not an alarming sign at all, but confirmation of a random combination of circumstances.
6. Stop looking for someone to blame. After a fight, they don’t wave their fists, so it’s not worth becoming an angel of revenge. Very often, unfortunate mothers fill up all instances with complaints, trying to punish doctors. At the same time, they completely exhaust themselves and subject their nervous system to a serious test.
7. Help for the orphanage. It is hard for a person in grief to feel comfortable next to prosperous and happy people. The point in this case is not about malice or envy, but about an elementary sense of self-preservation. When the heart bleeds, it is simply unreasonable to demand anything from the injured party. Children left by their parents are also unhappy in their own way, so they will not cause an attack of acute anguish in an unfortunate woman after a miscarriage. Practice shows that many cases have been recorded when, after the loss of their own child, a couple takes a baby from an orphanage.
8. Rejection or limitation of bad habits. Late miscarriage is a devastating blow to the female psyche. However, drowning grief in wine is the beginning of the end for any human nature. Alcohol does not dull suffering, but simply modifies it for a while, bringing additional problems.
9. Help of a psychotherapist. If a woman does not know how to survive a miscarriage, then she should contact a competent specialist. No need to immediately rush for advice to the first counter charlatan. There are very few good soul healers, but you need to try to find a real professional. In the search, the same forum with the opinions of visitors or the recommendations of wise people from the inner circle will help.

How to behave close to support a woman after a miscarriage

Relatives and friends should be very tactful about the emotional experiences of a woman who has lost a child. Psychologists have developed some ways to help a failed mother:

• Minimum talk about miscarriage. As mentioned above, it is impossible to completely remain silent about the problem, which is fraught with serious consequences. However, it is simply not permissible to talk for hours with an unfortunate woman on the topics “what if”, “if it were different” and “why”. These are three categorical "no" for loved ones who really want to help a dear person survive the crisis.
• Organization of joint leisure. Naturally, we are not talking about visiting a nightclub to try to cheer up a heartbroken woman. She will not dance, she will start laughing at the proposed jokes on the verge of hysteria, and at the end of such an event she will simply hate the organizers of such an appearance. Evenings with family, which will be based on watching positive films and talking on neutral topics, will help the most. It is possible to visit public places, but before that, close people need to carefully study the proposed program in advance.
• Conversation with the attending physician. Nobody canceled the medical secret, but the gynecologist will not refuse to talk with the father of the child. You should clearly find out during the conversation how to help your injured soulmate. She herself may, in a state of passion or stupor, not understand the recommendations of a specialist, which in the future can cause her significant harm.

How to survive a miscarriage - look at the video:

A miscarriage at any stage of pregnancy very often plunges women into an abyss of despair and protest against what happened. If the failed mother is a very strong-willed person, like the main character of the film Gone with the Wind, then she herself will cope with the misfortune that has befallen her. Otherwise, you will have to seek help from loved ones who will help restore mental strength. However, always and everywhere it is necessary to remember that life is given once and it must be lived with dignity and fruitfulness.

If a woman has a miscarriage, it is important to take competent measures to restore health. This will help to cope with the pathology morally and prepare the ground for a new pregnancy. Medical statistics state that 15-20% of pregnancies end in spontaneous termination for various reasons. The symptoms of what happened rarely go unnoticed.

This makes it possible for a woman to diagnose what happened in time, contact a gynecologist, undergo adequate treatment and plan the birth of a child for the future. Spontaneous abortion experts classify into three categories:

1. Termination of biochemical pregnancy- the embryo leaves the uterine cavity in the first - third week after conception. A woman during this period most often does not suspect that she is carrying a child. Pregnancy becomes known only when testing for the content of hCG in the urine and blood, which is why it is called "biochemical". The failed mother perceives the blood that has left the body as menstruation, which for unknown reasons began outside the scheduled time. Units who carefully monitor their own health go to the doctor.
2. Spontaneous abortion or miscarriage in early pregnancy - up to 22 weeks, when the weight of the embryo does not reach 0.4 kg.
3. preterm birth when the pregnancy ended at 22-37 weeks. If medical assistance is provided on time, efforts are made to ensure the life of the child, the baby in most cases can be saved. In medicine, an early born is called premature.

After the birth of the child, they are connected to life-supporting equipment, which helps him adapt to new conditions.

What is a miscarriage - an overview of options

A miscarriage that occurs is complete when all parts of the embryo come out of the uterine cavity along with the membranes and amniotic fluid. In the event that parts of the fetus remain in the uterus, they speak of an incomplete miscarriage, which occurs more often in the early stages of pregnancy. To neutralize the negative consequences, to prevent the development of an infectious process in the tissues, the product of conception is evacuated from the uterine cavity by the methods of medical interruption, gynecological curettage, and vacuum aspiration. Therapy may include the use of drugs aimed at contracting the uterus and pushing the contents out. Ultrasound examination is considered to be the control method of diagnostics. Negative consequences entail a miscarriage during the first pregnancy. After the event, conception is possible after a thorough examination and treatment.

The most dangerous for spontaneous miscarriage is the first month of pregnancy. Doctors distinguish the so-called critical periods of development, in which the embryo (fetus) is especially exposed to harmful factors:

• 2-3 weeks from conception;
• 8-12 weeks;
• 18-22 weeks;
• 28-32 weeks.

During this period, most of the accidents associated with the loss of a child occur. Therefore, the expectant mother should be extra careful.

Why does the body reject the embryo

When a new life is born in a woman's body, the causes of miscarriage often lie in the presence of chromosomal abnormalities in the fetus. Therefore, it is highly undesirable to correct the pathological condition before 12 weeks. Among the factors provoking rejection of embryos are:

• hereditary factor and genetic failure at the stage of fertilization of the egg by the sperm. A non-viable fetus appears as a result of the action of various risk factors - the environmental situation, occupational hazards, and a viral disease of the parents. It is impossible to neutralize these factors. The only way out of the situation is to reduce the likelihood of their manifestation by protecting the mother from dangers during the gestation period. If a defect incompatible with life develops in the child's body, the embryo does not undergo natural selection. The body performs a spontaneous abortion, getting rid of a non-viable fetus;
• Hormonal imbalance caused by disruption of the endocrine system. The situation can be affected by an insufficient amount of progesterone in the mother's body or an excess of testosterone. With early detection of a failure of the hormonal system, a woman undergoes specially organized therapy before pregnancy, which eliminates the possibility of a miscarriage;
• The presence of tumors, neoplasms in the pelvic organs;
• Isthmic-cervical insufficiency(ICN), when the isthmus and cervix open prematurely, unable to cope with the increasing pressure caused by the fetus growing in the body;
• There is a risk of miscarriage in the presence of anomalies in the work of the cardiovascular, renal systems;
• Drug addiction, alcohol addiction, substance abuse of mother and father;
• Depressive states, stress, nervous stress of a pregnant woman;
• Mechanical loads, impacts, bruises, excessive physical labor of the future woman in labor;
• X-ray examination- Irradiation can cause miscarriage.
• The use of medicines. In the first trimester, the use of potent medicinal formulas is prohibited. Drugs can cause the development of defects in the embryo. Some decoctions of herbs are also contraindicated. These are parsley, tansy, cornflower, nettle, St. John's wort. Self-medication is prohibited. Each drug is agreed with the attending physician.
• Infectious and viral process in the body of a pregnant woman. Any sexually transmitted infection can provoke a miscarriage, which must be treated before pregnancy, otherwise there is a high risk of infection of the fetus in the womb. A great threat of miscarriage in the early stages exists due to viral infections and inflammation of the internal organs. A dangerous symptom is the high temperature of the mother, accompanied by intoxication of the body. At the stage of pregnancy planning, it is important to stop chronic diseases, to vaccinate against dangerous infections.
• History of abortion, unsuccessfully performed surgery, unprofessionalism of the doctor and unfortunate circumstances can lead to fetal loss.
• Immunological factors.

The list of causes of miscarriage in the early stages of pregnancy and in the later period may be more extensive; in each case, doctors identify the pathology individually. The expectant mother is not able to prevent the impact of all harmful factors, however, much is in her power.

A little about a frozen pregnancy

Having studied what are the symptoms of a miscarriage, recovery time and treatment methods, one cannot ignore the issue of a missed pregnancy. The condition is characterized by the death of an embryo in the womb, often occurring in the first trimester of pregnancy. Among the reasons, similar factors were noted - maternal infections, genetic failure, hormonal imbalance, bad habits, potent drugs, stress.

If, with a spontaneous miscarriage, the clinic is expressed by severe pain and blood loss, then a frozen pregnancy is often asymptomatic. There are no pulling and throbbing sensations of pain, no contraction-like urges, no blood is released from the vagina. The uterus may not reject the dead embryo, leaving it inside itself. At the initial stage of pregnancy, the condition is difficult to detect; in the second and third trimester, the mother is alarmed by the prolonged absence of movements in the abdomen. The next visit to the doctor reveals a mismatch in terms of the size of the uterus, the absence of a heartbeat in the mother's womb. Ultrasound makes an accurate diagnosis.

If the fetus is dead, and tissue rejection does not occur, curettage or extraction of the deceased embryo with a vacuum is prescribed. If this is not done, there is a high probability of poisoning by toxic decay products that have entered the bloodstream from the uterus. A thorough examination will help to establish the causes of the anomaly, prescribe effective therapy.

Both spouses should be tested. On the basis of the seized material, a histology of the tissues of the embryo is carried out. Diagnostics of diseases is carried out, adequate treatment of the root causes of fetal loss is prescribed. Comprehensive diagnostics includes microbiological, ultrasound, hormonal, immunological examination.

The existing threat of miscarriage during pregnancy is a reason to carry out therapy in a specialized medical institution if it is established that the pregnancy is progressing. The hospital will provide a calm regime, timely administration of drugs. Hospitalization of a woman with recurrent miscarriage is an adequate response to the risk of fetal loss.

Isthmic-cervical insufficiency (ICI)

One of the most common causes of spontaneous miscarriage during pregnancy is ICI - the opening of the cervix and isthmus of the uterus in response to the increasing pressure of the growing fetus. Pre-pregnancy manipulations with the uterus (cervical dilation due to abortion, childbirth or curettage) affect the condition of the muscle ring. Damaged areas are tightened by scar tissue that does not have elasticity, is not amenable to stretching and contraction. ICI also has a functional nature, when there is a hormonal imbalance - the level of testosterone in the blood rises, there is a lack of progesterone.

ICI occurs in the period from 11 to 27 weeks after conception, when the embryo begins to produce androgens in the mother's body with the launch of the adrenal glands. Taking into account the mother's hormones, their indicator may be exceeded - this softens the cervix, opens it, shortens it. Harmful bacteria and microorganisms penetrate into the formed channel, infecting the fetal egg. The initial stages of ICI do not have obvious symptoms, since they do not entail the tone of the uterine muscles. With the loss of strength of the membranes, amniotic fluid pours out. Pain during miscarriage is absent.

If a woman has experienced a spontaneous termination of pregnancy, which began with the outflow of amniotic fluid, when monitoring a subsequent pregnancy, she should indicate this fact to the doctor.

Treatment of isthmic-cervical insufficiency

Endocrine disorders that lead to an increase in testosterone are corrected by the appointment of hormonal drugs. An assessment of the condition of the uterus is done by a doctor a couple of weeks after the start of taking medications. Positive dynamics is said when the opening is suspended and no further expansion of the neck is observed. If therapy does not give the planned effect, surgical intervention is prescribed. Similar measures are used for the traumatic nature of cervical deformity. You should not be afraid of the operation, the doctor acts delicately, without causing additional injuries to the patient, without causing discomfort to the expectant mother and the baby growing in the womb. Greater efficiency of the procedure is noted in the early stages. Suturing can significantly reduce the risk of infection of the embryo through the lower edge of the cavity.

Surgical intervention is carried out in stationary conditions. Before the operation, the pregnant woman is examined. After the procedure, the vagina is sanitized, for which the area of ​​suturing is treated with antiseptics for 3 days. For this purpose, chlorhexidine and furacillin are used. Then every week the patient needs to undergo a follow-up examination by the attending physician, where he assesses the situation, making adjustments to the therapeutic protocol if necessary. The stitches are removed at 38 weeks of gestation. During this time, the cervix matures, preparing the birth canal for the passage of the fetus. Many women in labor worry that stitches will require a caesarean section. This is not true. In most cases, women give birth on their own.

Emergency action is recommended if the fetal bladder prolapses into the cervix from 16 to 24 weeks. The operation of suturing the cervix obliges the woman to observe bed rest, strictly follow the daily routine, avoid physical exertion, and do not skip taking medications. In rare cases, complications occur after suturing. Among them, the cutting of sutures through the tissues, provoked by the frequent tension of the muscles of the uterus. To prevent tone, tocolytics are prescribed. The expectant mother should be prepared to conduct intensive examinations, taking smears to check the vagina. This is due to the likelihood of accumulation of pathological microflora on the threads of the seams.

It is also important to conduct psychological therapy, where a woman is taught the techniques of self-soothing, relaxation. The behavior of the mother is a decisive factor in the successful bearing of the fetus with complications. Panic and fuss create an unfavorable prognosis in stabilizing the situation. Careful health monitoring is carried out in a newborn baby to eliminate the risk of infection in the womb. If a spontaneous abortion has occurred for reasons of ICI, when can you get pregnant after a miscarriage, the doctor will say. Ideally, the period should be at least two years. The doctor must take measures to prevent a repeated situation of losing a child.

Now, in addition to the suture, ICI correction is also carried out with the help of an obstetric pessary. An alternative method is the imposition of a special ring of hypoallergenic materials on the cervix. Silicone is the most commonly used. The ring creates additional support, preventing the opening of the neck.

Uterine hypertonicity - risk prevention

Contractions of the uterus until the moment of natural childbirth are called organ hypertonicity. The condition is not an independent disease, it signals a malfunction in the body of the expectant mother, often manifests itself in the early stages of pregnancy. The causes of the pathological phenomenon are:

• Hormonal disorders caused by insufficient function of the placenta, ovaries, impaired activity of the adrenal glands, causing imbalance.
• Genital infantilism, defects of the body;
• Neoplasms, tumors in the uterus, not necessarily of a malignant nature (myoma);
• Transferred during pregnancy infectious processes, viral diseases;
• ICI - cervical dilatation under increasing pressure created by the growing embryo;
• Immunological trouble;
• Chronic diseases of the body(cardiovascular disorders, renal failure);
• Previous spontaneous miscarriages at an early stage, the symptoms of which may recur, artificially induced abortions.

In addition to physiological reasons, psychological factors are of no small importance. A woman who is in a depressed state can provoke uterine hypertonicity.

A woman can feel the tension of the muscles of the uterus herself, without the help of a specialist. This is evidenced by the heaviness that appeared in the lower abdomen, pulling pains in the lumbar region. Symptoms are similar to painful menstruation. Arising in the first trimester, the condition provokes spontaneous abortion, missed pregnancy, death of the fetal egg. In the subsequent period, premature birth is likely due to uterine hypertonicity.

Why does the tension of the walls of the uterus cause terrible consequences? The point is the disturbed blood supply to the placental tissues, the occurrence of hypoxia of the embryo, and the slowing down of the development of the developing child. Following the contraction of the muscles of the uterus, there is no contraction of the placenta. This causes its detachment, provoking the release of the fetal bladder.

Uterine hypertonicity is detected during a scheduled visit to a specialist. Stabilization of the situation requires the appointment of sedative drugs and antispasmodics. A strengthening effect is provided by therapy with the inclusion of vitamin B6, magnesium. In most cases, the measures taken are sufficient to neutralize the risks. Self-medication is strictly prohibited. This can cause irreversible consequences. With hypertension, the main rule for a pregnant woman is calmness and lack of physical activity. Some moms who have had a successful birth say they “didn't get up” the whole pregnancy. This is true, but the result is worth the sacrifices spent on it. With hypertonicity, sexual contacts and sexual life are excluded.

If the threat cannot be neutralized, hospitalization of the pregnant woman in a hospital setting is recommended. It is especially dangerous when severe cramping pain is complemented by spotting. To lie down "for preservation" is an adequate measure in the struggle for the birth of a healthy and strong baby. In the hospital walls, a pregnant woman is prescribed a vaginal examination, ultrasound. On the computer monitor, when scanning the fetal bladder and uterus, the doctor determines their condition with a high degree of accuracy. If necessary, the expectant mother is sent to assess the level of hormones, take urine and blood tests, and be examined for STIs.

At the onset of labor activity before 34 weeks, they try to stabilize the condition with tocolytics. The most dangerous period is from 25 to 28 weeks, the woman is recommended the maximum possible bed rest. After that, the fetus has every chance of survival. In order to quickly form the pulmonary system of the embryo, allowing it to survive with an early birth, hormones are prescribed. Having an unfavorable prognosis for miscarriage and the threat of miscarriage, it is necessary to prevent this situation at the stage of conception planning.

Stages of spontaneous abortion

There are certain signs of a miscarriage that attract attention and divide the course of a miscarriage into specific stages:

• Threat - having noticed factors threatening pregnancy, measures can be taken to restore the situation, normalize the mother's well-being.
• The beginning of an abortion - adequate therapy can work wonders. At this stage, the doctor can apply life-saving manipulations and give recommendations to a pregnant woman who plans to become a mother.
• A miscarriage is in progress - the condition is irreversible, it is impossible to stop the pathology. The death of the fetal egg begins, leaving the uterine cavity.
• completed abortion- the uterus gets rid of the residual tissues of the embryo, cleanses, restores its original parameters. It is important to prevent the remnants of foreign fibers inside, otherwise the organ becomes infected with decaying residues, toxins go into the bloodstream.

An effective diagnostic method is an ultrasound examination of the uterus and pelvic organs.

Miscarriage symptoms - how not to miss the threat

If there is a threat of miscarriage in the early stages, then the following symptoms may occur:

• Pullers appear, incessant pain in the lower abdomen. The pain may be monotonous or come in waves.
• Opens sluggish bleeding, the signs of which are reduced to smearing brownish discharge. Bright scarlet blood can stand out, it is often confused with menstruation.
• Tone of the uterus.

A woman who does not know how a miscarriage occurs in the early stages should listen to her inner state. Should be alert:

• spasmodic pain impulses;
• drawing pain in the lumbar region.

In the later stages, the above symptoms are added:

• liquid discharge from the vagina, which may signal damage to the amniotic sac;
• pain when urinating;
• internal bleeding, which is prevented by a deterioration in the general condition, fainting, dizziness, pallor of the skin
• These conditions are indications for emergency hospitalization of a pregnant woman.

The stage of the onset of an abortion is characterized by more pronounced symptoms of a miscarriage - contraction-like pain, severe dizziness, and loss of strength. Instead of smearing discharges, clot-like ones appear, abundantly manifested during movement. At this point, in some cases, it is possible to save the pregnancy if the area of ​​detachment of the fetal egg is small, the pregnancy progresses, the fetal heartbeat is determined.

The third stage is useless for saving the fetus. There is girdle pain in the lower back and abdomen. Together with abundant blood loss, a fetal egg comes out of the uterus. Incomplete miscarriage requires curettage of the uterine cavity if parts of the embryo or membranes of the fetal egg remain in the cavity, otherwise there is a high risk of complications that will threaten the life of the mother.

In an early miscarriage, the symptoms are similar in many respects to a late abortion - pain and bleeding. The intensity and duration of symptoms may vary. The fetal egg going through the birth canal damages the small vascular network, injuring the tissues. This causes bleeding. Normally, the blood will stop being released after a spontaneous miscarriage after a few days. A period exceeding these indicators confirms the infection of the uterus, the preservation of the remains of the embryo in the cavity. Therapy is based on drug treatment, surgical intervention.

After a spontaneous miscarriage, complications and serious health consequences are likely. These are rare cases, in the majority of situations the body independently copes with what happened, expels the parts remaining in the uterine cavity by natural contraction of the muscles. An early spontaneous miscarriage does not always occur; a dangerous condition can wait in the later stages. Some women try to provoke the release of the fetus, decoctions of herbs and medications. This is fraught with complications, including sepsis, dysfunction of the reproductive organs, after which pregnancy in the subsequent period becomes impossible.

Diagnostic methods

If there is a threat of miscarriage at an early stage, the doctor will help determine the symptoms when visiting the antenatal clinic. The specialist will check the size of the uterus, determine the tone of its muscles, the condition of the cervix, and examine the discharge from the genital organs. A reliable method to identify the existing threat is transvaginal ultrasound diagnostics. The doctor draws attention to segmental muscle contractions of the uterus, detachment of the fetal egg. Genetic testing will help analyze the likely causes of miscarriage. The patient's history is carefully collected, clinical signs of spontaneous abortions are noted

Medical therapy

In order to maintain pregnancy, any methods are good. A qualified doctor develops an individual treatment protocol based on the available diagnostic data. Among the drugs used:

• sedatives;
• restorative therapy;
• drugs that stabilize the hormonal background;
• antispasmodics that reduce the tone of the uterus;
• vitamin and mineral supplements.

The specialist eliminates the threat of miscarriage in the early stages, tells how to prevent a woman who has lost a child from relapse. In the later stages, the cervix is ​​fixed with a special suturing (usually in the period of 16-25 weeks, if there is an ICI).

With an unsuccessful attempt to stop a spontaneous abortion, the following treatment tactics are used:

• Waiting - an organism that has independently freed itself from an embryo does not require specialized treatment.
• Medical therapy- the patient is prescribed medications that complete the removal of foreign tissues from the body. By causing severe spasms of the muscular walls of the uterus, the tablets provoke the expulsion of residues from the cavity.
• Surgery - is used for complications or inconvenient for the independent exit of the fetus, the bend of the uterus.

The control conclusion is made by the doctor after the ultrasound.

Surgery (curettage)

Having diagnosed the symptoms of a miscarriage in the early stages of pregnancy, and faced with the need for curettage, a woman worries about the state of the reproductive system. It is not worth doing this, the operation takes place in a gentle mode, with maximum delicacy in relation to the patient's childbearing ability. Curettage is performed when there is a risk of incomplete exit of the embryo from the uterine cavity and the development of infection in the pelvic organs due to the elements remaining in it. Ignoring the procedure can lead to blood poisoning and the formation of a pathology that prevents re-conception.

The specialist conducts an examination, fills out the patient's health card, sends the woman for an enema. Before the operation, hair removal from the pubic surface is mandatory. Taking into account the individual characteristics of the patient, the anesthesiologist selects the drug for pain relief. The doctor expands the cervix, cleans the internal cavity with a curette, freeing it from the remnants of the fetal egg. The uterus is scraped from the inside, which prevents the development of infection. However, vacuum aspiration is more commonly performed, as it is a more gentle method of removing debris from the uterus.

After a miscarriage, the materials obtained during scraping are sent for histological analysis. The rules recommended by the doctor should be strictly observed. A woman will be able to resume sexual activity no earlier than 1.5-2 months after the procedure. During this period, damaged tissues will be restored. By this time, menstruation will resume, it will be possible to use the usual methods of contraception.

Scraping - what and why

Cleaning is carried out after an early miscarriage in most cases in order to prevent the development of infection in the uterine cavity from the remaining tissues of the deceased fetus. It is pointless to be afraid of the negative consequences of cleaning. Gynecological curettage is a procedure for removing the upper layer of the inner cavity of the uterus. After removing the excess, the endometrium begins a natural recovery, returning the ability to function normally. To facilitate access to the cavity after local anesthesia, the neck expands. This is facilitated by special medicinal formulas or medical instruments. Gynecological cleaning is carried out for diagnostic and therapeutic purposes for various indications:

• after childbirth;
• with a frozen pregnancy, miscarriages;
• with failures of the menstrual cycle;
• for accurate diagnosis of gynecological disorders.

The complex application of the method with hysteroscopy allows you to carefully examine the internal contents of the uterus in order to prevent poorly cleaned areas on the mucous membrane. The essence of the technology makes it similar to abortion, but the purpose of the procedures varies significantly.

Preparing for a gynecological cleaning

Scraping is recommended a few days before the onset of menstruation. In this case, blood loss decreases and a favorable prognosis is given for rapid tissue recovery. The operation requires a preliminary examination, testing. This:

• a study on the ability of blood clotting;
• smear for examination of the bacteriological environment;
• analysis for STIs.

Before curettage, you stop taking any medications, dietary supplements that have not been discussed with a specialist. Even plant components that can affect blood clotting and provoke blood loss during surgery can be dangerous. It is important that your healthcare provider is aware of the medications you are taking so that they know what risks may arise. The rules for preparing for the procedure are simple:

• 3 days before the operation, refuse sexual contact;
• exclude from everyday use the use of intimate hygiene products (gels, creams, ointments, liquids), candles, tablets and vaginal sprays;
• do not douche;
• 10 hours before surgery, do not eat or drink. This is necessary for high-quality anesthesia, which allows the patient not to feel discomfort.

Carrying out cleaning

Curettage is carried out in a hospital, the woman is placed on the gynecological chair of the operating room. The doctor removes the upper layer of the mucous lining the uterine cavity from the inside. The exclusion of pain involves anesthesia. If there were signs of miscarriage in the early stages of pregnancy or at a later period, after which it spontaneously terminated, the dilated cervix allows for curettage without anesthesia. For anesthesia, intravenous administration of the drug is used, selected individually, taking into account the characteristics of the patient's body. A few seconds after the injection, the woman falls into a shallow sleep, the discomfort disappears, which makes the doctor's actions painless.

The dilator inserted into the cervix straightens the walls of the organ, facilitating access to the internal cavity. Holding the neck, the specialist inserts a rounded probe with a small diameter, after which he replaces it with a more voluminous analogue. A special video camera attached to the end of the probe allows for hysteroscopy - examination of the cavity before curettage. Cleaning is carried out with a curette, shaped like a small spoon on a long handle. Carefully collected tissues are stored in a specialized sterile tube, which is later sent to the laboratory for histological examination.

The procedure rarely goes beyond one hour, usually the doctor takes 20 minutes. Together with the uterine cavity, the cervical canal is cleaned. Manipulations are called RDV - separate diagnostic curettage. Collected samples are placed separately. Histology is used to identify the structure of tissues in order to exclude the presence of atypical cells in them, indicating cancerous lesions, precancerous conditions. The study is carried out within two weeks, after receiving the results, the woman revisits the gynecologist for a follow-up examination.

Curettage is often carried out for diagnostic purposes to clarify the symptoms of pathological conditions in the organs of the reproductive system. It can be:

• menstruation with an irregular cycle;
• bulky discharge and painful menstruation;
• bleeding during menopause;
• difficulties in conception in the absence of visible causes of pathology;
• suggestion of developing uterine cancer.

A gynecological cleaning is carried out in order to obtain materials for histological analysis.

Curettage after miscarriage - possible complications

Complications can arise, as after any surgical intervention. A serious consequence is the discovery of uterine bleeding due to insufficient blood clotting. In order to prevent oxytocin is used - injections stimulate the cessation of abnormal blood flow. Oxytocin will help if the bleeding is due to the uterus not contracting well. In violation of coagulability, it is not effective.

Another complication is hematometra, when blood clots accumulate in the uterine cavity, which can cause the development of an inflammatory process in the tissues. The spasm of the cervix contributes to the hematometer, which prevents the blood from coming out, which occurred immediately after the cleaning. Experts recommend the use of antispasmodics that relax the muscles of the body, contributing to the normal outflow of blood. A woman should be alerted by pulling pains in the lower abdomen, a sharp cessation of discharge.

After cleaning, endometritis may occur when inflammation affects the uterine mucosa. An adequate measure of therapy for a dangerous diagnosis is a course of antibiotics. Pain in the abdomen and a sharp increase in body temperature speak of a pathological condition. Any dangerous change in condition should be reported to the doctor immediately. In this case, countermeasures will be taken in a timely manner, which will eliminate the risks of developing more formidable complications.

How to behave after a miscarriage

A miscarriage that has occurred requires the failed parents to follow a certain tactic of behavior. Among the measures recommended by doctors:

1. It is advisable to postpone a new pregnancy attempt for 3-6 months. Otherwise, the risk of repeating the undesirable development of events is high. If pregnancy occurs before the expiration date, you should not panic. The main thing is the supervision of a specialist. Then there is a chance to give birth safely.
2. If you are waiting for the term, consult about the method of effective contraception.
3. Follow the recommendations given by your doctor. Having understood what threats of miscarriage exist, it is easier to neutralize them.
4. Pass the recommended examinations, pass the necessary tests. Possible studies for both parents are the detection of infections of the reproductive system, hormones in the blood, hemostasis, and immune status. Identified failures are subject to mandatory correction.

Consult what effect the drugs taken will have on the fetus if you become pregnant during therapy. Find out after what period of time you can fearlessly try to conceive a child. In most situations, in addition to the therapeutic course, it is necessary to change the usual way of life - daily routine, nutrition, habits.

The psychological state of a woman during the recovery period

Spontaneous abortion is a severe stress for a woman. Faced with this situation, many lose the meaning of life, they are afraid to plan a new pregnancy after a miscarriage, fearing a repetition of what happened. The condition of a woman during this period is unstable, emotions are negative and unstable. Often, a failed mother begins to bully herself with negative thoughts, revel in contemplating other people's children on the street, communicating with bereaved mothers on forums, visiting children's stores and looking at small things in windows. A likely tactic of behavior is blaming yourself for what happened. Against the backdrop of such thoughts, families are destroyed, divorces occur.

Psychologists advise to show perseverance, endurance, purposefulness. For this you need:

Over time, negative thoughts will fade into the background, a desire for a fulfilling life will appear. A new pregnancy will not scare and disturb.

How to detect genetic pathologies during repeated pregnancy

If there was a miscarriage of the first pregnancy due to a genetic factor, it is especially scary to decide on a second one. You should not be afraid of this, with a well-designed therapy, the chances of success are more than great. Diagnostic procedures today are highly accurate and allow you to identify pathology in the early stages. Among the deviations are Edwards syndrome, Down syndrome, Patau and other pathologies. A mandatory examination is recommended for women with repeated miscarriages, as well as:

• over 35 years old;
• having changes detected during screening;
• with markers of chromosomal pathologies and malformations of the embryo;
• with previously born children with chromosome anomalies.

Ultrasound diagnostics is able to detect malformations in 80-85% of cases. However, the technology is not impeccably reliable, as it misses pathologies in 20% of situations. Biochemical screening, invasive examinations have valid data. The last version of the study allows you to identify up to 99% of anomalies. No less popular is the high-precision PANORAMA test for determining DNA pathologies.

When planning a new pregnancy, you should definitely visit a geneticist. Screening diagnostics for the detection of abnormal genes will help eliminate the risks of possible pathologies, the factor of heredity and genetic failure during conception. Sometimes the threat of miscarriage in the early stages exists in almost healthy carriers. The examination will allow you to find out about the anomaly in advance and undergo adequate treatment of a possible pathology.

Planning for a new pregnancy

The medical community is unanimous on the issue of planning a new pregnancy after a spontaneous abortion has occurred. Conception is not recommended for at least 3-6 months after the accident. During this period, the woman's body will recover and gain strength to bear the fetus. Observation by a doctor, harmonization of hormonal levels, examination of parents to identify possible pathologies is important. In order not to become pregnant after a miscarriage in the first months, it is recommended to use contraceptive methods recommended by your doctor.

Examination after a miscarriage includes blood and urine tests, a study of the microflora of the vagina with a smear, the identification of overt and latent genital infections, an analysis of glucose and hormones, and an examination of the biological compatibility of partners. Planning is an important step towards having a healthy baby. After the studies, the woman is prescribed strengthening therapy. It is important to completely reconsider eating habits, to exclude factors that are harmful to well-being. Vitamins, folic acid are used. Fast foods containing carcinogens and preservatives are excluded from the diet. Subject to the rules recommended by the doctor, a successful pregnancy with a favorable outcome is likely.

It is not uncommon for situations in which, after a miscarriage, a pregnancy test shows two strips. This is due to the restructuring of the body, the organs of the reproductive system. It is important to report the incident to your doctor. The presence of remnants of embryonic tissue in the uterus can provoke a positive test result. In this case, immediate curettage is necessary, which neutralizes the risk of inflammation and infection. To accurately determine her condition, a woman needs to undergo an ultrasound diagnosis, take tests to determine hCG in the blood.

The question of whether it is possible to get pregnant after a miscarriage worries many parents. The answer is unequivocal - yes, if you follow the recommendations of experts, carefully plan a new conception, monitor your well-being and state of your health.

Components of success after a miscarriage

The state of health of the patient does not always lead to a miscarriage; in many respects, non-compliance with simple rules becomes a threat. To reduce the risk of losing a child during pregnancy, you must:

1. keep calm- It is important for a mother to exclude from her life all the factors that make her nervous. Irritation is not the best way to normalize the condition. In order to stabilize the emotional background, rest is recommended, the use of soothing teas with the permission of the doctor. Good results are given by herbal teas from chamomile, lemon balm, mint.
2. Avoid taking unnecessary medications and drugs. Self-cessation of the therapy prescribed by the doctor is unacceptable. Each step must be discussed with the gynecologist.
3. Eliminate harmful professional factors. Working in the chemical industry and other hazardous facilities can create an undesirable background in the body, which prevents the normal bearing of a child. It is important to understand what is of great value to the mother - the birth of a healthy baby or a career factor. Many women refuse to work in hazardous conditions in order to increase the chance of having a baby.
4. Eliminate bad habits. It is unacceptable for a mother who has experienced miscarriage to practice bad habits in everyday life - drink alcohol, smoke. It is forbidden for the father to do this. Harmfulness negatively affects the quality of spermatozoa, which provokes difficulties with conception and risks of deviations in the development of the embryo.
5. Take vitamin complexes specially designed to prepare the body for pregnancy, the formation of basic conditions for its favorable course.
6. healthy eating. A complete, balanced diet works wonders. With a lack of weight, a nutritionist will develop an adequate diet for a woman with the inclusion of a large amount of protein foods rich in vitamins and trace elements of vegetables, fruits, and cereals. Fatty foods are allowed when it comes to the “right” fat found in fish, seeds, nuts, avocados, and olives.
7. Get rid of extra pounds. Obesity adversely affects the development of pregnancy. Science has proven that enhanced nutrition during pregnancy, consisting of a plentiful meal, is not required. The main thing is its balance.

Psychological readiness for conception and observation by a gynecologist until a successful delivery is important. Science knows the facts of a safe pregnancy even after multiple failed attempts.

Repeated pregnancy makes a woman worry about every little thing. Fears scare, tune in to a negative wave. It is important to suppress the pathological state of the psyche in oneself - the emotional background is transmitted to the baby. Try to treat pregnancy as a miracle granted by heaven. Prepare yourself for childbirth physically, with the permission of the doctor, attend trainings and seminars for pregnant women, courses for expectant parents.

It happens that a woman, having become pregnant again, does not want to share her experiences with loved ones. Doing this is not worth it. At work, upon confirmation of conception, provide the employer with a certificate of the need to transfer to light work. Perhaps the gynecologist will completely protect you from visiting the workplace by writing out a sick leave.

infections during pregnancy

Infectious processes transferred before pregnancy develop immunity in the mother to similar agents of influence. Primary infection poses a great threat, so vaccination will not be superfluous when planning conception. Perinatal diagnosis makes it possible to detect an infectious process at an early stage and prevent its harmful effects. This is possible if a pregnant woman is registered from an early date.

Infection of a pregnant woman can develop due to an infection transmitted by airborne droplets. This is the most dangerous species, since it is almost impossible to prevent it. This applies to mumps, measles, rubella. HIV and hepatitis infect the body through sexual contact, similar to chlamydia. Listeriosis is transmitted with poor-quality products. A pregnant woman can pass infections to a developing baby. This pathology is determined by profile tests of latent infection.

Planned monitoring of the development of pregnancy involves regular testing. Sexual infections are determined using a smear, ultrasound shows deviations in the development of the baby, and KGT is aimed at listening to the work of the fetal heart muscle. If there is a suspicion of a serious infection of the embryo, blood sampling from the umbilical cord and amniotic fluid analysis are practiced.

Infection of the child also depends on concomitant factors. The speed of diagnosis, the literacy of the treatment, the type of pathogen, the duration of the pregnancy are taken into account. The following infectious processes deserve special attention:

1. Viral etiology - a huge number of viruses creates a danger to a pregnant woman. It is enough for a virus to capture one cell for the pathological process to begin. The carrier spreads the infection, spreading it to the internal organs and tissues. The threat is genital herpes, rubella, infectious type erythema, cytomegalovirus, hepatitis B, measles, mumps, chickenpox.
2. Attention should be paid to bacterial infections detected during the analysis of biological materials (feces, urine, blood), examination of individual organs of the body. Active reproduction provokes a rapid growth in the number of bacteria in the vagina. Not all microorganisms pose a threat to the child. Antibiotic therapy is used to destroy harmful microflora. Dangerous candidiasis, streptococcus, chlamydia, bacterial vaginosis, cystitis.

The course of pregnancy is threatened by intestinal infections, often activated in the summer. Carriers of infection can be animals that are poorly treated before eating food. Of particular danger are listeriosis, salmonellosis, toxoplasmosis.

Prevention of infections during pregnancy

Infection of the mother provokes a threat to the life of the fetus. From 3 to 12 weeks, the infected organism responds with a miscarriage or the formation of malformations in the child. From 11 to 28 - developmental delay. At a later date, it deforms already formed organs and creates conditions for premature birth. In order to prevent intrauterine infection, it is recommended to apply a number of rules:

• Examine the mother for the detection of STIs.
• examine the blood, to determine the presence of antibodies to carriers of infection, pathogens.
• avoid contact with sick people, visits to crowded places where there is a possibility of infection by airborne droplets.
• conduct a pet survey for the presence of dangerous infections, if necessary, treat or remove them from the house until the threat is eliminated.
• exclude fast food from the diet, shop semi-finished products, subject meat, fish to thorough heat treatment.
• remove exotic foods from the diet- sushi and other culinary delights purchased in restaurants, cafes.
• wash hands thoroughly, fruits, vegetables with special disinfectants that are not capable of harming a pregnant woman and a child.
• scheduled to visit a gynecologist, undergo examinations recommended by the doctor, take tests, take vitamins.
• register at the first sign of pregnancy to be under medical supervision.
• when planning a pregnancy prepare for conception, cure infections, vaccinate.

It is important for the father of the child to comply with most of the recommended rules. If only the mother undergoes treatment, a relapse is likely during sexual intercourse, neutralizing the beneficial effect of therapy.

A woman who has had a miscarriage in the past should be alarmed by any deviations from the norm in well-being. It is important to pay attention to ailments, pain, weakness, dizziness. Accounting for an early consultation will create conditions for the bearing of the fetus and the birth of a child. There is no need to be afraid that a miscarriage will forever deprive the joy of motherhood.

After completing a course of examinations, passing tests and following the measures prescribed by the doctor to treat imbalances in the body, you will create all the conditions for a favorable outcome of pregnancy. Tune in to the positive, protect yourself from worries, worries, stress. Feel the support of loved ones, hope for the best. Get advice from good specialists to rule out any unfavorable prognosis before conception or take steps to neutralize them. Health and prosperity to you, your families and loved ones!

Miscarriage is known to be the reason why 20% of all pregnancies end. Usually such a spontaneous abortion occurs in the first trimester of pregnancy, so it is during this period that special care must be taken. Often a miscarriage occurs when a woman does not even suspect that she is pregnant, and perceives the discharge after a miscarriage as another menstruation.

The causes of miscarriage are varied - stress, heavy lifting, an unhealthy lifestyle, or a hard fall. Many young girls who find themselves in a position want to provoke a spontaneous abortion, without thinking about the consequences of a miscarriage. Fear of parental anger or lack of funds encourage young and inexperienced women to act rashly, the consequences of which may be infertility. The consequences after a miscarriage can be different, depending on the period of time a woman goes to the doctor. Timely detection of a miscarriage sometimes helps doctors save the life and the child, while delaying seeking medical help can lead to the death of the mother.

In view of all the above data, every woman needs to know what are the causes, symptoms and consequences of a miscarriage in order to protect herself from such an unfavorable process.

Symptoms, causes and consequences of a miscarriage

The most common symptom of an impending miscarriage is bleeding, which should alert a pregnant woman. They also talk about a possible miscarriage and back pain, dizziness, pain in the uterus and ovaries. The consequences of a miscarriage, in addition to physical ailment, infertility and disease, can also be psychological. Some women recover within a few months; for some, depression can last more than a year. The best way to get rid of such consequences of a miscarriage is a new pregnancy.

The causes of a miscarriage cannot always be identified; the most common among those that were identified in the course of studies of this process in the female body are hormonal disorders, genetic predisposition, genital infections, uterine disorders, chromosomal abnormalities in the fetus that are incompatible with life, various infections, tissue rupture and autoimmune factors.

The most common cause and consequences of miscarriage is the lack of progesterone in a woman's body - the most important hormone for maintaining pregnancy. It is this hormone that is responsible for the success of the implantation of the ovum, and, accordingly, its lack in the mother's body leads to the rejection of the fertilized egg. An equally common cause of miscarriage is an excess of male sex hormones - androgens, which suppress the production of progesterone and tarragon. For a successful pregnancy, the genetic compatibility of future parents is equally important. If the mother's blood Rh factor is negative, and the father's is positive, the woman's body will perceive the fetus as a foreign body and begin to reject it.

Serious consequences after a miscarriage are observed when a woman turns to traditional medicine to provoke a spontaneous abortion. The longer the gestation period, the higher the risk of a mother's death, because, having decided to provoke a miscarriage with the help of traditional medicine, she does not take into account that the tissues of the formed fetus will begin to come out along with the discharge after the miscarriage, and some of the dead tissues and membranes will remain in a woman's uterus. Therefore, the longer the gestation period, the more tissues will be in the uterine cavity, and the higher the risk of death, respectively, since these tissues begin to rot inside the woman, poisoning the body.

The consequences of a miscarriage in early pregnancy are not serious and do not threaten the life and health of a woman. Gynecologists advise, as a preventive measure, to perform curettage of the uterus after a miscarriage, after which, after 2 weeks, to carry out a control ultrasound.

It is widely believed that the consequence after a miscarriage is a repeated termination of pregnancy. Alas, according to statistics, it is true, but it occurs only in cases where the cause of the miscarriage has not been established, or, having established it, the woman has not undergone adequate treatment.

Thus, the consequences of a miscarriage in the early stages of pregnancy, if a woman consulted a doctor on time and did not use traditional medicine, do not bear a negative character for her life. In cases where medical care is not provided on time, uterine bleeding may occur, accompanied by a large loss of blood, which cannot be stopped at home.

Consequences of a miscarriage: prevention

Prevention of this condition is a necessary measure for every woman in whose life a miscarriage has occurred. At first glance, a number of necessary measures to neutralize the possibility of a miscarriage seem like a difficult task, but if you think about it, the consequences of a miscarriage can be so deplorable that any difficulties become not so impossible.

First of all, a woman who wants to get pregnant should prepare for this event in advance. Both she and the future father of the child must undergo thorough examinations, check their genetic compatibility, because a miscarriage can also occur due to incompatibility of Rh factors. If the results of the examinations are negative, then the woman should be prepared for the fact that the preservation of the desired pregnancy will begin at an early date.

In the presence of any infectious diseases, high-quality treatment of the body is necessary, and only after that can we talk about conceiving a child. During pregnancy, remembering the consequences of a miscarriage, it is better for a woman to be less likely to be in crowded places, avoid stressful situations and generally try to get only positive emotions.

If the expectant mother has such bad habits as smoking and alcohol abuse, pregnancy planning can take place only after a year has passed after getting rid of them.

Women whose first pregnancy occurs at the age of 35-40 should be especially attentive to their own health, regularly examined at the antenatal clinic and at the gynecologist.

Of course, no one can be notified in advance about force majeure situations, so the risk of injury and stress is always present in the life of every pregnant woman. The only thing a woman can do is avoid physical activity, discuss with her doctor the possibility of using sedatives such as valerian or motherwort tincture in stressful situations, and, of course, avoid hitting and falling on her stomach.

A miscarriage is not only a psychological trauma for a woman, but also a strong stress for her body. After this unpleasant event, you need to monitor your health in order to prevent the development of complications. How to recover from spontaneous abortion and cleansing? First of all, you should pull yourself together, be patient and visit a gynecologist.

Causes and consequences of miscarriage

Spontaneous abortion can occur both in early (up to 12 weeks) and late (from 12 to 22 weeks) pregnancy. Early miscarriages occur, as a rule, due to the rejection of the defective embryo by the uterus, and late - due to the weakness of the cervix. Pregnancy can be terminated due to a Rh conflict between the mother and the fetus.

The consequences of a miscarriage depend on a number of factors. Most often, inflammatory processes occur. Even after cleaning, there is a possibility of incomplete removal of the fetal egg. In this case, the doctor recommends repeating the procedure. Recovery after a miscarriage is the return of the uterus and hormonal levels to their previous state. It should be remembered that conception is possible immediately after a spontaneous abortion.

A miscarriage does not always indicate reproductive problems, but so that it does not happen again, a new pregnancy should be delayed until the hormonal background and the condition of the uterus are normal. In addition, after a spontaneous abortion, health problems may begin. With too long bleeding, fever, painful periods, you should consult a doctor.

How to recover after a miscarriage

A woman should monitor her well-being, the amount, color and consistency of vaginal discharge. The normal duration of the latter is from 4 to 10 days. You need to see a doctor as soon as possible if the discharge is too abundant, bright and accompanied by malaise. It is necessary to undergo an ultrasound examination to determine if there are any particles of the fetal egg left in the uterine cavity.

You must not have sex for at least a month after a spontaneous abortion. It is necessary to protect yourself for at least 3 months to give the body the opportunity to recover. Many gynecologists believe that half a year is needed to fully normalize the state of the uterus and hormonal levels, so a woman should follow, first of all, the instructions of the attending physician.

The first month after a miscarriage, you should not overheat, including going to the bathhouse, sauna, taking a hot bath, as well as playing sports and lifting weights. Otherwise, complications may arise. For the onset of a new pregnancy, hormone therapy may be needed. A woman must be ready to conceive not only physically, but also psychologically.

A woman needs:

Lifestyle after a miscarriage

1. Use sanitary napkins to control how much blood is being shed. Change them at least every 8 hours. Shower 1-2 times a day to prevent infection.
2. Do not douche or treat the area around the vagina with strong antiseptics or soap, as this can irritate and lead to an infection.
3. Stick to proper nutrition. This will allow the body to recover faster and fill it with energy. Eat food rich in vitamins and minerals. Drink at least eight glasses of water per day. Eat foods high in calcium: milk, sardines, salmon, etc. Increase your folic acid intake to replenish blood loss after a miscarriage. This can be done by adding leafy and regular vegetables and fruits to the diet.
4. After a spontaneous abortion, give up sexual activity for 1-2 months so that the vagina heals. In the future, during intimacy, use condoms, since there is a chance of becoming pregnant before the cycle normalizes.

Recovery after cleansing

Cleansing (curettage) is a small surgical intervention that is performed to remove the remnants of the fetal egg from the uterus. Pregnancy after scraping is possible almost immediately, but experts recommend delaying it for about six months (at least 3-4 months). During this time, the woman's body must fully recover if she adheres to proper nutrition, good rest, and also enlists the moral support of her closest relatives.

If there are difficulties with a new pregnancy after cleaning, you will need to visit a gynecologist, undergo the necessary examinations and treatment. It is important to remember that complications may occur after surgery, so you will need to carefully monitor your well-being and immediately consult a doctor if severe bleeding is detected, body temperature rises above 37.6 degrees, and severe abdominal pain appears. In the best case, for a minimal recovery of the body, it will take 1-2 days after scraping.

During the rehabilitation period it will be impossible:

• take a hot bath, go to the bath, sauna;
• douche;
• use vaginal tampons;
• lift weights;
• to have sexual activity (in the next 1-2 months from the moment of the procedure).

It is possible that during intimacy there will be pain due to surgery. If they bother a woman for more than 2 months in a row, then you will need to see a doctor. The first menstruation will begin 30-45 days after the spontaneous abortion. It is possible that they will be more abundant than usual.

In order to recover faster after cleaning, a woman will need to undergo examinations, adhere to the treatment recommended by the doctor, lead a correct lifestyle and refrain from intimacy with a man. It will be important to enlist the support of loved ones, try to remain calm, be patient and tune in a positive way.

A miscarriage is a spontaneous interruption in the development of an embryo in the early stages of pregnancy. Interruption of gestation can occur in any trimester. In the early stages, the fetus dies, in the last weeks there is a chance to save the baby. If a girl has a miscarriage, then after it the body should be restored so that complications do not appear.

Possible complications after a miscarriage

Any type of abortion leads to serious consequences. Therefore, girls are not recommended to have abortions at an early age. During pregnancy, a woman's body changes. It undergoes physical changes and hormonal changes.

After the interruption of the development of the fetus, he has to change again and adapt to the normal regime. Hormonal disruptions worsen the functioning of all organs, because of this, serious pathologies can develop.

In addition, the following complications may occur due to a miscarriage:

• Isthmic - church insufficiency. Pathology appears due to severe damage to the cervix. Most often occurs during the first abortion during the bearing of the first child. Due to the fact that the cervix during the first pregnancy is not elastic enough. Therefore, during an abortion, when the channels expand, it is injured. The likelihood of a cyst increases.
• Low attachment of the egg. During an artificial abortion (surgical operation), the endometrium is damaged, on which the placenta is fixed. After scraping, the tissues become thinner and adhesions form on them. It takes a long time to restore the endometrium. Therefore, if the next pregnancy after a miscarriage occurs early, it is likely that the embryo will not be able to gain a foothold on the walls and the girl will be diagnosed with fetal diligence.
• Rhesus conflict. If an abortion occurs, then the risk of an Rhesus conflict increases, provided that the girl has a negative blood type. Due to scraping, the concentration of oxytocin in the female body increases, because of this, an acute form of Rh conflict occurs.
• Rupture of the uterus. If the walls of the uterus are weak and loose due to repeated miscarriages, then the vagina may not withstand such pressure. As a result, with a new pregnancy, uterine rupture occurs.

To avoid serious consequences, and save the body, immediately after the interruption, you need to take on health. The girl must take care of herself and take all possible measures so that the next pregnancy does not end the same way. The recovery period is quite long, but it is important to go through it fully.

How many days does bleeding after a spontaneous abortion

After a miscarriage, a woman begins to bleed (often dark red or brown). This is due to the fact that when the fetus is detached, the vessels of the uterus are damaged, which causes internal bleeding. During this period, the risk of infection of the genital and reproductive organs increases. Therefore, the girl must be very careful, using various methods of protection.

If after a miscarriage there is a delay in menstruation and the chest is very sore, then the reason for this is the remainder of the particles of the placenta in the womb. This can be observed in the 2nd trimester of pregnancy. In this situation, the test done will show a positive result, since the level of hCG does not decrease due to the presence of fetal residues inside. With such a complication, surgical cleaning will be required.

How much is the blood? It is impossible to give exact numbers for how long the bleeding will last, since the female body. Both recovery time and healing time are different for everyone. According to doctors' reviews, on average, blood discharge ends on the 7-10th day. If heavy menstruation, after 2 weeks, has not stopped, then you need to contact a gynecologist. The doctor will prescribe tests, you may need to undergo an ultrasound. During this period, hCG drops sharply, which can be dangerous to health.

Pathological bleeding is characterized by the following symptoms:

• weakness, fatigue;
• constant feeling of drowsiness even after waking up;
• toxicosis;
• migraine;
• dizziness and fainting;
• prostration.

All these signs with prolonged release of blood particles indicate that pathological processes have arisen in the body that require drug treatment.

Lifestyle after a miscarriage

During recovery after a miscarriage, it is important to lead a healthy lifestyle. During this period, hygiene, nutrition and sexual life play an important role. In addition, it is important that the girl can recover both mentally and physically.

Hygiene

After the interruption, it is important to adhere to the following rules related to the hygiene of a woman:

1. Water procedures are carried out at least 2 times a day. It is advisable to take a warm shower 2-3 times a day. Taking hot baths and steaming during this period is prohibited, as this can increase bleeding due to vasodilation. It is also not recommended to swim in open water, the sea and public showers.
2. In the first days of the hospital, only sanitary pads are allowed for a woman. Tampons can be used on day 4-5. It is necessary to change pads 5-6 times a day, regardless of contamination.
3. When washing the body and vagina, it is best to use sulfate-free natural detergents. It is advisable to use baby soap and shower gel. Deodorants, creams and body lotion / milk are not recommended, as they can cause irritation in the groin area.

Diet

Often girls complain that the lower abdomen hurts after an abortion. If the doctor did not reveal gynecological complications, then the problem is in digestion. Therefore, the girl is recommended to adjust her diet. It will help improve metabolism, start recovery processes in the body, and increase muscle tone.

The girl's menu should contain the following products:

• lean poultry meat;
• fish;
• fresh vegetables and fruits;
• greenery;
• tea, fruit drinks, juices, purified drinking water;
• cereals;
• hard pasta.

sex life

Since the uterus and vagina of a woman are injured after a premature pregnancy, the risk of infection increases. You can't have sex. If we talk about how long it takes to get intimate again, then the gynecologist should warn the spouses that sex is allowed only 1-2 months after the miscarriage. During the time - this time the walls of the uterus will recover, and it will be possible to gradually try to establish an intimate life. But not before the deadline.

Physical rehabilitation

After an abortion, the girl must lie in the hospital for 2-3 days under the supervision of doctors. Restorative procedures will help heal damaged areas and quickly return the ovaries to full-fledged work.

The doctor prescribes medication, which includes:

1. Prophylactic antibiotics (To reduce the risk of infectious complications).
2. Anti-inflammatory antibiotics (Relieve inflammation and acute pain).
3. Oral contraceptives (Regulon).

The patient is prescribed drugs to increase the level of progesterone (Duphaston) and immunoglobulin to quickly restore the body and minimize the risk of Rhesus conflict. To restore blood vessels, the drug Borovaya uterus is prescribed.

To eliminate the risk of complications, it is recommended:

1. Refuse to have sex for at least 1 month.
2. Do not visit places with high air temperature (bath, sauna).
3. Do not take hot baths (it is also forbidden to bathe and stay in warm water for a long time).
4. Eliminate alcohol and cigarettes from your life.
5. Follow all doctor's recommendations for taking medications and lifestyle.

How to restore mental health

Improving the psycho-emotional state of a woman after losing a child is much more difficult than resuming reproductive work. Possible depression, nervous breakdowns during the rehabilitation period. It is especially difficult to endure the loss of a child at 37 weeks of pregnancy, when cardinal changes have already taken place in the body.

To fully restore the psychological state of the girl, you will need:

• support of relatives;
• psychological assistance of a qualified psychologist;
• sedatives;
• time to pull myself together and come to terms with the loss.

Spontaneous miscarriage in any case will leave a wound in the soul. But a woman should be able to cope with this and tune in to re-fertilization and the birth of a baby.

How to prepare for a new pregnancy

After the body is fully rehabilitated, a woman can become pregnant again. It is important to understand that ovulation after such a stressful condition will occur much less frequently due to organ injury. Therefore, sometimes it is not possible to get pregnant for a long time.

1. Protect a woman from stress, tension, nerves and excitement.
2. Get rid of bad habits for both future parents.
3. How can you take different groups of medications.
4. Adjust your diet.
5. Visit a gynecologist and consult about taking vitamins.
6. Undergo a full medical examination and determine if there are any risks for the unborn baby.

If a woman becomes pregnant too quickly after a miscarriage, it is likely that it will be difficult to bear the child, since the body has not fully recovered.

Watch a video about how a girl coped with depression after a frozen pregnancy:

Conclusion

The loss of a child during the period of gestation is a serious trauma for a woman, which causes a lot of harm to the female body. After a spontaneous abortion, the expectant mother needs to properly recover and rehabilitate. It is important to correctly approach the methods of treatment and do not forget to contact the doctor. A woman should be prepared for the fact that the treatment will not be easy and rather long.