MISCARRIAGE - Signs, symptoms,
treatment and prevention
Miscarriage is the term used for a pregnancy that ends on its own within
the first 20 weeks of gestation. It is the most common type of pregnancy loss,
according to the American College of Obstetricians and Gynecologists (AOCG).
Studies reveal that anywhere from 10-25% of all clinically recognized pregnancy
will end in miscarriage. Chemical pregnancies may account for 50-70% of all
miscarriages. This occurs when the pregnancy is lost shortly after
implantation, resulting in bleeding that occurs around the time of expected
period. N.B; A woman may not realize that she conceive when she experience
chemical pregnancy. Most miscarriage occurs during the first 13 weeks of
pregnancy. There are different types of miscarriage, different treatment for
each, and different statistics for what your chance are of having one.
Why does Miscarriage Occur?
The
reason for miscarriage is varied, and most often the case cannot be identified.
During the first trimester; the most common cause of damaged egg or sperm cell,
are due to the problem at the time zygote went
into division process. Other causes of miscarriage include (but are not limited
to):
●
Hormonal problems, infections or maternal health problems
● Lifestyle (i.e. smoking, drug use, malnutrition, excessive caffeine
and exposure to
Radiation or toxic substances)
● Implantation of the egg into the uterine lining does not occur
properly
● Maternal age
● Maternal trauma
Factors that
are not proven to cause miscarriage are
SEX,
working outside the home (unless in a harmful environment) or moderate
exercise.
What are the chances of
having Miscarriage?
For women in their childbearing years, chances
ranges from 10-25% and in mostly healthy average woman are about a 15-20%
chance.
●An
increase in the maternal age affects the chances of Miscarriage
●Women under the age of 35 years old have about 15% chance of
Miscarriage
● Women who are 35-45 years old have a 20-35% chance of Miscarriage
● Women over the age of 45 can have up to a 50% chance of Miscarriage
WARNING SIGNS
N.B: If you experience any or all these symptoms,
it is important to contact your Health care provider or a Medical Facility to
evaluate if you could b having miscarriage.
● Mild
to severe back pain (often worse than Normal menstrual cramps)
● Weight loss
● White-pink mucus
●True contractions (very painful happening
every 5-20 minutes)
● Brown or bright red bleeding with or
without cramps
● Tissue with clot like material passing
from the Vagina
● Sudden decrease in signs of pregnancy
DIFFERENT TYPES OF
MISCARRIAGE
●
Threatened Miscarriage: Some degree of early pregnancy
uterine bleeding accompanied by cramping or lower backache. The cervix remains
closed. This bleeding is often the result of implantation.
● Inevitable or
Incomplete Miscarriage: Abdominal or back pain accompanied by bleeding with an
open cervix and/or there is rupture of the membranes. Bleeding and cramps may
persist if the Miscarriage is not complete
● Complete
Miscarriage: A complete miscarriage is when the embryo or products of
conception have emptied out of the uterus. Bleeding should subside quickly, as
should any pain or cramping. A completed miscarriage can be confirmed by an
Ultra-sound or by having a surgical Curettage (D&C) performed
● Missed
Miscarriage: Women can experience a Miscarriage without knowing it. A missed
occurred but there is not any expulsion of the embryo. It is not known why this
occurs. Signs of this would be loss of pregnancy symptoms and the absence of Fetal Heart Tones found on an ultra
sound.
● Recurrent
Miscarriage (RM): defined as 3 or more consecutive first trimester
miscarriages. This can affect 1% of the couples trying to conceive.
*Blighted Ovum:
Also called an embryonic pregnancy. A fertilized egg implants into the uterine
wall, but fetal development never begins. Often there is a gestational sac with
or without a yolk sac, but there is an absence of fetal growth.
*Ectopic Pregnancy:
A fertilized egg implants itself in places other than the uterus, most commonly
the fallopian tube. Treatment is needed immediately to stop the development of
the implanted egg. If not treated rapidly, this could end in serious maternal
complications.
*Molar Pregnancy:
Results of genetic error during fertilization process that leads to growth of
abnormal tissue within the uterus. Molar pregnancies rarely involve a
developing embryo, but often entail the most common symptoms of pregnancy including
a missed period, positive test and severe Nausea.
TREATMENT OF MISCARRIAGE
The main treatment during or after Miscarriage
is to prevent hemorrhage and/or infection the earlier you are in pregnancy, the
more likely that your body will expel all the fetal tissue by itself and will
not require further medical procedures. If the body doesn’t expel all the
tissue, the most common procedure performed to stop bleeding and prevent
infections is a Dilation and Curettage known as D&C. Drugs may be
prescribed to help control bleeding after D&C is performed. Bleeding should
be monitored closely once you are at home; if you notice an increase in
bleeding or the onset of chills or fever, it is best to call your physician
immediately.
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