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Miscarriage - Symptom, Treatment And Causes

A Miscarriage usually occurs when the fetus dies before the 20th week of pregnancy. In medical terminology, a Miscarriage is also called a spontaneous abortion. Miscarriages are very common, according to a study, approximately 50% pregnant women can experience a miscarriage. Signs of a Miscarriage include severe back pain, weakness, fever, abdominal pain, acute cramps and mild to heavy bleeding. It is important to consult your obstetrician if you experience such symptoms.

What causes miscarriages?

  • Dangerous genetic problems which the unborn baby can develop.
  • Infection
  • Medical conditions existing in the mother like thyroid diseases and diabetes.
  • Hormonal problems
  • A very weak immune system.
  • Physical problems experienced by the mother.
  • Abnormalities or problems in the uterus

Risk factors which can lead to a Miscarriage:

  • If a woman’s age is over 35.
  • If a woman has medical conditions such as thyroid problems or diabetes.
  • If she has had three or more Miscarriages in the past.
  • A woman can also experience a Miscarriage is she has a weak cervix. This is also known as incompetent cervix, in such cases the woman’s cervix cannot hold a pregnancy. A Miscarriage caused due to cervix insufficiency occurs during the second trimester.

    Symptoms of a Miscarriage caused by cervical insufficiency:

    • A sudden pressure in her uterus.
    • A woman’s “water” can break all of a sudden.
    • Tissue from the placenta and fetus gets expelled from the vagina without any pain.

    What happens after a Miscarriage?

    The health care provider or an obstetrician will perform some blood work, ultrasound test and a pelvic exam to confirm if there has been a Miscarriage. Sometimes, during a Miscarriage the uterus usually gets empty and no treatment is required. But in case the uterus isn’t empty a procedure called dilation and curettage (D & C) procedure is carried out. In this surgery the cervix is dilated at first and then the remaining placental or fetal tissue is removed from the uterus. Most of the times, certain medications are prescribed so that your body can expel the remaining tissues out of your uterus. This is an ideal option for some women who want to avoid a surgery and have a stable condition during the Miscarriage.

    Medications, genetic tests and blood tests are mandatory for women who have had more than three miscarriages in a row so that the doctor can diagnose the root of the problem and avoid further Miscarriages in future.

    Treatable by medical professional Require medical diagnosis Lab test always required Short-term: resolves within days to weeks
    Fluid, blood or tissue passing from the vagina Pain in the belly or lower back

    Popular Health Tips

    Bleeding In First Trimester - It Could Be A Sign Of Miscarriage!

    Dr. Nupur Gupta 91% (253 ratings)
    MICOG, MS - Obstetrics and Gynaecology, MBBS
    Gynaecologist, Gurgaon
    Bleeding In First Trimester - It Could Be A Sign Of Miscarriage!
    Miscarriage is termed as the loss of the fetus in or before 20th week of pregnancy. Medically, miscarriage is known as spontaneous abortion though the word spontaneous is more of a keyword as it is not an abortion. Symptoms of Miscarriage are weakness, back pain, fever, abdominal pain along with severe cramps and bleeding which starts from slow to heavy. Common cause of miscarriage is when the fetus is known to have fatal genetic problems and these are not related with the mother. The other causes are: Infection, medical problems like thyroid and diabetes, immune system rejection, hormonal imbalance, abnormalities of the uterus, and physical problems of the mother. If a woman is over 35 years of age, has thyroid and diabetes and has had an earlier miscarriage then that woman is at a high risk of getting a miscarriage. Sometimes a miscarriage might take place due to the cervical insufficiency. This is due to the weak cervix, also known as the incomponent cervix, which is unable to hold the pregnancy. A miscarriage in this condition usually occurs in the second trimester. Though there are a very few symptoms in this but there might be a feeling of sudden pressure that the water is going to break and tissues from the placenta and fetus are released without any pain. This can however be treated by a stitch in the cervix at 12 weeks. This stitch helps to hold the cervix until the full term is completed. If it is first pregnancy and cervical insufficiency is diagnosed then also a stitch can be applied thus resulting in full term and avoiding miscarriage. Diagnosis of Miscarriage: The doctor does a pelvic test, an ultrasound and blood tests to confirm a miscarriage. Blood tests are done to analyze the pregnancy hormone hCG. This is monitored regularly if miscarriage is suspected. Genetic tests, blood tests and medication are important in women who have a history of prior miscarriages. Pelvic ultrasound and hysterosalpingogram are tests which are done when there are repeated miscarriages. Test like hysteroscopy is also done. In this the doctor observes the inside of the uterus with a device which is thin and like a telescope. This is inserted in the vagina and cervix. If the cervix is dilated, then the woman might be diagnosed with an incompetent cervix and this can be corrected by cerclage - a procedure done to close the cervix. If the blood type of the pregnant woman is Rh negative, she is prescribed a blood product called Rh immune globulin (Rhogam). This prevents from forming antibodies which could turn to be harmful for the baby.
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    Miscarriage - Did You Know Diabetes Can Lead To It?

    Dr. Ashwini Talpe 95% (3252 ratings)
    MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
    Gynaecologist, Aurangabad
    Miscarriage - Did You Know Diabetes Can Lead To It?
    A miscarriage can have adverse effects on both physical and emotional health. The impact of one such event can last for a very long time and harm your social behavior and thus, relationships. It is important to understand that in most cases, it is no one's fault. A number of things can go wrong naturally during the development of the fetus and so, the feelings of guilt, shame and anger are best avoided. Here are the common causes responsible for miscarriages: Chromosomal defects: Chromosomal abnormalities are responsible for more than half of the miscarriages around the world. The development conditions like Turner syndrome, cystic fibrosis, Down syndrome etc. can be detected by the system and upon detection, the system often chooses to shut itself down leading to a miscarriage. If the cause of the miscarriage is identified as a chromosomal flaw, then a maternal and fetal specialist or a genetic counselor can help solve the problem. Diabetes: Pregnant women develop high levels of blood sugar even if they did not have diabetes mellitus in the past. This condition is known as Gestational diabetes mellitus. It occurs primarily due the changes in the regular hormonal cycles and secretion of pregnancy hormones and can result in a variety of complications, the most severe one being a miscarriage. A miscarriage may also be caused by a chronic diabetic condition. Thyroid conditions: Both hypothyroidism (low production of thyroid hormones) and hyperthyroidism (high production of thyroid hormones) can be responsible for miscarriages. In case of hypothyroidism, the body produces more of the other hormones in order to make up for the deficiency and this interferes with the reproductive cycle. In case of hypothyroidism, the functionality of the estrogen hormone is compromised due to the over production of other hormones. Separation of the sperm DNA: he sperm DNA is divided or separated due to a number of possible reasons like radiation therapy, chemotherapy, smoking, overexposure to heat etc. and it does not fertilize the egg properly i.e. the DNA is not delivered efficiently. The eggs can sometimes repair the damage in the DNA but this does not happen, a miscarriage is the likely outcome. The condition in males can be treated depending on the reason for the damage in the sperm.
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    Recurrent Pregnancy Loss - Things You Should Avoid!

    Dr. Richa Gupta 92% (25 ratings)
    MBBS, DNB(ob/gy)
    Gynaecologist, Delhi
    Recurrent Pregnancy Loss - Things You Should Avoid!
    Recurrent pregnancy loss is termed as the occurrence of three or more miscarriages. Recently, the American Society for Reproductive Medicine has altered the definition and limited the number of miscarriages to two. A pregnancy loss can only be termed so if the pregnancy is clinically recognized and is ends involuntarily before 20 weeks. The pregnancy loss must be identified by a registered doctor to term it as pregnancy loss. What are the major causes of Recurrent Pregnancy Loss? There could be a lot of reasons behind recurrent pregnancy loss. Most of the pregnancy failure happens from reasons such as abnormalities of the genes, chromosomes and other random events. It is estimated that close to 15 percent of the pregnancies end up in miscarriages. While 30-60 percent of the pregnancies expire within the first 12 weeks, fifty percent of the women are believed to be not aware of the pregnancy in the first place. The risk of miscarriage, however, is less than 50 percent. An advanced maternity age is another crucial factor towards recurrent 2pregnancy loss. The risk of miscarriage dramatically increases among these women owing to their poor quality of egg, abnormalities in the chromosome etc. At a time, it has been observed that either the father or the mother might have irregularities in the gene leading to early miscarriage. An abnormality in the uterus might also be a reason for a miscarriage. Poor blood supply and inflammation of the uterus are two of the topmost reason for miscarriages among many women. While some women born with a defective uterus, some develop uterus anomalies due to lifestyle and unhealthy life practices. Last but not the least, a woman s immune system might also play a pivotal role towards a miscarriage. Certain hormonal irregularities, diabetes and thyroid diseases might lead to a miscarriage. Then there are the environmental factors such as stress, occupational factors, lifestyle practices etc that contributes towards a miscarriage. What are the tests conducted? To evaluate the exact reason for repeated miscarriages, a doctor performs a detailed physical and surgical examination. Some other areas where a doctor sneaks into include family history, genetic history etc. A karyotype test might also be prescribed in case a doctor feels the need of doing so. The uterus cavity and the uterus are closely monitored to understand any potential lack in the anatomy. This is followed by a list of imaging tests that a doctor might prescribe. These include MRI, X-ray, hysteroscopy etc. What are the treatment options? The treatment options are decided based on the finding of the tests. Sometimes plain medicines along with antibiotics can cure the condition, while sometimes surgery might be required to fix any potential threat within the uterus. In any case, the probability of future pregnancy after treatment goes as high as 77 percent.
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    7 Most Common Causes Of Miscarriage

    Urologist, Gurgaon
    7 Most Common Causes Of Miscarriage
    What is Miscarriage? Miscarriage is defined as the spontaneous loss of the foetus before it is able to survive on its own outside the womb. Miscarriage usually occurs within the first trimester of the pregnancy. It is a very common complication in early pregnancies. Miscarriage can be a common complication, but it can have devastating effects on the minds of the parents. Signs and Symptoms of Miscarriage: The most common visible signs are slight to heavy bleeding from the vagina. But the other common symptoms are: Dizziness, light-headedness Discharge from the vagina Tissue discharge from the vagina Cramping and pain in the abdomen It is advised to go visit your doctor if you experience any of the above signs and symptoms. What causes a miscarriage? Chromosomal Abnormalities: A lot of miscarriages are caused due to mismatched chromosomes. Some women who have experienced miscarriage over two times may learn through tests that there are chromosomal abnormalities that may not affect them but prevent them from getting pregnant. Abnormalities in the Uterus: Sometimes, the uterus may be too hostile to house a foetus. It can be a genetic disorder or a non-genetic disorder like fibroids or cysts that can lead to a spontaneous abortion. Hormones: Low levels of progesterone in the body can lead to problems with implantation of the foetus. Obesity: Studies have shown that every 1 in 4 women who are obese before the conception lose the foetus to spontaneous abortion. Drugs and Toxins: Consuming alcohol or smoking during the pregnancy is seen to increase the risk of miscarriages manifold. Also, women who are exposed to toxins present in plastic such as Bisphenol A are seen to undergo miscarriage more often than women who are not exposed to such toxic substances. Coffee can be consumed in moderate levels during pregnancy. Infections: Infections including Mycoplasma can infect the uterine lining and unknowingly cause complications such as miscarriage. Women who have undergone multiple gynaecologic procedures are seen to be at increased risks. Diabetes: When the diabetes becomes uncontrolled, it can increase the risks of miscarriage.
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    Recurrent Miscarriage - How You Can Deal With It?

    Dr. Nalini Gupta 89% (215 ratings)
    M.Sc, MD, MBBS
    IVF Specialist, Delhi
    Recurrent Miscarriage - How You Can Deal With It?
    It is no hidden fact that miscarriages hurt you deeply. The trauma that comes with it is unbearable, but you will have to get through it. Don t blame yourself for the situation, you may not know it but miscarriages are quite common. Doctors have said that one out of four pregnancies ends up in a miscarriage. If you have experienced more than two consecutive miscarriages then you are suffering from a recurrent miscarriage. If you are going through recurrent miscarriages then there are some medical conditions to blame. Is miscarriage the end? A recurrent miscarriage may sometimes complicate things a little, but don t think that it is the end. As the medical research has progressed, there are several ways for you to get pregnant or have a child. There is in vitro fertilization or IVF which is one of the best ways to cope with a miscarriage. Even if you are having some problem with your fallopian tube IVF can solve your problems and fertilization will be done in the lab and the embryo will be implanted. How to cope with the emotional stress? Miscarriages are hard in itself, and you need to deal with the post-miscarriage situation with the utmost maturity to keep your psychological and physical state under complete care. Emotionally good health will go a long way and let you think clearly about your options. If the stress and sadness of the miscarriage have brought you down, then seek the counseling of psychiatrist. Don t feel ashamed to share your feeling and never suppress them. Talk about them and if needed join a support group that will help you to get through the tough situation. Remember one thing that if you are emotionally aggrieved and suppress your feelings then that will take a toll on your relationship with your partner. With IVF becoming so developed, there is no need to lament about miscarriage. How can I improve my fertility? You may be suffering from recurrent miscarriages, but you should not lose your hope. Keep on trying and you may succeed. You never know. Visit the specialists and let them know your medical history. With special care, IVF can solve all your problems. But only IVF would never work. Opt for a healthy lifestyle by doing exercises, eating healthy foods, quit smoking, and reduce your alcohol and caffeine intake. You should take a multivitamin rich in folic acid every day. You should also restrict your exposure to environmental chemicals and toxins. It is advisable that you leave behind any kind of heavy lifting, strenuous physical exercises, and any dangerous contact sports. Try not to take stress by taking up yoga or tai chi. And most importantly, try to maintain a healthy sexual relationship with your partner and contact your doctor to know when can you get pregnant again.
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    Popular Questions & Answers

    I am 27 years old had 2 miscarriage already. Now I am 7 weeks pregnant. My doctor had done sonography at 6 weeks 2 days that time there was irregular sac without yolk sac & fetal node then doctor suggest me beta hcg test to next day ,in that test there was 37015 miu/ml and then doctor give me hucog 5000 injection and said will come after 15 days for again sonography to detect heart beat and 2 more hucog 5000 injections, once per week and susten 200 injection per week. Now vomiting are coming regularly on day time and vertigo on day/night time. Please you suggest me is there is any chances to come heart beat of my baby.

    Dr. Neelam Nath 92% (7019 ratings)
    Diploma in Obstetrics & Gynaecology, MBBS
    General Physician, Delhi
    Sometimes heart beat is visible around 8 weeks beta hcg hormone test is in favor of pregnancy being positive yolk sac in uterus shows that it's not a tubal pregnancy nausea and vomiting is due to pregnancy and heavy doses of hormones like beta hcg and tablet susten which is progesterone hormone take a safer medicines for nausea and vomiting. Pregnidoxin on empty stomach twice a day follow up with your doctor.

    I want to conceive. Suffered one missed miscarriage in February. I have pcod and high BP. Doctor has not yet given me any reason for this miscarriage stating it to be a normal. But I want to know the actual reason also want to conceive as soon as possible. My age is 34+.

    Dr. Nutan Hegde 90% (133 ratings)
    Gynaecologist, Mumbai
    Many times there is no reason why a miscarriage happens. You need to control your blood pressure and start planning for the best pregnancy.
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    My USG report says irregular gestational sac of 6 wks 3 days with no yolk sac. Also small subchronionic collection has been noted. Does it mean an impending miscarriage?

    Dr. Gitanjali 96% (811 ratings)
    MBBS, MS - Obstetrics and Gynaecology
    Gynaecologist, Delhi
    Your usg findings indicate an impending miscarriage. You can repeat usg after 7 days ,if findings same then go for abortion.
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