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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

    Can Endometriosis Cause Infertility & Miscarriages?

    Dr. Seema Jain 90% (53 ratings)
    MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology), Royal College of Obstetricians and Gynaecologists (MRCOG)
    Gynaecologist, Pune
    Can Endometriosis Cause Infertility & Miscarriages?
    There can be a number of reasons that lead to infertility in women. Endometriosis is one of them. It is a benign condition where the endometrium, which includes the tissues that form the lining inside the uterus, grows outside the uterus. Apart from infertility, it may also cause pelvic pain in women. There are no such symptoms of endometriosis apart from pelvic pain and it cannot be detected without surgery. Thus, it is very difficult to diagnose this disease and state how common it is. However, research says that the prevalence of this disease in women in their reproductive age is between 3 to 10 per cent. It is found that endometriosis sometimes leads to infertility. Here is how: Abdominal Adhesions and Infertility Normally, the endometriosis implants develop in the abdomen. Then the body surrounds them with connective tissues. The reason for doing so is isolating the implants, so that they cannot harm your body. Now, sometimes these adhesions can create a blockage in the opening of the fallopian tube or may also pinch off the fallopian tube. This will result in obstruction in the fertilisation of egg and the sperm and thus fertilization will not take place; so there are no chances of conceiving. These obstructions when diagnosed can be treated with surgery. Secretions from implants Endometrium plays a vital role in conception where the tissues secrete a wide variety of hormones and nutrients. Now, the endometrial implant also functions in the same way and secretes those hormones. The difference is that it does not deposit them in the lumen of the womb, and it is released in the abdominal cavity. In these substances, there may be some hormones that are responsible for infertility. Prostaglandins Prostaglandins are other hormones that are secreted by the endometrium normally. It helps in a lot of body processes that include various stages of menstrual cycle and pregnancy. This hormone is required for a lot of functions such as ovulation, sperm mobility, and regression of corpus luteum, immune interaction, menstrual cramps and contraction of the uterus at birth. Just like the endometrium, the implants also secrete these hormones. And the problem that is caused by the implant secreted prostaglandin hormone is that they are released in the abdomen and not in the womb. Moreover, they are not secreted at the right time, thus sending a wrong message to the brain. A woman with a few days of pregnancy may face a miscarriage because the ovary will get a signal to start the menstrual cycle, and the womb lining where the egg is implanted will be expelled. If you too are fearing of getting this disease, it's better to visit your Gynecologist soon.

    5 Ways to Prevent Recurrent Miscarriages

    Dr. Madhumita Das Mazumdar 96% (74 ratings)
    MD - Obstetrtics & Gynaecology
    Gynaecologist, Guwahati
    5 Ways to Prevent Recurrent Miscarriages
    Natural therapies are a great option to support your body and prepare it for pregnancy. As with any approach trying to decrease the chance of miscarriage, these steps will help to nourish and support the body, inviting a healthy pregnancy to occur. Preparing ahead of time for your pregnancy is also important for decreasing the chance of a miscarriage, these steps must be practiced for at least 3 months before you become pregnant again. If you are currently experiencing a miscarriage contact your doctor or midwife right away. Prepare for conception: The first step is to prepare your body with fertility cleansing. Fertility cleansing helps you to support the liver in cleansing the body of old toxins and excess hormones while encouraging the uterus to cleanse itself of old contents, increasing uterine circulation and tone. Eat a nutrient dense fertility diet: The next step is to nourish and build up your body to be a healthy, baby friendly body. This can be done through eating a well balanced and nutritious diet. What you eat has a strong impact on: The health of your eggs Your hormonal balance Creating a healthy placenta Decreases chance of a miscarriage Building nutrient storage for baby Creating a healthy reproductive system Build a healthy foundation: One of the major foundational steps to increase your chance of having a healthy pregnancy is to take some basic vitamins, minerals, and EFA s. There are specific vitamins and minerals that are necessary for a healthy reproductive system, hormonal balance, and ovulation. Essential fatty acids are also extremely important for miscarriage prevention. Apply fertility or abdominal massage: Another important element of promoting a healthy conception is to increase circulation to the uterus. Through applying a simple massage method called self fertility massage you are able to increase the circulation to the uterus, clear adhesions and congestion.
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    4 Ways To Prevent Miscarriage!

    Dr. Ruchi Rai Ahuja 93% (261 ratings)
    MBBS, MD - Obstetrtics & Gynaecology, PhD(breast diseases)
    Gynaecologist, Chandigarh
    4 Ways To Prevent Miscarriage!
    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. Risk Factors 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. Report to Doctor (preferably Obstetrician) as soon as any symptom related to miscarriage appears.
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    Miscarriage - What Causes It?

    Dr. Sonal Kumar 91% (496 ratings)
    fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
    Gynaecologist, Hyderabad
    Miscarriage - What Causes 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 can 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. Also, both chronic and gestational diabetes can have an affect on the development of the baby and therefore can cause defects or miscarriage. Therefore, it is best to get your sugar in control before getting pregnant and maintain it throughout the pregnancy. 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. Defects in sperm: It is possible due to a number of reasons like exposure to radiation, chemotherapy, smoking, overexposure to heat etc. and it is not able to 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 always and 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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    Tips For Pregnancy

    Dr. Richa Sharma 92% (216 ratings)
    MD - Obstetrtics & Gynaecology, MBBS, FNB Reproductive Medicine, MRCOG
    Gynaecologist, Mumbai
    Tips For Pregnancy
    Taking prenatal multivitamins which are rich in folic acid supplements before the pregnancy starts and during the pregnancy prevents the child from certain birth defects and also reduces the risk of miscarriage. 500 mcg/day is the most likely recommendation in the initial stages.
    1 person found this helpful

    Popular Questions & Answers

    Hello everyone, This is regards of small clarification just need yours support and advice. I got married last year feb. My wife got conceived and miscarriage within 2 months, and after taken for D&C procedure. After the time duration of 6 or 7 months from D&C we planned for baby as advised. However it was not success thereof. We can face the same problem. Her cycle stopped and continue on the same month following after 7 days delay. Could you please advise us what is the exact problem. Is travel could affect baby growth or any other health issues Thanks,

    Dr. Richika Sahay Shukla 87% (262 ratings)
    DNB (Obstetrics and Gynecology), MBBS
    IVF Specialist, Delhi
    Hello Lybrate user you should try atleast for 6 month now. After D&C some patient conceive late sometime because of blood loss and thinning of endometrium. Try during ovulation period and advice your wife to eat healthy diet and do regular exercise. Avoid tension and any type of stress. If,further remain same then visit to Doctor personally for better management. All the best.

    I am 22 years old. I had a miscarriage when I was 20. And till date I am unable to get pregnant after that. I showed few doctors they have given some medicines but no positive results. I get my periods quite often. And I am bulky (more than avg weight but not completely heavy) so What to do To achieve positive results? Please let me know. Thank-you.

    Dr. Jatinder Kaur Dang 95% (437 ratings)
    Gynaecologist, Jalandhar
    Keep your weight under control, if your periods are irregular, get your hormones tested, your husband’s semen examination is also required because sometimes the sperm count is not very good, which delays pregnancy, observe fertile period of your cycle,

    I am 28 years old married lady. Last year I had 2 misscarages back to back one in March and another in August all tests were done but all were normal except thyroid which was 5.7 last time. Recently I did my tsh which is showing result as 27.35 is it possible what next I should do I was on 75 mg thyroid medicine kindly help.

    Dr. Vivek Kadambi 90% (305 ratings)
    Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
    Endocrinologist, Bangalore
    From the hormonal standpoint, multiple miscarriage can occur due to suboptimal thyroids, progesterone and metabolic disturbances. Considering your fluctuating TSH, I would like to rule out Autoimmune Thyroiditis, another possible cause of miscarriage. I would consider switching you from your present tbyroid meds to a combination of T3 and T4 and investigate for other hormone and metabolic deficiencies.

    I had a Hysteroscopy on 02/01/2018 for Removal of Endometrial Polyps/RPOC as I had a bleeding after miscarriage. However Biopsy report yet to come. Since 2 days I am having A Gray spotting with light Bleed. What it can be? Is this normal.

    Dr. Jayanthi. R. 92% (164 ratings)
    MBBS, Certified IVF Specialist, MS - Counselling and Psychotherapy
    IVF Specialist, Chennai
    Hi, Hope you were given proper antibiotic cover starting prior to procedure and continued for at least 5 days. Looks like you may have an infection. Please find out from your doctor. Best wishes.

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