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Incomplete miscarriage. How to speed up your body's recovery after a miscarriage

If a woman has a miscarriage, it is important to take competent measures to restore her health. This will help cope with the pathology morally and prepare the way for a new pregnancy. Medical statistics claim that 15-20% of pregnancies end in spontaneous abortion for various reasons. Symptoms of what happened rarely go unnoticed.

This allows a woman to diagnose what happened in a timely manner, contact a gynecologist, undergo adequate treatment and plan the birth of a child in the future. Experts classify spontaneous abortion into three categories:

Termination of biochemical pregnancy– the embryo leaves the uterine cavity in the first to third week after conception. During this period, a woman most often does not suspect that she is carrying a child. Pregnancy becomes known only through testing for hCG levels in the urine and blood, which is why it is called “biochemical”. The failed mother perceives the blood leaving the body as menstruation, which for unknown reasons began outside the planned period. Few people consult a doctor if they carefully monitor their own health.
Spontaneous abortion or miscarriage in early pregnancy - up to 22 weeks, when the weight of the embryo does not reach 0.4 kg.
Premature birth when the pregnancy is completed at 22-37 weeks. If medical assistance is provided in a timely manner and efforts are made to ensure the child’s life, the baby can be saved in most cases. In medicine, a person born early is called premature.

After birth, the child is connected to life-supporting equipment, which helps him adapt to new conditions.

What is a miscarriage like - an overview of options

The miscarriage that occurs is complete when all parts of the embryo leave the uterine cavity along with the membranes and amniotic fluid. If parts of the fetus remain in the uterus, they speak of an incomplete miscarriage, which occurs more often in the early stages of pregnancy. To neutralize the negative consequences and prevent the development of an infectious process in tissues, the product of conception is evacuated from the uterine cavity using medical interruption, gynecological curettage, and vacuum aspiration. Therapy may include the use of medications aimed at contracting the uterus and pushing the contents out. Ultrasound examination is considered the control diagnostic method. Miscarriage during the first pregnancy has negative consequences. After this happens, conception is possible after a thorough examination and treatment.

The first month of pregnancy is considered the most dangerous for spontaneous miscarriage. Doctors identify so-called critical periods of development, during which the embryo (fetus) is especially susceptible to harmful factors:

2-3 weeks from conception;
8-12 weeks;
18-22 weeks;
28-32 weeks.

During this period, most accidents involving the loss of a child occur. Therefore, the expectant mother should exercise increased caution.

Why does the body reject the embryo?

When a new life is born in a woman’s body, the causes of miscarriage often lie in the presence of chromosomal abnormalities in the fetus. Therefore, it is extremely undesirable to correct the pathological condition before 12 weeks. Factors that provoke embryo rejection include:

Hereditary factor and a genetic failure at the stage of fertilization of an egg by a sperm. A non-viable fetus appears as a result of various risk factors - environmental conditions, occupational hazards, viral disease of the parents. It is impossible to neutralize these factors. The only way out of the situation is to reduce the likelihood of their occurrence by protecting the mother from dangers during pregnancy. If a defect incompatible with life develops in the child’s body, the embryo does not undergo natural selection. The body commits a spontaneous abortion, getting rid of a non-viable fetus;
Hormonal imbalance caused by disruption of the endocrine system. The situation may be affected by an insufficient amount of progesterone in the mother’s body or an excess of testosterone. If a malfunction of the hormonal system is detected early, the woman undergoes specially organized therapy before pregnancy, which eliminates the possibility of miscarriage;
Presence of tumors, neoplasms in the pelvic organs;
Isthmic-cervical insufficiency(ICN), when the isthmus and cervix open prematurely, unable to cope with the increasing pressure caused by the fetus growing in the body;
There is a risk of miscarriage in the presence of anomalies in the functioning of the cardiovascular and renal systems;
Drug addiction, alcohol addiction, maternal and paternal substance abuse;
Depressive states, stress, nervous stress of a pregnant woman;
Mechanical loads, shocks, bruises, backbreaking physical labor of the expectant mother;
X-ray examination– Radiation can cause miscarriage.
Use of drugs. In the first trimester, the use of potent medicinal formulas is prohibited. The drugs can cause the development of defects in the embryo. Some herbal decoctions are also contraindicated. These are parsley, tansy, cornflower, nettle, St. John's wort. Self-medication is prohibited. Each drug is agreed upon with the attending physician.
Infectious and viral process in the body of a pregnant woman. Any sexually transmitted infection can provoke a miscarriage, which must be treated before pregnancy, otherwise there is a high risk of infection of the fetus in the womb. There is a high risk of miscarriage in the early stages due to viral infections and inflammation of internal organs. A dangerous symptom is high maternal temperature, accompanied by intoxication of the body. At the stage of pregnancy planning, it is important to stop chronic diseases and get vaccinated against dangerous infections.
History of abortion, unsuccessfully performed surgical intervention, lack of professionalism of the doctor and unfortunate circumstances can lead to the loss of the fetus.
Immunological factors.

The list of causes of miscarriage in the early stages of pregnancy and in a later period can be more extensive; in each specific case, doctors identify the pathology individually. The expectant mother is not able to prevent the impact of all harmful factors, however, much is within her power.

A little about frozen pregnancy

Having studied the symptoms of a miscarriage, recovery time and treatment methods, one cannot ignore the issue of a frozen pregnancy. The condition is characterized by the death of the embryo in the womb, often occurring in the first trimester of pregnancy. Among the reasons, similar factors are noted - maternal infections, genetic failure, hormonal imbalance, bad habits, potent medications, stress.

If during a spontaneous miscarriage the clinic is expressed by severe pain and blood loss, then a frozen pregnancy is often asymptomatic. There are no pulling and pulsating sensations of pain, no urges reminiscent of contractions, no blood is released from the vagina. The uterus may not reject the dead embryo, leaving it inside itself. At the initial stage of pregnancy, the condition is difficult to detect; in the second and third trimester, the mother is alarmed by the prolonged absence of movements in the abdomen. The next visit to the doctor reveals a discrepancy between the timing and the size of the uterus, the absence of a heartbeat in the mother’s womb. Ultrasound makes an accurate diagnosis.

If the fetus is dead and tissue rejection does not occur, curettage or vacuum extraction of the dead embryo is prescribed. If this is not done, there is a high probability of poisoning by toxic decay products that enter the bloodstream from the uterus. A thorough examination will help to establish the causes of the anomaly and prescribe effective therapy.

Both spouses should be tested. Based on the removed material, histology of the embryo tissue is carried out. Diseases are diagnosed and adequate treatment is prescribed for the underlying causes of fetal loss. Comprehensive diagnostics includes microbiological, ultrasound, hormonal, and immunological examinations.

The existing threat of miscarriage during pregnancy is a reason to carry out therapy in a specialized medical institution if it is determined that the pregnancy is progressing. The hospital will provide a calm regime and timely administration of medications. Hospitalization of a woman with recurrent miscarriage is an adequate response to the risk of fetal loss.

Isthmic-cervical insufficiency (ICI)

One of the most common causes of spontaneous miscarriage during pregnancy is ICI - dilation of the cervix and isthmus of the uterus in response to increasing pressure from the growing fetus. Pre-pregnancy manipulations of the uterus (cervical dilatation due to abortion, childbirth or curettage) affect the condition of the muscle ring. Damaged areas are covered with scar tissue that does not have elasticity and cannot be stretched or contracted. ICI also has a functional nature, when there is a hormonal imbalance - the level of testosterone in the blood rises, and there is a lack of progesterone.

ICI occurs in the period from 11 to 27 weeks after conception, when the embryo begins to produce androgens into the mother’s body, triggering the functioning of the adrenal glands. Taking into account the mother’s hormones, their indicator may be exceeded - this softens the cervix, opens it, and shortens it. Harmful bacteria and microorganisms penetrate into the formed canal, infecting the fertilized egg. The initial stages of ICI do not have obvious symptoms, since they do not entail the tone of the uterine muscles. When the membranes lose their strength, amniotic fluid flows out. There is no pain during a miscarriage.

If a woman has experienced a spontaneous termination of pregnancy, which began with the rupture of amniotic fluid, when monitoring a subsequent pregnancy, she should indicate this fact to the doctor.

Treatment of isthmic-cervical insufficiency

Endocrine disorders that lead to an increase in testosterone are corrected by prescribing hormonal drugs. An assessment of the condition of the uterus is done by a doctor a couple of weeks after starting medication. Positive dynamics are spoken of when the opening is suspended and further expansion of the cervix is not observed. If therapy does not produce the intended effect, surgery is prescribed. Similar measures are used for the traumatic nature of cervical deformation. There is no need to be afraid of the operation; the doctor acts delicately, without causing additional injuries to the patient, without causing discomfort to the expectant mother and the baby growing in the womb. The procedure is more effective in the early stages. Suturing can significantly reduce the risk of infection of the embryo through the lower edge of the cavity.

Surgery is performed in an inpatient setting. Before the operation, the pregnant woman undergoes an examination. After the procedure, the vagina is sanitized, for which the suture area is treated with antiseptics for 3 days. For this purpose, chlorhexidine and furacillin are used. Then, every week, the patient needs to undergo a follow-up examination with the attending physician, where he assesses the situation, making adjustments to the therapeutic protocol if necessary. Sutures are removed at 38 weeks of pregnancy. During this time, the cervix ripens, preparing the birth canal for the passage of the fetus. Many women in labor worry that stitches will require a caesarean section. This is not true. In most cases, women give birth on their own.

Emergency measures are recommended if, from 16 to 24 weeks, the amniotic sac prolapses into the cervix. The operation of suturing the cervix obliges the woman to remain in bed, strictly follow the daily routine, avoid physical activity, and do not skip taking medications. In rare cases, complications occur after suturing. These include cutting sutures through tissue, provoked by frequent tension in the muscles of the uterus. To prevent tone, tocolytics are prescribed. The expectant mother should be prepared to undergo intensive examinations and undergo smears to check the vagina. This is caused by the likelihood of accumulation of pathological microflora on the suture threads.

It is important to conduct psychological therapy, where a woman is taught techniques of self-soothing and relaxation. Maternal behavior is a decisive factor in the successful pregnancy of a fetus in the event of complications. Panic and fuss create an unfavorable prognosis for stabilizing the situation. Careful health monitoring is carried out in a newborn baby to eliminate the risk of infection in the womb. If a spontaneous abortion occurs due to ICI, when can you get pregnant after a miscarriage, the doctor will tell you. Ideally, the period should be at least two years. The doctor must take measures to prevent a repeat situation of losing the child.

Nowadays, in addition to the suture, ICI correction is also carried out using an obstetric pessary. An alternative method involves placing a special ring made of hypoallergenic materials on the cervix. The most commonly used is silicone. The ring creates additional support, preventing the neck from opening.

Uterine hypertonicity – risk prevention

Contractions of the uterus before natural birth are called hypertonicity of the organ. The condition is not an independent disease; it signals problems in the body of the expectant mother, and often manifests itself in the early stages of pregnancy. The causes of the pathological phenomenon are considered:

Hormonal imbalances, caused by insufficient function of the placenta, ovaries, disruption of the adrenal glands, causing an imbalance.
Genital infantilism, organ defects;
Neoplasms, tumors in the uterus, not necessarily malignant (fibroids);
Transferred during pregnancy infectious processes, viral diseases;
ICN - cervical dilatation under increasing pressure created by the growing embryo;
Immunological dysfunction;
Chronic diseases of the body(cardiovascular disorders, renal failure);
Previous spontaneous miscarriages in the early stages, the symptoms of which may recur, artificially induced abortions.

In addition to physiological reasons, psychological factors are also important. A depressed woman can provoke uterine hypertonicity.

A woman can feel the tension of the muscles of the uterus herself, without the help of a specialist. This is evidenced by the heaviness that appears in the lower abdomen and nagging pain in the lumbar region. The symptoms are similar to painful menstruation. Occurring in the first trimester, the condition provokes spontaneous abortion, frozen pregnancy, and death of the fertilized egg. In the subsequent period, premature birth is likely due to uterine hypertonicity.

Why does tension in the walls of the uterus cause dire consequences? The problem lies in the impaired blood supply to the placental tissues, the occurrence of hypoxia of the embryo, and the slowdown in the development of the developing child. Following the contraction of the uterine muscles, the placenta does not contract. This causes its detachment, provoking the release of the amniotic sac.

Uterine hypertonicity is detected during a routine visit to a specialist. Stabilization of the situation requires the prescription of sedatives and antispasmodics. Therapy with the inclusion of vitamin B6 and magnesium has a strengthening effect. In most cases, the measures taken are sufficient to neutralize the risks. Self-medication is strictly prohibited. This may cause irreversible consequences. With hypertonicity, the main rule for a pregnant woman is calmness and lack of physical activity. Some mothers who have successfully given birth say that they “didn’t get up” throughout their pregnancy. This is true, but the result is worth the sacrifices spent on it. With hypertonicity, sexual intercourse and sexual life are excluded.

If the threat cannot be neutralized, hospitalization of the pregnant woman in a hospital setting is recommended. It is especially dangerous when severe cramping pain is accompanied by bloody discharge. Going to bed is an adequate measure in the fight for the birth of a healthy and strong baby. In the hospital, a pregnant woman is prescribed a vaginal examination and ultrasound. On a computer monitor, when scanning the fetal bladder and uterus, the doctor determines their condition with a high degree of accuracy. If necessary, the expectant mother is sent to assess hormone levels, undergo urine and blood tests, and be examined for the presence of STIs.

When labor begins before 34 weeks, they try to stabilize the condition with tocolytics. The most dangerous period is from 25 to 28 weeks; the woman is recommended to have the maximum possible bed rest. After this, the fetus has every chance of survival. In order to quickly form the pulmonary system of the embryo, allowing it to survive early birth, hormones are prescribed. Having an unfavorable prognosis for miscarriage and the threat of miscarriage, it is necessary to prevent this situation at the stage of planning conception.

Stages of spontaneous abortion

There are certain signs of a miscarriage that attract attention and divide the course of a miscarriage into specific stages:

Threat - having noticed factors threatening pregnancy, you can take measures to restore the situation and normalize the mother’s well-being.
Starting an abortion - adequate therapy can work wonders. At this stage, the doctor can apply life-saving manipulations and give recommendations to a pregnant woman who plans to become a mother.
A miscarriage is in progress - the condition is irreversible, it is impossible to stop the pathology. The death of the fertilized egg begins, leaving the uterine cavity.
Completed abortion– the uterus gets rid of residual embryo tissue, cleanses itself, and restores its original parameters. It is important to prevent the remains of foreign fibers inside, otherwise the organ becomes infected with decaying debris, and toxins go into the bloodstream.

An effective diagnostic method is ultrasound examination of the uterus and pelvic organs.

Symptoms of miscarriage - how not to miss the threat

If there is a threat of miscarriage in the early stages, the following symptoms may occur:

Pulls appear, incessant pain in the lower abdomen. The pain can be monotonous or come in waves.
Slow bleeding begins, the symptoms of which are limited to brownish spotting. Bright scarlet blood may be released and is often confused with menstruation.
Uterine tone.

A woman who does not know how a miscarriage occurs in the early stages should listen to her inner state. You should be wary:

spasmodic pain impulses;
nagging pain in the lumbar region.

In the later stages, the following symptoms are added to the above symptoms:

liquid vaginal discharge, which may indicate damage to the amniotic sac;
pain when urinating;
internal bleeding, which is indicated by deterioration of general condition, fainting, dizziness, pale skin
These conditions are indications for emergency hospitalization of a pregnant woman.

The stage of the onset of abortion is characterized by more vivid symptoms of miscarriage - pain similar to contractions, severe dizziness, loss of strength. Instead of spotting, clot-like discharge appears, which appears abundantly when moving. At this point, in some cases, it is still possible to save the pregnancy, if the area of detachment of the ovum is small, the pregnancy is progressing, and the fetal heartbeat is detected.

The third stage is useless for saving the fetus. There is a girdling pain in the lower back and abdomen. Along with heavy blood loss, the fertilized egg comes out of the uterus. An incomplete miscarriage requires curettage of the uterine cavity if parts of the embryo or membranes of the fertilized egg remain in the cavity, otherwise there is a high risk of developing complications that will threaten the life of the mother.

An early miscarriage has symptoms similar in many ways to a late abortion - pain and bleeding. The intensity and duration of symptoms may vary. The fertilized egg passing through the birth canal damages the small vascular network, injuring the tissue. This causes bleeding. Normally, blood will stop coming out after a spontaneous miscarriage after a few days. A period exceeding these indicators confirms infection of the uterus and the preservation of embryonic remains in the cavity. Therapy is based on drug treatment and surgical intervention.

After a spontaneous miscarriage, complications and serious health consequences are likely. These are rare cases; in most situations, the body independently copes with what happened, expels the parts remaining in the uterine cavity by natural muscle contraction. An early spontaneous miscarriage does not always occur; a dangerous condition can await in the later stages. Some women try to provoke the birth of the fetus with herbal decoctions and medications. This is fraught with complications, including sepsis, dysfunction of the reproductive organs, after which pregnancy in the subsequent period becomes impossible.

Diagnostic methods

If there is a threat of early miscarriage, a doctor will help determine the symptoms when visiting an antenatal clinic. The specialist will check the size of the uterus, determine the tone of its muscles, the condition of the cervix, and examine discharge from the genitals. A reliable method to identify the existing threat is transvaginal ultrasound diagnostics. The doctor pays attention to segmental muscle contractions of the uterus and detachment of the fertilized egg. Genetic testing will help analyze the probable causes of miscarriage. The patient's medical history is carefully collected, and clinical signs of spontaneous abortion are noted.

Drug therapy

In order to maintain pregnancy, any method is good. A qualified doctor develops an individual treatment protocol based on available diagnostic data. Among the drugs used:

sedatives;
restorative therapy;
medications that stabilize hormonal levels;
antispasmodics that reduce uterine tone;
vitamin and mineral supplements.

The specialist eliminates the threat of miscarriage in the early stages and tells how to prevent a relapse for a woman who has lost a child. In later stages, the cervix is fixed with special sutures (usually at 16-25 weeks, if there is ICI).

If an attempt to stop a spontaneous abortion fails, the following treatment tactics are used:

Expectation – the organism freed from the embryo on its own does not require specialized treatment.
Drug therapy– the patient is prescribed medications that complete the removal of foreign tissue from the body. By causing severe spasms in the muscular walls of the uterus, the tablets provoke the expulsion of residues from the cavity.
Surgery – used for complications or when the uterus is inconvenient for spontaneous exit of the fetus.

The control conclusion is made by the doctor after the ultrasound.

Surgery (curettage)

Having diagnosed the symptoms of miscarriage in the early stages of pregnancy, and faced with the need for curettage, the woman worries about the state of the reproductive system. This should not be done; the operation is carried out in a gentle manner, with maximum delicacy in relation to the patient’s fertility. Curettage is carried out when there is a risk of incomplete exit of the embryo from the uterine cavity and the development of infection in the pelvic organs due to elements remaining in it. Ignoring the procedure can lead to blood poisoning and the formation of pathology that prevents re-conception.

The specialist conducts an examination, fills out the patient’s health card, and sends the woman for an enema. Before the operation, hair removal from the pubic surface must be performed. Taking into account the individual characteristics of the patient, the anesthesiologist selects a drug for pain relief. The doctor dilates the cervix and uses a curette to clean out the internal cavity, freeing it from the remnants of the fertilized egg. The uterus is scraped out from the inside, which prevents the development of infection. However, vacuum aspiration is more often performed, as it is a more gentle method of removing debris from the uterus.

After a miscarriage, the materials obtained from curettage are sent for histological analysis. The rules recommended by the doctor should be strictly followed. A woman will be able to resume sexual activity no earlier than 1.5-2 months after the procedure. During this period, damaged tissues will be restored. By this time, menstruation will resume, and it will be possible to use the usual methods of contraception.

Scraping - what and why

Cleaning is carried out after an early miscarriage in most cases to prevent the development of infection in the uterine cavity from the remaining tissues of the dead fetus. There is no point in being afraid of the negative consequences of cleaning. Gynecological curettage is a procedure for removing the upper layer of the inner cavity of the uterus. Once the excess is removed, the endometrium begins to recover naturally, returning its ability to function normally. To facilitate access to the cavity, the neck is expanded after local anesthesia. Special medicinal formulas or medical instruments contribute to this. Gynecological cleansing is performed for diagnostic and therapeutic purposes for various indications:

after childbirth;
with frozen pregnancy, miscarriages;
in case of irregularities in the menstrual cycle;
to make an accurate diagnosis of gynecological disorders.

The combined use of the method with hysteroscopy allows you to carefully examine the internal contents of the uterus in order to prevent poorly cleaned areas on the mucous membrane. The essence of the technology makes it similar to abortion, but the purpose of the procedures differs significantly.

Preparing for gynecological cleansing

It is recommended to carry out curettage a few days before the start of menstruation. In this case, blood loss is reduced and a favorable prognosis for rapid tissue recovery is given. The operation requires a preliminary examination and tests. This:

blood clotting test;
smear to examine the bacteriological environment;
STI test.

Before curettage, stop taking any medications or dietary supplements that were not discussed with the specialist. Even plant components that can affect blood clotting and provoke blood loss during surgery can pose a danger. It is important that your doctor is informed about the medications you are taking so that they know what risks may arise. The rules for preparing for the procedure are simple:

3 days before surgery, refrain from sexual contact;
Eliminate the use of intimate hygiene products (gels, creams, ointments, liquids), suppositories, tablets and vaginal sprays;
do not douche;
10 hours before surgery, do not take food or water. This is necessary for high-quality anesthesia, allowing the patient not to feel discomfort.

Carrying out cleaning

Curettage is performed in a hospital setting, the woman is placed on a gynecological chair in the operating room. The doctor removes the top layer of mucous lining the inside of the uterine cavity. Elimination of painful sensations involves anesthesia. If there were signs of miscarriage in the early stages of pregnancy or in a later period, after which it spontaneously terminated, the dilated cervix allows curettage to be performed without anesthesia. For anesthesia, intravenous administration of a drug is used, selected individually, taking into account the characteristics of the patient’s body. A few seconds after the injection, the woman falls into a shallow sleep, the discomfort disappears, which makes the doctor’s actions painless.

A dilator inserted into the cervix straightens the walls of the organ, facilitating access to the internal cavity. Holding the neck, the specialist inserts a rounded probe with a small diameter, after which he replaces it with a larger analogue. A special video camera attached to the end of the probe allows for hysteroscopy - inspection of the cavity before curettage. Cleaning is done with a curette, shaped like a small spoon on a long handle. Carefully collected tissues are stored in a specialized sterile tube, which is later sent to the laboratory for histological examination.

The procedure rarely takes more than one hour; usually the doctor needs 20 minutes. The cervical canal is cleaned along with the uterine cavity. The manipulations are called RDV - separate diagnostic curettage. Collected samples are placed separately. Histology is used to identify the structure of tissues in order to exclude the presence of atypical cells in them, indicating cancerous lesions and precancerous conditions. The study is carried out within two weeks; after receiving the results, the woman visits the gynecologist again for a follow-up examination.

Curettage is often performed for diagnostic purposes to determine the symptoms of pathological conditions in the functioning of the organs of the reproductive system. It can be:

menstruation with an irregular cycle;
heavy discharge and painful menstruation;
bleeding during menopause;
difficulty conceiving in the absence of visible causes of pathology;
assumption of developing uterine cancer.

Gynecological cleaning is carried out in order to obtain materials for histological analysis.

Curettage after miscarriage - possible complications

Complications can occur, as with any surgical procedure. A serious consequence is the opening of uterine bleeding due to insufficient blood clotting. To prevent this, oxytocin is used - injections stimulate the cessation of abnormal blood flow. Oxytocin will help if the bleeding is caused by the uterus contracting poorly. It is not effective in case of coagulation disorders.

Another complication is hematometra, when blood clots accumulate in the uterine cavity, which can cause the development of an inflammatory process in the tissues. The hematometer is promoted by cervical spasm, which prevents blood from leaving, which occurs immediately after the cleansing. Experts recommend the use of antispasmodics that relax the muscles of the organ and promote normal blood flow. A woman should be alerted to nagging pain in the lower abdomen and a sudden cessation of discharge.

After cleaning, endometritis may occur, when inflammation affects the uterine mucosa. An adequate measure of treatment for a dangerous diagnosis is a course of antibiotics. Abdominal pain and a sharp increase in body temperature indicate a pathological condition. Any dangerous change in condition should be reported to your doctor immediately. In this case, countermeasures will be taken in a timely manner, which will eliminate the risks of developing more serious complications.

How to behave after a miscarriage

A miscarriage that occurs requires the failed parents to follow certain behavioral tactics. Among the measures recommended by doctors:

It is advisable to postpone a new attempt at pregnancy for 3-6 months. Otherwise, there is a high risk of repetition of undesirable developments. If pregnancy occurs before the due date, there is no need to panic. The main thing is observation by a specialist. Then there is a chance to give birth safely.
If you are expecting, seek advice about an effective contraceptive method.
Follow the recommendations given by your doctor. Having understood what threats of miscarriage exist, it is easier to neutralize them.
Complete the recommended examinations and take the necessary tests. Possible studies for both parents include identifying infections of the reproductive system, hormones in the blood, hemostasis, and immune status. Identified failures are subject to mandatory correction.

Consult what effect the medications you are taking will have on the fetus if you become pregnant during therapy. Find out after what period of time you can safely try to conceive a child. In most situations, in addition to the therapeutic course, it is necessary to change the usual lifestyle - daily routine, nutrition, habits.

Psychological state of a woman during the recovery period

Spontaneous abortion is a serious stress for a woman. Faced with this situation, many lose the meaning of life, are afraid to plan a new pregnancy after a miscarriage, fearing a repetition of what happened. The woman’s condition during this period is unstable, emotions are negative and unstable. Often, a failed mother begins to bully herself with negative thoughts, revel in the contemplation of other people's children on the street, communicating with mothers who have experienced grief on forums, visiting children's stores and looking at small things in the windows. A likely behavior tactic is to blame yourself for what happened. Against the backdrop of such thoughts, families are destroyed and divorces occur.

Psychologists advise to show persistence, endurance, and determination. To do this you need:

Over time, negative thoughts will fade into the background, and the desire for a fulfilling life will appear. A new pregnancy will not frighten or worry you.

How to detect genetic pathologies during repeat pregnancy

If there was a miscarriage of the first pregnancy due to a genetic factor, it is especially scary to decide on a second one. There is no need to be afraid of this; with well-designed therapy, the chances of success are more than great. Diagnostic procedures today are highly accurate and make it possible to identify pathology in the early stages. Deviations include Edwards syndrome, Down syndrome, Patau syndrome and other pathologies. It is mandatory to examine women with repeated miscarriages, as well as:

over 35 years old;
having changes identified during screening;
with markers of chromosomal pathologies and embryonic malformations;
with previously born children with chromosome abnormalities.

Ultrasound diagnostics can detect malformations in 80-85% of cases. However, the technology is not perfectly reliable, as it misses pathologies in 20% of situations. Biochemical screening and invasive examinations have valid data. The latest version of the study allows you to identify up to 99% of anomalies. No less popular is the highly accurate PANORAMA test for determining DNA pathologies.

When planning a new pregnancy, you should definitely visit a geneticist. Screening diagnostics to identify abnormal genes will help eliminate the risks of possible pathologies, the factor of heredity and genetic failure during conception. Sometimes the threat of miscarriage in the early stages exists in practically healthy carriers. The examination will allow you to find out about the anomaly in advance and undergo adequate treatment for possible pathology.

Planning a new pregnancy

The medical community is unanimous on the issue of planning a new pregnancy after a spontaneous abortion has occurred. It is not recommended to conceive for at least 3-6 months after the misfortune has occurred. During this period, the woman’s body will recover and gain strength to bear the fetus. It is important to observe a doctor, harmonize hormonal levels, and examine parents to identify possible pathologies. To avoid getting pregnant after a miscarriage in the first months, it is recommended to use contraceptive methods recommended by your doctor.

Examination after a miscarriage includes blood and urine tests, examination of the vaginal microflora using a smear, identification of obvious and hidden sexually transmitted infections, analysis of glucose and hormones, examination of the biological compatibility of partners. Planning is an important step towards having a healthy baby. After the studies, the woman is prescribed strengthening therapy. It is important to completely review your eating habits and eliminate factors that are harmful to your well-being. Vitamins and folic acid are used. Fast food products, foods containing carcinogens and preservatives are excluded from the diet. If you follow the rules recommended by your doctor, a successful pregnancy with a favorable outcome is likely.

It is not uncommon for a pregnancy test to show two lines after a miscarriage. This is explained by the restructuring of the body and organs of the reproductive system. It is important to report the incident to your doctor. The presence of fetal tissue residues in the uterus can provoke a positive test result. In this case, immediate curettage is necessary, which neutralizes the risk of inflammation and infection. To accurately determine her condition, a woman needs to undergo ultrasound diagnostics and tests to determine hCG in the blood.

The question of whether it is possible to get pregnant after a miscarriage worries many parents. The answer is clear - yes, if you follow the recommendations of specialists, carefully plan a new conception, monitor your well-being and state of health.

Ingredients for success after miscarriage

The patient’s health condition does not always lead to a miscarriage; in many ways, failure to follow simple rules becomes a threat. To reduce the risk of losing a child during pregnancy, you need to:

Keep calm– It is important for a mother to exclude from her life all factors that make her nervous. Irritation is not the best way to normalize the condition. In order to stabilize the emotional background, rest and the use of soothing teas with the permission of a doctor are recommended. Herbal teas from chamomile, lemon balm, and mint give good results.
Avoid taking unnecessary medications and drugs. Self-cessation of therapy prescribed by a doctor is unacceptable. Every step needs to be discussed with a gynecologist.
Eliminate harmful occupational factors. Working in the chemical industry and other hazardous facilities can create an undesirable background in the body, which interferes with the normal bearing of a child. It is important to understand what is of greater value to the mother - the birth of a healthy baby or a career factor. Many women refuse to work in hazardous conditions to increase their chance of having a child.
Eliminate bad habits. It is unacceptable for a mother facing miscarriage to practice bad habits in everyday life - drinking alcoholic beverages, smoking. The father is also prohibited from doing this. Harmful effects negatively affect the quality of sperm, which provokes difficulties with conception and risks of deviations in the development of the embryo.
Take vitamin complexes, specially designed to prepare the body for pregnancy, creating basic conditions for its favorable course.
Healthy eating. A nutritious, balanced diet works wonders. If the woman is underweight, a nutritionist will develop an adequate diet for the woman, including a large amount of protein foods, vegetables, fruits, and grains rich in vitamins and microelements. Fatty foods are allowed as long as we are talking about the “right” fat, which is found in fish, seeds, nuts, avocados, and olives.
Get rid of extra pounds. Obesity adversely affects the development of pregnancy. Science has proven that enhanced nutrition during pregnancy, consisting of large meals, is not required. The main thing is its balance.

Psychological readiness for conception and observation by a gynecologist until a successful birth is important. Science knows the facts of successful pregnancy even after multiple failed attempts.

Repeated pregnancy makes a woman worry about every little thing. Fears frighten and set you up for a negative wave. It is important to suppress the pathological state of the psyche in yourself - the emotional background is transmitted to the baby. Try to treat pregnancy as a miracle given by heaven. Prepare yourself physically for childbirth, with your doctor’s permission, attend trainings and seminars for pregnant women, courses for expectant parents.

It happens that a woman, having become pregnant again, does not want to share her experiences with loved ones. You shouldn't do this. At work, when confirming conception, provide the employer with a certificate of the need to transfer to light work. Perhaps the gynecologist will completely protect you from visiting the workplace by writing out a sick leave.

Infections during pregnancy

Infectious processes suffered before pregnancy develop immunity in the mother to similar agents of influence. Primary infection poses a great threat, so vaccination is not superfluous when planning conception. Perinatal diagnosis allows you to detect an early stage infectious process and prevent its harmful effects. This is possible if a pregnant woman is registered from an early stage.

Infection in a pregnant woman can develop due to an infection transmitted by airborne droplets. This is the most dangerous type, since it is almost impossible to prevent it. This applies to mumps, measles, and rubella. HIV and hepatitis infect the body through sexual contact, and chlamydia acts similarly. Listeriosis is transmitted through poor-quality products. A pregnant woman can pass infections to her developing baby. This pathology is determined by specialized tests for latent infection.

Planned monitoring of pregnancy development involves regular testing. Sexual infections are determined using a smear, ultrasound shows abnormalities in the baby’s development, and CHT is aimed at listening to the work of the fetal heart muscle. If there is a suspicion of serious infection of the embryo, blood is taken from the umbilical cord and an analysis of amniotic fluid is taken.

Infection of a child also depends on accompanying factors. The speed of diagnosis, the appropriateness of treatment, the type of pathogen, and the duration of pregnancy are taken into account. The following infectious processes deserve special attention:

Viral etiology - a huge number of viruses pose a danger to a pregnant woman. The virus only needs to capture one cell for the pathological process to begin. The carrier carries the infection, spreading it to internal organs and tissues. The threat is posed by genital herpes, rubella, erythema infectiosum, cytomegalovirus, hepatitis B, measles, mumps, chickenpox.
Bacterial infections detected during the analysis of biological materials (stool, urine, blood) and examination of individual organs of the body deserve attention. Active reproduction provokes a rapid increase in the number of bacteria in the vagina. Not all microorganisms pose a threat to the child. Antibiotic therapy is used to destroy harmful microflora. Candidiasis, streptococcus, chlamydia, bacterial vaginosis, and cystitis are dangerous.

The course of pregnancy is threatened by intestinal infections, which often become more active in the summer. Animals that have poorly processed food before consumption can be carriers of the infection. Of particular danger are listeriosis, salmonellosis, and toxoplasmosis.

Preventing infections during pregnancy

Maternal infection poses a threat to the life of the fetus. From 3 to 12 weeks, the infected organism responds with a miscarriage or the formation of defects in the child. From 11 to 28 - developmental delay. At a later date, it deforms already formed organs and creates conditions for premature birth. In order to prevent intrauterine infection, it is recommended to apply a number of rules:

Examine mother for detection of STIs.
examine blood, determine the presence of antibodies to carriers of infection, pathogens.
avoid contact with sick people, visiting crowded places where there is a possibility of infection by airborne droplets.
examine pets for the presence of dangerous infections, treat them if necessary or remove them from the home until the threat is eliminated.
eliminate fast food from your diet, store-bought semi-finished products, subject meat and fish to thorough heat treatment.
remove exotic foods from your diet– sushi and other culinary delights purchased in restaurants and cafes.
wash hands, fruits, vegetables thoroughly with special disinfectants that cannot harm a pregnant woman and child.
plan to visit a gynecologist, undergo examinations recommended by the doctor, take tests, take vitamins.
register at the first signs of pregnancy to be under medical supervision.
when planning pregnancy prepare for conception, cure infections, carry out vaccinations.

It is important for the child's father to follow most of the recommended rules. If only the mother undergoes treatment, relapse during sexual intercourse is likely, neutralizing the beneficial effects of therapy.

A woman who has suffered a miscarriage in the past should be wary of any deviations from the norm in her health. It is important to pay attention to ailments, pain, weakness, and dizziness. Taking this into account in consultation at an early stage will create conditions for gestation and the birth of a child. There is no need to be afraid that a miscarriage will forever deprive you of the joy of motherhood.

By completing a course of examinations, taking tests and following the measures prescribed by your doctor to treat imbalances in the body, you will create all the conditions for a favorable pregnancy outcome. Tune in to the positive, protect yourself from worries, worries, and stress. Feel the support of loved ones, hope for the best. Get advice from good specialists to exclude any unfavorable prognosis before conception or take measures to neutralize them. Health and prosperity to you, your families and loved ones!

It is difficult to find a woman who would not want a child. Sooner or later, every girl thinks that it’s time for her to give birth to her baby. Today, miscarriages occur very often in women. It's difficult to say why exactly this happens.

Many women believe that they are absolutely healthy and are horrified when their pregnancy suddenly fails. Today we will talk about how to get pregnant after a miscarriage and when to do it.

Why does miscarriage happen?

There are many different opinions on this issue. Some gynecologists claim that the reason for this is the environment, bad habits, and a very fast and impulsive lifestyle. Others are sure that this is natural selection and this sometimes happens to many.

Of course, if you take a woman who likes to drink, smoke and neglect a normal lifestyle, then these explanations are quite logical, but very often situations happen when such a tragedy occurs in an absolutely healthy couple and then few can say why it happened to them this happened.

What awaits the female body after a miscarriage?

Of course, this is a lot of stress for any girl. Losing your child is very difficult and the main thing is to recover and move on. We figured out the cause of the miscarriage a little, but the main thing is not why it happened, but what consequences are expected after it.

Miscarriage is considered a natural miscarriage that occurs without any medical intervention.

Regardless of the exact period at which the miscarriage occurred, you must understand that this is a huge stress for the body, especially in terms of hormones. After a woman becomes pregnant, her body changes completely, and with an abrupt interruption, very big changes occur that are very difficult for the body to cope with. This will affect not only your general health, but also the functioning of your ovaries.

Pregnancy after miscarriage

I had a miscarriage 2 months ago. When can you get pregnant again?

Pregnancy after miscarriage

How to give birth after a miscarriage

how to get pregnant after a miscarriage

In addition, after a miscarriage, it will most likely be necessary to do curettage, since very often some particles remain inside the woman and if cleaning is not done, this can result in inflammation, which will lead to very serious consequences. During scraping, the mucous membrane is damaged, and this is also very bad.

It is also worth noting that a miscarriage is usually accompanied by heavy bleeding, and losing a large amount of blood is also not good. After such a loss of blood, the body also needs a long time to recover.

When can you get pregnant again?

Many people are interested in whether it is possible to get pregnant after a miscarriage. In fact, you can get pregnant literally in the next month, since a miscarriage will be considered the beginning of the next cycle and ovulation will occur in a couple of weeks. But despite this, doctors do not recommend starting fertilization immediately after a miscarriage.

Of course, many couples think that the faster they can get pregnant again, the faster they will switch and forget about the current situation. But doctors strongly advise against doing this. If you look from a moral point of view, then, of course, it will be much easier for a woman, but from a physiological point of view it’s the opposite.

If after a miscarriage you become pregnant three months later, then in most cases you will carry a healthy baby and give birth safely. But if pregnancy occurs immediately after a miscarriage, there is a very high probability that the miscarriage will happen again, so there is no need to rush. The body should rest, regain strength, and only after that should you plan for a child.

Many doctors argue that the less time has passed after a miscarriage, the greater the risk that it will happen again. To be truthful, one year must pass for the female body to fully rest, so the most ideal solution is considered to be planning a child 12 months after the miscarriage.

What tests do you need to undergo after a miscarriage?

After the woman comes to her senses after what happened, she should definitely undergo a medical examination to figure out what the cause of the miscarriage was. If the existing problem is not eliminated, the situation may repeat again even after 12 months.

First of all, doctors must send the embryo itself for examination. This is necessary in order to determine whether he was viable. Also during this examination, doctors will look to see if there were any pathologies or deviations from the norm in the embryo.

Next, the woman will have to undergo a series of tests that can show whether the mother had any infections at the time of pregnancy. There are some infections that cause miscarriage, and if they are detected in a woman’s body, they should be treated so that the miscarriage does not happen again.

Also, very often the cause of miscarriage is an insufficient amount of hormones.

Therefore, you will need to undergo several tests for sex hormones, and if the indicators are incorrect, you will need to correct the woman’s hormonal background. In addition to all the above examinations, you will definitely need to do an ultrasound examination. An ultrasound will show whether a woman has problems with the uterus and tubes, it will also be possible to see if there are septums in the uterus, as well as endometrial indicators.

How to carry a healthy baby after a miscarriage?

Once a woman becomes pregnant again, she needs to be very careful from the very beginning of pregnancy. Firstly, it is advisable to completely eliminate any physical stress on the body. Any stressful situations can also have a very detrimental effect on the health of the mother and child. You need to spend as much time as possible in the fresh air and spend less time in places with a lot of people, so as not to catch any infection.

In addition, you should be very careful about your diet. It is best to give up harmful foods that have a detrimental effect on human health, since everything that the mother eats also ends up in the child. You need to carefully study the composition of each product and avoid those products that contain chemicals, dyes, and flavor enhancers. The entire diet of a pregnant woman must be properly balanced and contain sufficient amounts of vitamins for both mother and baby. It's also worth watching your calories to avoid gaining excess weight.

It is very important after a miscarriage to be ready for a new pregnancy, and this applies not only to physical health. Don't be afraid that the situation will happen again and you will lose your child. On the contrary, try to think only about good things and enjoy every day of your pregnancy. The baby feels everything that the mother feels, so rejoice and smile more.

About 15-20% of all pregnancies end in miscarriage. And if for some these data are just dry statistics, then for a couple who have experienced a loss, this is a tragedy that they will remember all their lives. In addition to the feeling of loss, they are overcome by doubts: is a new pregnancy possible after a miscarriage? Will this happen again? How long before you can get pregnant again?

Some are ready to start planning right away, while others need time to recover emotionally and physically. But first you need to figure out why a miscarriage occurs and whether it can be prevented during a subsequent pregnancy.

Causes of miscarriage

A miscarriage is considered to be a pregnancy interrupted before 28 weeks. There are early miscarriages - up to 14 weeks, and late ones - from 14 weeks to 28. Termination of pregnancy even at an early stage is a great grief for a woman. She begins to fear: can I even bear a child? How to get pregnant after a miscarriage?

If this happens, the first step is to find out why. There are several of them:

genetic disorders;
infections (rubella, chickenpox, influenza);
hormonal imbalance;
sexually transmitted diseases (herpes, chlamydia, gonorrhea and others);
chronic diseases of the cardiovascular system, kidneys, metabolic disorders;
isthmic-cervical insufficiency (cervical weakness);
stress, hard physical work, taking medications prohibited during pregnancy, bad habits.

In the early stages, termination of pregnancy is most often caused by genetic disorders, genital infections, hormonal imbalances, poor lifestyle and harmful environmental influences. And late-term spontaneous abortions occur due to chronic diseases of the mother and due to ICI (isthmic-cervical insufficiency).

When can you start preparing for pregnancy?

Some women are ready to become pregnant in the next cycle after spontaneous abortion. It seems to them that this will make it easier to cope with feelings of bitterness and despondency, since a new pregnancy will distract from sad thoughts and give positive emotions. Others doubt whether it is possible to get pregnant after a miscarriage at all. What do doctors think about this? When can you start planning?

Important! If you have a miscarriage, this does not mean that your next pregnancy will end the same. In most cases, repeat pregnancy ends in a successful delivery at term.

Most doctors are inclined to believe that the optimal time is six months after a miscarriage. During this time, the body will have time to recover and gain strength for a new pregnancy. If there are no contraindications and examinations reveal no diseases, then the couple can begin planning in three months. And in some cases, it is better to wait a year to get pregnant after a miscarriage.

Women wondering how soon can I get pregnant should visit a gynecologist first. The doctor will prescribe tests and examinations that will help identify the cause of the termination of pregnancy. Depending on it, it will be possible to answer after what time it is better to get pregnant.

Important! It is not always possible to determine the cause of spontaneous abortion. This is especially difficult to do in the early stages. In most cases, doctors prescribe additional examinations only after repeated miscarriages.

The couple needs to undergo the following tests:

Ultrasound diagnostics of the pelvic organs, revealing structural anomalies, neoplasms, and the condition of the endometrium;
General blood and urine analysis, blood sugar test;
Blood test for hormones. It is given twice per menstrual cycle;
Analysis for sexually transmitted infections;
A karyotype study that reveals genetic abnormalities.

If the cause can be identified, the doctor will prescribe treatment. You can try to get pregnant after a miscarriage only after completing the full course. In addition, you need to take vitamins: folic acid is taken three months before the planned conception. Continue to take it with the onset of pregnancy, up to the 12th week. Other medications are at the discretion of the attending physician.

What if pregnancy doesn't occur?

In some cases, after a spontaneous abortion, a woman complains: I can’t get pregnant. Why does this happen and how to get pregnant after a miscarriage?

If you have undergone tests and they do not reveal anything, or, despite successful treatment, pregnancy still does not occur, the next step is to calm down. Increased concentration on planning, worries about whether the miscarriage will happen again, and rolling memories of what happened are not the best companions for pregnancy. A change of environment and a course of sedatives will help improve the functioning of the nervous system.

You should not think that a new pregnancy will occur quickly - it is considered normal if conception occurs during a year of active planning. Therefore, maintaining a healthy lifestyle, a positive attitude and following the doctor’s recommendations is usually enough for a positive outcome if pregnancy is planned after a miscarriage.

What to do if a new pregnancy occurs immediately after a miscarriage?

There are a number of reasons why gynecologists do not recommend getting pregnant for a few more months after a miscarriage, but rather wait a while. One of them is that the body did not have time to recover properly. During pregnancy, serious hormonal changes occur, and spontaneous abortion disrupts the hormonal balance. After such a shock, the body needs time to bring everything back to normal.

Another reason is the large loss of blood during termination of pregnancy and subsequent curettage. Against this background, there is a decrease in hemoglobin, which will negatively affect the developing fetus. He will suffer from a lack of nutrients and oxygen, and this may lead to another miscarriage or developmental delays. Therefore, it is wiser to get pregnant in six months, or even later.

If pregnancy occurs immediately after a miscarriage, then the first thing NOT to do is panic. Although the risk of repeated failure is high, if you take proper care of your own health, you will succeed.

What should I do?

Avoid stress and overwork. Do not lift weights or perform hard physical work;
Adhere to the principles of proper nutrition;
As soon as you find out about pregnancy, start taking folic acid - it is needed to prevent the development of neural tube defects in the baby;
Do not ignore your doctor's recommendations. If he insists on hospitalization, do not refuse: in the hospital, if something happens, they will be able to provide emergency assistance and stop the developing miscarriage.

Women wondering how long before I can get pregnant after a miscarriage should visit a doctor first. He will prescribe tests that will help determine the cause of the termination of pregnancy. Depending on the treatment, its duration and effectiveness, the doctor will determine how long after the woman can start planning. In most cases, six months after spontaneous interruption. In this matter, it is important to take your time and maintain a positive attitude.

In our lives, we are not always able to control the course of things and sometimes it happens that situations occur that we prefer not to even think about. This also applies to spontaneous miscarriage - a difficult loss for expectant parents in most cases.

This is especially difficult for couples who have been trying to conceive a child for a long time or have undergone long-term treatment for infertility. But life goes on, over time, the pain of loss is replaced by humility and calmness, the desire to live and build your own happiness arises. Today we will look at planning a pregnancy after a miscarriage.

Miscarriage concept

Doctors understand miscarriage as a spontaneous abortion that occurs during the early stages of pregnancy (first and second trimester). In this case, the embryo or fetus is rejected for some reason and leaves the uterine cavity, losing viability.

Depending on the period at which the termination of pregnancy occurred, early miscarriage (up to 12 weeks) and late miscarriage (up to 22-28 weeks of gestation) are distinguished. Moreover, most spontaneous abortions occur in the first 5-8 weeks of pregnancy, and sometimes the woman is not even aware of her situation, citing heavy periods or their delay.

Unfortunately, miscarriage is not uncommon. According to statistics, every 5th pregnant woman (about 20% of all pregnancies) faces this problem. The numbers are very serious, but regulating them is quite problematic, because a lot depends on the woman herself.

However, situations arise when arbitrary abortion becomes a pattern when trying to get pregnant again and another new life ends before it even begins. This condition is characterized as recurrent miscarriage. The phenomenon is extremely rare, but it does happen. In this case, with each unsuccessful attempt to carry a fetus, the chances of a successful completion of pregnancy tend to zero, i.e. The more miscarriages a woman has, the lower her chances of becoming a mother.

However, the question is: “Is it possible to get pregnant after a miscarriage?” may be relevant for a woman. We can safely say that it is POSSIBLE to get pregnant after a miscarriage, because even after two or three unsuccessful attempts, the chances of becoming a mother are quite good - about 50%. Therefore, you should not give up on your motherhood, but rather pull yourself together and approach planning a new stage in your life with full responsibility.

Reasons for arbitrary termination of pregnancy

As for the reasons for such a sad outcome, there can be a great many of them, but the vast majority lie precisely in some disturbances in the mother’s body or in the development processes of the fetus.

Many doctors are skeptical of the popular belief that miscarriage can be caused by severe emotional stress or physical stress. Of course, it is necessary to avoid unwanted effects, but in extremely rare cases they directly affect the termination of pregnancy. Often, excessive loads only trigger a long chain of changes that develop into something more if there are disturbances in the mother’s body. If everything is fine with the health of the expectant mother, then it makes no sense to talk about such risk factors.

So, let's look at what is the possible cause of a miscarriage:

Genetic abnormalities of fetal development

When female and male gametes combine, a fertilized egg is formed, which grows every day using the division mechanism at the cellular level. Chromosomes, unique carriers of genetic information, also undergo division. As a result of their division (mitosis), anomalies are formed that cause multiple mutations in the fetus that are incompatible with life. Thus, nature “corrects” its mistakes through natural selection, striving to create viable children with pure genetic material.

It is malformations at the genome level that cause half of the miscarriages in the first trimester. Most often this happens at 5-6 weeks of the gestational period, and sometimes the woman has not even had time to understand that she was carrying a baby under her heart.

In such situations, the possibility of studying the rejected fertilized egg is practically negligible due to its small size and the woman’s possible ignorance of her situation. But, if the embryo was nevertheless preserved for research, this is very good, since using cytogenetic analysis it is possible to determine the possible cause of miscarriage and take appropriate measures in the future.

Hormonal imbalances

In this case, the reason for abortion without medical intervention is the woman’s unstable hormonal background, which is the cause of malfunction of the ovaries or chronic diseases associated with hormone-producing organs. In such cases, a miscarriage is expected if the woman did not take appropriate measures to normalize the synthesis of hormones.

The reason for this development of events is a decrease in the concentration of hormones responsible for pregnancy: progesterone and estrogens. In some cases, the corpus luteum of the ovary in the early stages does not produce enough progesterone to maintain pregnancy, while in others, male sex hormones predominate in the woman’s body (hyperandrogenism).

In any case, a miscarriage does not occur unexpectedly; first, there is a long-term threat of termination of pregnancy in the form of aching pain in the lumbar region, bleeding of varying degrees. At the initial stages, the embryo can be preserved in a hospital setting, but pronounced hormonal imbalances and untimely assistance lead to such a sad outcome.

Pathologies of female genital organs

They are a very common cause of miscarriages at any stage. These include, most often, anomalies of the development of the uterus in the form of its atypical shapes and sizes (bicornuate, sickle-shaped, infantile) or nonspecific structures in the cavity (fibroids, polyps, septa).

The fact is that in such a uterus it is very difficult for the fertilized egg to gain a foothold when leaving the fallopian tubes, and if this is still possible, then the anatomical features and foreign formations interfere with the growth and development of the fetus. A rapidly growing baby becomes cramped and the body simply cannot cope, solving the problem by terminating the pregnancy.

In such cases, resolving the issue for the better, unfortunately, is not always possible. With congenital defects of the uterus in the form of its abnormal shape, bearing a child is impossible under any circumstances. In other cases, all benign formations and septa are removed surgically.

Isthmic-cervical insufficiency

Possible causes of miscarriage include cervical incompetence (isthmic-cervical insufficiency). A weak and loose cervix simply does not hold the amniotic sac with the developing baby; the child literally falls out of the uterus. This is complicated by the fact that due to the leakiness of the uterus through the cervix, infection with pathogenic microflora from the vagina can occur and, as a result, extensive infection and miscarriage in the future (mainly in the second trimester). The cause of this condition may be previous abortions with curettage, mechanical injuries and an excess of male hormones.

This problem can be solved if measures are taken in time to preserve the pregnancy. Appropriate treatment is prescribed in case of infection or hormonal imbalance; in some cases, minor surgical intervention is necessary in the form of sutures on the neck to secure it or a special ring - a pessary.

Women's blood clotting disorder

It happens that a woman’s blood tends to clot faster than normal, which is a risk of microthrombi occurring in the capillaries of the placenta. As a result, the nutrition of the fetus is disrupted, which dies from hypoxia and exhaustion. This condition can become a possible cause of spontaneous abortion, but can be corrected in the future.

Incompatibility of partners and Rh conflict

Our immune system is designed to protect the body from foreign agents that threaten its normal functioning. But it happens that the system works “against its owner” and fails. Yes, yes, even in the human body, as in high-precision technology, malfunctions can occur. As a result of such “problems,” the woman’s immune system perceives the fetus as a foreign body, which it tries with all its might to get rid of.

This condition can occur when spouses are incompatible or, conversely, due to their excessive “similarity” at the cellular level. In this case, the mother’s body perceives the future baby as its own cells, with which “something is wrong.”

The cause may also be Rh conflict - a condition in which the Rh factor of the mother and the Rh factor of the child are incompatible, for this reason antibodies are produced that destroy the red blood cells of the fetus and lead to the development of pathologies or death in the womb.

The conflict arises only in those women whose Rh factor is negative (“Rh-”, meaning the absence of antigen D on the surface of red blood cells). If the embryo has Rh+, then the mother’s body accumulates antibodies to it, which reject the “foreign” organism. As a rule, there are no complications in the first pregnancy, however, if the pregnancy is the second or there was a miscarriage before, the likelihood of complications increases. In this case, the conflict develops ONLY with negative Rh in the mother and positive in the child.

Intrauterine infections

Well, the final cause of interruption of the gestational period is intrauterine infections. This is why it is so important to monitor your health during pregnancy and, if possible, reduce the risk of infectious diseases. One cannot help but pay attention to STIs (gonorrhea, chlamydia, herpes, etc.), which can penetrate the uterine cavity and then infect the membranes and amniotic fluid. As a result of any type of infection, mutations and abnormalities of fetal development occur that are incompatible with life.

When can we start over?

Regardless of the reasons for the sad end of your previous pregnancy, you should not give up trying to become parents. But it is also not recommended to approach the issue thoughtlessly. This time it is necessary to do everything possible so that the baby is not only born alive, but also absolutely healthy.

“How long before you plan to get pregnant after a miscarriage?”- this thought arises in the parents’ heads some time after the sad event. From a physiological point of view, this is possible already during the period of the first ovulation, literally 2-3 weeks after a spontaneous abortion. There have been cases where women found themselves in a position almost immediately, giving birth to healthy babies. But it is very frivolous to rely on “maybe”, because it is important to take into account not only the woman’s physical readiness, but also the moral aspect.

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Some couples take the loss so hard that it takes months or even years to recover. Experts advise not to rush into trying to conceive a child and wait about a year. During this time, the woman’s body will recover in all respects, and at the same time there will be enough time to undergo a full examination and thoroughly prepare for parenthood.

Restoring the body's functions and its ability to bear a child is also extremely important. Therefore, planning a pregnancy after an early miscarriage (with or without a cleanse) and trying to get pregnant after a second trimester miscarriage are somewhat different.

If the abortion occurs in the early stages, the body recovers faster. Brushing or curettage removes dead tissue to prevent infection if it has not left the uterine cavity on its own. But this is fraught with mechanical damage. The need for cleaning after a miscarriage is determined after the results of the ultrasound. Termination of pregnancy in the period from 12 to 28 weeks requires long-term restoration of hormonal levels, normal size of the uterus, menstrual cycle, etc.

Often, new attempts to get pregnant immediately after a miscarriage end similarly sadly, after which the woman only exposes herself to more stress and finds herself in a severe depressive state; moreover, each unsuccessful attempt minimizes the possibility of a favorable pregnancy outcome. So what to do?Let's take a closer look.

Survive the difficult moment for as long as necessary. When thinking about planning a pregnancy after a miscarriage, it is important to be prepared for a new stage in your life, to try to become parents, without fear of previous failures. It is after you have overcome all your fears and let go of the past that you can think about the baby again.

Reconsider your lifestyle. Sometimes we do not take into account that some factors, insignificant in our opinion, can indirectly affect health and the course of pregnancy as well. Go in for sports, yoga, learn the art of meditation, learn to relax, this will only be beneficial.

Healthy is the key to the flawless functioning of the body. You will be surprised at the surge of vitality after giving up fast food, canned food and processed foods. At the same time, proper nutrition in no case means limiting yourself in food, counting calories or anything else. It is the quality of nutrition that matters.

Get positive emotions, do what you have long dreamed of: travel, go to an exhibition, to the theater. Endorphins – hormones of joy – are a key point in preparing for a new stage.

Alcohol, and especially tobacco, should not be in your life. There are many scientific works about the harmful effects of smoking and drinking alcohol during pregnancy, so why step on the same rake again?

You need to undergo a full examination, together with your husband, to make sure that the future parents are completely healthy. Blood and urine tests and ultrasound examinations are routinely prescribed; sometimes there is a need for additional diagnostic methods.

Be that as it may, the examination should be comprehensive and involve both spouses. It is important to exclude the possibility of repeated situations that led to a miscarriage the last time. Therefore, a consultation with a gynecologist is indispensable. In some cases, in-depth research and consultations with an endocrinologist, surgeon and third-party specialists are necessary.

To stop possible genetic disorders and identify the causes of termination of pregnancy, special studies of the chromosomal set of the parents may be required, as a result of which subsequent recommendations may be given.

If the cause of a previous unsuccessful attempt to carry a baby was hormonal changes in the body (polycystic ovary syndrome, diabetes mellitus, dysfunction of the ovaries, thyroid gland, etc.), hormonal therapy and correction of hormone synthesis may be prescribed, and subsequently correction of hormonal levels if necessary .

For abnormalities in the development of a woman's genital organs, surgical treatment methods can be used if they are possible.

If the cause of the previous miscarriage was immunological problems, then special immunotherapy is prescribed, depending on the type of disorder. In some cases, correction of the woman’s body’s defense system is possible when planning the next pregnancy.

If infectious diseases are identified during pregnancy planning, they are treated before conception, even if they were not the cause of the previous abortion. If a woman has chronic diseases, appropriate therapy is carried out aimed at eliminating the acute form of the disease and subsequent monitoring of the remission stage.

Let's sum it up

In our lives, we never know what will happen to us tomorrow; we cannot be sure that all misfortunes will pass us by. But it is within our power to reduce this probability to a minimum by making certain efforts. Even if at some point life has “beaten” us, as it seems to us, quite a lot, it is worth asking ourselves: “Why is that so?” And think not about how sinful or unhappy we are, but about the fact that we may be doing something wrong. Life, through bitter mistakes, guides us on the right path and protects us from the worst even with such harsh methods.

Experiencing the loss of an unborn baby is a heavy burden, but even this should not slow down or become an obstacle to achieving your goal. On the contrary, it is an impetus to new achievements with even greater self-confidence and a responsible approach! You will succeed, and the reward for your efforts will be a new emerging life under your heart! Good luck!

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