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Miscarriage - Symptom, Treatment And Causes

What happens in Miscarriage?

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

    Medical Or Surgical Abortion

    MD / MS - Obstetrtics & Gynaecology, MBBS
    IVF Specialist, Delhi
    Play video

    While its challenging to make a decision to have an abortion , its more confusing to choose which type of abortion procedure is best , looking at the circumstances. Its always best to talk to your doctor to get the correct guidance.

    Why Miscarriages Happen

    MBBS, MS - Obstetrics & Gynaecology
    Gynaecologist, Kolkata
    Why Miscarriages Happen

    Why do miscarriages occur?
    For a mother, a miscarriage is the last thing she would want to hear. It can pin her down psychologically, leading to trauma and stress in unfathomable measures. To understand miscarriage better: it is a condition wherein there is a loss of pregnancy within the first 22 weeks of getting pregnant. The primary symptom of a miscarriage is bleeding from the vagina. So if you experience vaginal bleeding during this phase, then consult a doctor for further guidance.

    Why do they occur?
    There are many reasons as to why a miscarriage may occur and no study has been able to put a finger on any one specific cause. Having said that, miscarriages are mainly caused due to the presence of unusual chromosomes in the baby. Chromosomes are genetic material that directs the growth and development of a baby. Chromosomes present in either excess numbers or less can hinder the development of the baby. If the miscarriage occurs during the second trimester (14th to 26th week), then it can be accrued to a health anomaly in the mother. A miscarriage may also occur because of a weak cervix as a weak cervix will not be able to hold a pregnancy. This condition is called cervical insufficiency and occurs when the woman is in her second trimester.

    Is it possible to prevent them?
    In most cases, miscarriages cannot be prevented. For women who have suffered multiple miscarriages, multiple medications might be required to help with their subsequent pregnancies. Following a healthy lifestyle is recommended as it can minimize the risk of a miscarriage. One must abstain from smoking and substance abuse and limit consumption of alcohol in order to keep the body in optimal condition. It is advised to maintain optimal weight levels and eat a well-balanced diet.

    Post miscarriage
    A miscarriage is a very traumatic experience for a mother to be; it can be emotionally debilitating. That is the reason counseling can help in times such as these. Start planning for a baby only once the symptoms have subsided and you have also had a period post the miscarriage. It is important to make sure that you are physically and emotionally ready to have a baby. Remember, a miscarriage doesn’t mean the end of the world. One can enjoy a fully healthy and a successful pregnancy even after a miscarriage.

    In case you have a concern or query you can always consult an expert & get answers to your questions!

    4128 people found this helpful

    Fertility And Ovulation After Miscarriage!

    MBBS, MD - Obstetrtics & Gynaecology, DNB, Fellowship in Infertility
    Gynaecologist, Mumbai
    Fertility And Ovulation After Miscarriage!

    Miscarriage is a spontaneous abortion that occurs around the first to second trimester of pregnancy; wherein the foetus is automatically expelled from the uterus due to its inability to survive because of environmental influences or chromosomal abnormalities.

    Unless the miscarriage occurs due to a severe health issue, the fertility of the woman may not necessarily be compromised. Studies show that one miscarriage doesn’t predict the possibility of a future one. Once the bleeding and pain subside, it is the emotional trauma that must be addressed to begin with which poses a greater threat than the physical one.

    The fertility of the woman remains unaltered and the body can be ready after the menstrual cycle returns to normal. However, it still requires some time for the woman to be physically and emotionally prepared to go through another pregnancy. The medical history and reasons behind miscarriage must be evaluated before the couple decides to try again.

    Complications after miscarriage only occur if the woman is above 35 years of age or has a rather unhealthy lifestyle. The concept of fertility varies from person to person and it isn’t possible to pass a common judgement about fertility in this scenario.

    The gynaecologist mostly suggests couple therapy after the trauma of the miscarriage. The psychological loss is given more importance before considering another attempt by most doctors. The fertility loss only occurs with age and unhealthy lifestyle and it is widely accepted and proven that a miscarriage has little or nothing to do with it.

    Ways to Increase Fertility

    If a couple is certain they are ready to conceive again, there are a few things a woman can do to help her chances of becoming pregnant-

    1. The first thing to do is to stop any unhealthy habits. These include smoking, drug use, or alcohol abuse. It’s reported that high consumption levels of caffeine are detrimental to conception so that should also be limited.
    2. Eliminating stress can also help. Eliminating stress is one of the most important factors in having a successful pregnancy. So, it makes sense that getting over-stressed can reduce fertility levels.
    3. Eat healthy. If depression was experienced due to the miscarriage, it’s possible that the woman’s diet has not been the healthiest. It’s common for women who have experienced a miscarriage to have a loss of appetite and not eat enough or to eat out of sorrow, eating too much. More attention should be paid to the diet and more healthy foods added to meals.

    Talk to a Doctor

    If a couple is having issues with fertility after early miscarriage, they should talk to a doctor. There are many options available. More than likely, the first thing the doctor will do is to test fertility levels of both the man and the woman. If you don't want to visit a doctor for this, there is a new at-home kit available called Fertell. This test, retailing for approximately $100, measures fertility levels for both a man and a woman.

    If it is found that there is a loss of fertility after early miscarriage, fertility drugs or therapies may be prescribed for a period of time.

    The doctor may report that there are no issues with fertility. At this point, it would be a good idea to use an ovulation predictor in order to time effective intercourse. This isn't the most romantic idea, but it may well be one of the most logical ways for a couple to conceive.

    Bottom Line

    Fertility is not normally decreased after miscarriage. A woman's fertility levels return to normal as soon as her menstrual cycle returns. Fertility may be decreased due to emotional issues as a result of the miscarriage. However, if a couple is ready, both physically and emotionally, there should be no physiological hindrances to conception.

    The decision to try again is not an easy one. However, fertility won't typically be an issue.

    In case you have a concern or query you can always consult an expert & get answers to your questions!

    4783 people found this helpful

    Miscarriage - 3 Ways It Can Be Prevented!

    MS, MBBS
    Gynaecologist, Delhi
    Miscarriage - 3 Ways It Can Be Prevented!

    The most devastating period for any pregnant women is a miscarriage. This normally happens because of genetic abnormality noticed in the fetus caused due to tripling of a chromosome. This is also called ‘spontaneous abortion’ because the body rejects the random genetic abnormality. Apart from this, there are many other reasons for miscarriage namely blood clotting, deshaped uterus, uterine fibroids, unhealthy cervix and so on. Now, this could lead you to the next question - What can we do to prevent miscarriage?

    Time to meet the gynaecologist:
    When there is tripling of chromosomes or genetic mismatch, the body actually rejects the fetus, thereby preventing birth of an unhealthy baby. But, if the miscarriage repeats several times, then you have to meet your gynaecologist for further tests and appropriate medical intervention.

    Symptoms of miscarriage:
    In the normal course, when miscarriage occurs, the women would experience back pain or vaginal bleeding or blood in the vaginal mucus or cramping or abdominal pain. Ironically, sometimes the miscarriage may happen without any of these symptoms. It would get noticed only during routine scanning. However, in the normal course, the chance of a miscarriage is highest before the 12th week. But if miscarriage happens after the 12th week and before the 24th week, then it is called spontaneous abortion. Thereafter, it is known as a ‘still born’ baby.

    However, there are some steps that can help women prevent a miscarriage. These steps are briefly explained here.

    • Nicotine retards growth of fetus and it is for this reason the couple should shun smoking, months before they plan pregnancy. This change in lifestyle has remarkable effects in preventing miscarriage. Similarly, caffeine can also be the cause of miscarriage. Therefore, women should regulate their intake of coffee as per the advice given by the gynaecologist.
    • Women suffering from chronic ailments like lupus, problems with thyroid, epilepsy and such other ailments are prone to a miscarriage. Similarly, it is also advisable that women should get tested for STD/HIV because these ailments can cause a miscarriage. Women suffering from such ailments should be under constant medical care.
    • In addition to these, the women should take food rich in vitamins, proteins, Omega-3 and fibres. Further, they should also do physical exercises as per the instructions given by the gynaecologist. One should drink enough water so as to keep oneself sufficiently hydrated. Women must practice meditation, which helps in reducing stress.

    The causes of a miscarriage are many; women should discuss about the issues relating to a miscarriage with their gynecologist. This helps them take appropriate preventive steps against this unwanted situation.

    In case you have a concern or query you can always consult an expert & get answers to your questions!

    4072 people found this helpful

    Is It A Miscarriage? Know The Symptoms!

    Gynaecologist, Navi Mumbai
    Is It A Miscarriage? Know The Symptoms!

    Miscarriage is a term which refers to spontaneous fetal loss before the fetus has acquired the capability to survive independently in outside environment. 

    Symptoms of Miscarriage 

    1. Vaginal bleeding 
    2. Lower abdominal pain 
    3. Disappearance of pregnancy symptoms if they had appeared earlier 

    Maternal Impact- 

    • Mother may feel physically weak as she might have suffered heavy bleeding.
    • Mentally there might be feeling of guilt and depression.

    Causes of Miscarriage 

    1. Fetal chromosomal abnormalities 
    2. Parental chromosomal abnormalities 
    3. Antiphospholipid antibody syndrome (auto immune pathology)
    4. Uterine structural abnormalities 
    5. Maternal infections 
    6. Maternal medical disorders 
    7. Extremes of nutrition- morbid obesity as well as extreme malnutrition 
    8. Social and behavioral factors- substance abuse, alcohol consumption, smoking 
    9. Occupational hazard 
    10. Environmental factors

    A case of miscarriage is a traumatic experience for the pregnant woman as well as her family. As soon as the pregnancy is confirmed, a consultation with Gynaecologist should be sought and antenatal care should be started for a healthy pregnancy and happy mother. In case you have a concern or query you can always consult an expert & get answers to your questions!

    3475 people found this helpful

    Popular Questions & Answers

    I have gone through a miscarriage. My USG report shows" Gravid uterus. Irregular marginated mild elongated intra-uterine gestational sac is seen, containing an embryo of approx. 6 weeks 6 days. No cardiac activity is seen. Cervix is normal. CRL-8.6 mm 6 weeks 6 days LMP date- 2.2.18 GA by LMP 12 weeks 0 days" I want to know about it. What is the explanation behind my miscarriage?

    MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
    Gynaecologist, Mumbai
    Those getting only one majority of the times it is nature who does not allow pregnancy of abnormal sperm or ovum to grow. Those who get 2 or more detailed reports are required to find cause.
    1 person found this helpful

    We lost our 8 day old son in February 2018. I want to keep her healthy and make sure she is ready to have another baby. She had c section. What things we should do or keep in mind?

    Ph.D(Clinical Nutrition), M.Sc(Foods&Nutrition
    Dietitian/Nutritionist, Delhi
    For stamina n energy, she should have a wholesome diet with enough proteins (eggs, fish, chicken, milk & its products, nuts -seeds etc) and good quality fats (rich in MUFA-PUFA) and moderate carbohydrate intake with focus on high fibre. She should hydrate herself properly and include enough fresh fruits and vegetables. Ask her not to have long gaps between meals and do not skip meals at all. Advise to have a good breakfast before she leaves for work with source of protein in it. Workout for 45 mins daily be it brisk walk, any sport, swimming,etc .Some exercise while sitting at the desk would be useful too. For antioxidants have variety of fresh fruits and vegetables and the right cooking oil, fish, nuts and oilseeds for omega 3 fatty acids. Both these (antioxdants and omega 3 fatty acids) will help control aging and take care of heart health and reproductive health. Contact us directly for a comprehensive and tailored diet plan to meet all your needs.

    Hi , we get married just 50 days ago, when we test with strip it shows positive but yesterday she miscarried basing on the scan report done by gyne. Can you tell me your advice on miscarriage. How it happened please.

    MBBS, DGO, MD - Obstetrics & Gynaecology
    Gynaecologist, Navi Mumbai
    Such early abortion can occur due to chromosomal abnormality in embryo. Generally such problem does not repeat.
    1 person found this helpful