Doctor in Surya Mother & Child Super Speciality Hospital
Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Treatment of Painful Sexual Intercourse
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Fertility
Treatment of Delayed Periods
Treatment of Vaginal Infection
Management of Fertile Period
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Miscarriage is the early loss of foetus within 20 weeks of pregnancy. It is also known as ‘spontaneous abortion’. According to research, about 8-20% of the pregnancies end in miscarriage. Out of the total number of miscarriages, 80% of them end within 12 weeks of pregnancy.
Types of Miscarriages and their Symptoms
- Threatened Miscarriage – As the term suggests, in this condition the process of miscarriage might have begun. This is the initial stage of the process. In threatened miscarriage, there is slight bleeding accompanied by cramps and pain in the lower back, which is usually mild. The cervix (the lower part of the uterus) remains closed.
- Inevitable and Incomplete Miscarriage – In these conditions, there is bleeding along with an open cervix. When there is dilatation and thinning of the cervix, miscarriage is inevitable. In incomplete miscarriage, part of the tissue comes out and a part remains inside the uterus. In inevitable and incomplete abortions, the bleeding and cramps are more severe.
- Complete Miscarriage – Complete miscarriage is when the embryo has completely emptied from the uterus. The pain and bleeding reduce once the foetus is expelled. This can be confirmed through ultrasound.
- Missed Miscarriage – In Missed miscarriage, there is no sign of the life of the embryo and there is no expulsion of the embryo. It can be detected from the absence of heartbeat of the embryo found on ultrasound.
- Recurrent Miscarriage – It happens when there are two or three miscarriages one after the other. It affects about 1% of the pregnancies.
- Increased maternal age i.e., women above 35 years.
- Excess or insufficient chromosome in embryo.
- Placenta is the organ which links mother and the baby for blood supply. Problem in the development of placenta can cause miscarriage.
- Excessive smoking and drinking during pregnancy.
- Obese women have higher risk of miscarriage.
- Long-term health conditions like high blood sugar, high blood pressure, liver disease etc.
- Infections like rubella, malaria etc.
- Weakened cervix, which is the result of previous injury or surgery, can also result in miscarriage.
What are the symptoms of a miscarriage?
- Bleeding or spotting can be one of the symptoms of miscarriage. It should be kept in mind that not all pregnant women who suffer from spotting or bleeding, end in miscarriage.
- Lower backache starts before or right after bleeding, which can be persistent or you could have cramps which may be mild or sharp and can feel like more of pelvic pressure.
- Missed miscarriages are detected through ultrasound when the doctor finds that there is no heartbeat of the embryo or when the uterus is not growing.
What are the treatment options in miscarriage?
- Medical – In most of the cases, there are no specific drugs to stop a miscarriage from occurring. In some cases, certain hormonal preparations help. There is no point in prescribing medicines for prevention of miscarriage if there is heavy bleeding.
- Surgery – Dilatation and evacuation (D&E) is a simple operation which is done under general/local anaesthesia. In this operation, the cervical canal is dilated and contents present in the uterus are evacuated. There is no cutting involved as it happens through the vagina. The process needs only five to ten minutes, but the patient has to stay in the hospital for about 3-4 hours.
This process is opted when:
- There is heavy bleeding.
- The patient suffers from missed miscarriage.
What can you do to prevent miscarriage?
Nothing much can be done to prevent miscarriage in most of the cases. However, following supportive measures may help:
- There should not be overexertion during pregnancy. Moderate amount of physical activity is permissible.
- One should have a well-balanced diet. Studies have shown that a diet loaded with fruits and veggies helps in overall well-being during pregnancy. One should limit the consumption of caffeine.
- Avoid smoking, alcohol and certain drugs to prevent miscarriage.
- Avoid stress and anxiety.
At times, being pregnant may make you feel as if it is a full-time job. This causes even more problems when you actually have a full-time job, especially jobs that require you to be seated at a desk or to be pleasant with your clients even when you don’t feel like. But thankfully, there are tips on how you can handle the major issues that you may face at your workplace during your pregnancy.
When to make the announcement?
Though it is quite natural to feel tempted to spill the good news right away, advises that it is good to keep the news to yourself until you have crossed the first trimester. This is because the chance of miscarriage drop dramatically and when you finally decide to announce the news, make sure that your boss gets to know it right from you rather than any of your colleagues.
How to manage the common symptoms while on the job?
Though pregnancy causes a variety of discomforts, it doesn’t give you a ticket for slacking off at work. There are various ways of dealing with the symptoms in order to prevent them from interfering with your work. If you suffer from morning sickness (85% of women suffer from nausea during pregnancy), you can get over it by eating your favourite food. You can take in small doses of healthy snacks for keeping your blood-sugar levels within the required limit and reduce the nausea. When your symptoms are severe, you will have to consult an expert about proper medications.
When to get ready for maternity leave?
Before you decide to bid a temporary farewell to your workplace, you will have to specify the details of your leave. You should let your boss know about an approximate date from when you will be taking leave and when you will be able to rejoin. By giving them a tentative date of your return, you are allowing them to see the light at the end of that tunnel. You can help by making a small list of tasks that you were responsible for and also offer suggestions on how they can be divided and handled by your coworkers.
Though most women are into professions which will not affect the delivery of the child, there are certain kinds of jobs that may put you as well as your baby’s health at risk.
In case you have a concern or query you can always consult an expert & get answers to your questions!