Threatened Abortion (Threatened Miscarriage)

The following are some of the most common reasons why women seek medical attention for their pregnancy:

1) A fetal abnormality or birth defects; 2) Fetal abnormalities such as Down Syndrome; 3) A preterm delivery; 4) An ectopic pregnancy.

Fetal Abnormalities: There have been many studies which show that there may be a link between certain types of chromosomal disorders and an increased risk of having a baby with these conditions. For example, if a woman carries a baby with trisomy 18 (Down syndrome), she is at greater risk of having another child with Down syndrome. Other genetic disorders include Tay Sachs, Edwards Sudden Infant Death Syndrome (SIDS), Trisomies 21 & 22 and Fragile X Syndrome.

There are other possible risks associated with carrying a fetus with these conditions including higher rates of miscarriage, stillbirth and premature birth.

Birth Defects: Birth defects are not always life threatening but they can affect a person’s quality of life. Some examples of birth defects include Down syndrome, Cerebral Palsy, Deafness and others. If a woman carries a baby with any one of these problems it could cause her great emotional distress.

She may even decide to terminate the pregnancy due to the stress and worry she would experience during labor and delivery.

Pre-term (premature) delivery: Pre-term deliveries are becoming more common with each passing year. In fact, it is one of the leading causes of infant mortality in the United States. Nearly 12% of all live births involve a pre-term birth and the majority of these take place before week 34 (third trimester).

If a woman goes into labor before week 37 the baby will most likely require treatment in a neonatal intensive care unit (NICU).

Ectopic Pregnancy: An Ectopic pregnancy is when a fetus implants itself outside of the uterus. It can implant itself in the fallopian tubes, abdomen or elsewhere. A woman will know that she has an ectopic pregnancy when she begins to experience lower abdominal pain and vaginal bleeding.

If not treated immediately, a ruptured ectopic pregnancy is fatal. It can cause severe internal bleeding to the point where the woman can bleed to death.

Did you know?

There are very few statistics available for threatened miscarriages since most are “resolved” on their own.

There are an average of 6 to 10 pregnancies per 1,000 which will result in a miscarriage.

Approximately 1 million women have a miscarriage each year in the United States. This is the equivalent of 2% of all pregnancies.

In 2008 there were an estimated 752 miscarriages per 1,000 births. This is an increase from 1984 where there were 815 per 1,000 births.

It is believed that the following factors may contribute to a threatened miscarriage: Age (Under 20 or over 40) Infection Hormone Imbalance Smoking Lifestyle Factors Obesity Genetic Factors

How are miscarriages treated?

There are many different types of miscarriages but the majority of them can be classified as either being a medical or surgical procedure.

Medical: In most cases, a medical procedure is the best treatment for a miscarriage. However, this will be determined by your health care provider after a routine physical examination and ultrasound.

Surgical: If a miscarriage is determined to be too far along to be reversed with medication, surgery may also be necessary. A dilation and curettage (D&C) is usually recommended because it is the safest and easiest way to remove the contents of your uterus.

What are the after effects of a miscarriage?

Since a miscarriage is the natural termination of an unsuccessful pregnancy there are not many long-term effects. Most women can recover completely after a very short time. It is recommended that you pay close attention to your body and seek immediate medical help if you notice any severe bleeding, pain, or discomfort. You should also contact your health care provider within a few days for a follow-up exam.

What is the probability of having a successful full-term delivery after a miscarriage?

The chance of a successful full-term delivery after a miscarriage is very good! Most women who experience a miscarriage will go on to have either healthy babies or repeat miscarriages. The key is to make sure you take extra good care of yourself during this time. Easier said than done, but your body needs the rest in order to rebuild its strength and resume a normal menstrual cycle.

What is the probability of having a successful pregnancy after a miscarriage?

The chance of having a successful pregnancy after a miscarriage is also very good. Studies have shown that only 1% of women who experience miscarriages will experience them again. This is called recurrent miscarriage and it can be caused by any number of factors, some of which can be treated or even corrected if found in time. The most common being thyroid malfunction, which can easily be tested for and treated.

What is the probability of having a successful pregnancy after a medical or surgical treatment?

The chance of having a successful pregnancy after a medical or surgical treatment is also very good. There are no long-term effects on your body and, assuming everything goes well, you should have a normal, healthy delivery.

Can I still donate blood?

If you have a miscarriage there is no reason why you cannot donate blood. In fact, it is entirely possible that you may be in need of a transfusion at some point after your procedure. All blood donations are tested for infection and all samples are sealed and kept on file. You should let your doctor know before you go in to donate just in case they need to do a quick blood test.

What about tampons and cervical caps?

If you have had a miscarriage, it is safe to use tampons or a cervical cap (diaphram). This is because the cause of a miscarriage is not bacteria or infection but abnormal chromosomes. Tampons and cervical caps do not come in contact with the cervix so there is no chance of introducing any bacteria.

What about douching?

Douching can irritate or upset the natural PH balance of your body. It can also introduce harmful bacteria into your body. It is best to not douche unless your doctor tells you to do so. If you choose to douche, only use fragrance-free, dye-free solutions and do not do it too often.

What if I experience bleeding during or after sexual activity?

If you experience any bleeding during or after sexual activity it could be due to several factors. First of all, if you have started having your period again this would be a logical explanation. You may have also torn your vaginal wall. A common cause is due to the breaking of fine blood vessels around your opening, this is especially probable if you are experiencing a lot of discharge at this time. You may experience some mild bleeding after your sexual activity or the next day, but it should not be profuse and it should not last long if handled properly. If you are experiencing any of these symptoms you should contact your doctor.

What if I experience severe bleeding or pain?

Severe bleeding or pain during or after sexual activity is an immediate medical emergency. This could be due to several factors, including but not limited to: infection, tearing of the vaginal opening, trauma to the cervix, and premature birth. You should contact your doctor immediately and explain to them your symptoms. If you do not have access to immediate medical attention, you should go directly to the nearest hospital.

Can I still have children after a miscarriage?

Yes, in most cases you can still have children after a miscarriage. There are some factors that may increase your chances of having another miscarriage but, with advancements in medical science, these factors can almost always be treated. These include: infections or other diseases, incorrect placement of the embryo, under-development of the placenta or umbilical cord, and age. You should speak with your doctor about your personal risks.

Can I get pregnant again right after a miscarriage?

Yes, it is possible to get pregnant again right after a miscarriage. The average woman’s menstrual cycle is 28 days and most doctors recommend waiting out the remainder of that month before attempting to try for another baby. This ensures that your body has enough time to fully recover before it starts the process all over again.

It is also important to keep in mind that, after a miscarriage or abortion, the chances of you having a healthy baby are decreased for at least three months following the event. After three months have passed, you can most likely get pregnant again without any complications. This information is only true for women who experience a miscarriage or abortion; women who experience a full-term delivery will not have their fertility affected in any way.

What if I don’t want my baby?

This is a very difficult situation to be in and is, unfortunately, fairly common. A miscarriage can be an especially confusing time for a woman who does not want the child. This decision should not be made lightly and will affect the rest of your life. If you are in this position, you may want to get in contact with a counselor or clergy member to discuss these feelings before making any final decisions.

Your choices are fairly limited but there are a few options that may be available to you. You can choose to have the baby and then put it up for adoption, you can terminate the pregnancy by having a “late term” abortion or you can opt to not have the baby at all.

If you choose to have the baby and then put it up for adoption, there are many people who are willing to help you with this process. All you have to do is make a few phone calls. The adoption agency can usually assist you in finding a good home for your baby.

Some people choose to keep their children but give them up for adoption once they are born. There are also support groups that can help you deal with your feelings at this time.

Another option is a “late term” abortion. This procedure is usually performed between 16 and 20 weeks after the onset of your last menstrual period. This is extremely dangerous to your health and should only be considered as an absolute last resort.

There is also the risk of damage to or loss of the fetus during the operation.

Lastly, you can choose not have the baby at all. This is obviously the easiest way out of this extremely difficult situation. A medically supervised abortion may be possible if you have been previously pregnant but it must be performed before you are 16 weeks along.

Again, this is dangerous to your health and only should be considered as a last resort.

It is important to remember that you must always consider the well-being of your child before making this decision. No matter what you decide, try your best to move on with your life. This is for your health and happiness and that of your child.

Medical Care for Pregnant Women

Staying healthy is an important part of making sure your baby has the best chance at a good life. There are many things to think about and do while you are pregnant. The first thing to keep in mind is that you should try to get plenty of rest and avoid any type of stress whenever possible.

It may be easier said than done, but doing what you can will help your little one remain as healthy as possible.

Let’s talk about some of the things you can do to stay healthy while you are pregnant.

Eating Right

Eating a balanced diet is very important for yourself and your child. There are certain things that should be avoided altogether, and others that should only be eaten in moderation. It is best to stick to a diet as close to what your body normally requires as possible.

There are certain supplements that a doctor may tell you that you need to take. Some of these can only be obtained with a prescription from your physician. The most important supplement that your doctor may tell you that you need to take is folic acid.

It helps prevent certain birth defects and should be taken every day during your pregnancy. It is usually available at most drug stores and even some supermarkets.

There are some vitamins that should be taken during pregnancy as well. The most important one being Vitamin C. It helps to prevent things like bleeding in the lungs.

A lack of Vitamin C may also cause a baby to develop cleft palate or neural tube defects.

You should also get plenty of iron. This prevents anemia and other complications with your blood. This is especially important if you tend to bleed easily.

Many doctors will give their patients iron supplements to take along with increases in food that are high in iron content.

There are many things that you may not have known had iron in them. Some of these are:

•Beef

•Liver

•Green Leafy Vegetables

•Dried Peas and Beans

You should make it a habit to eat a well-balanced meal including all of the food groups. The more balanced your diet, the better off you and your baby will be.

Exercise

Being pregnant does not mean that you have to give up exercise all together. In fact, exercising during pregnancy has been proven to provide a number of benefits for mom and baby.

You should always talk to your doctor before starting or changing your exercise routine while pregnant. There are certain exercises that should be avoided and your doctor will let you know what they are.

Even walking can provide a lot of benefits during pregnancy. It helps to prevent excessive weight gain as well as Blood Pressure issues during your pregnancy. It also promotes circulation which decreases the risk of cramps and varicose veins.

Staying active can also help to ease the discomforts of pregnancy like back pain, leg cramps, insomnia and shortness of breath.

When you begin to feel uncomfortable you may choose to stop for a while and focus on your breathing. Deep breathing can help relax your muscles and ease the pain of some discomforts.

If you experience any bleeding or contractions, stop your activity immediately and contact your doctor.

Smoking

The effects of smoking are well known and they aren’t good.

Sources & references used in this article:

The significance of crown–rump length measurement for predicting adverse pregnancy outcome of threatened abortion by M Reljič – Ultrasound in Obstetrics and Gynecology: The Official …, 2001 – Wiley Online Library

Threatened miscarriage: evaluation and management by A Sotiriadis, S Papatheodorou, G Makrydimas – Bmj, 2004 – bmj.com

Threatened abortion: a risk factor for poor pregnancy outcome by TF DAVARI, M Shariat, M Kaveh, M Ebrahimi… – 2008 – sid.ir

Dydrogesterone in threatened abortion: pregnancy outcome by MH Omar, MK Mashita, PS Lim, MA Jamil – The Journal of steroid …, 2005 – Elsevier

Dydrogesterone support in threatened miscarriage by MY El-Zibdeh, LT Yousef – Maturitas, 2009 – Elsevier

The effect of progesterone suppositories on threatened abortion: a randomized clinical trial by F Yassaee, R Shekarriz-Foumani, S Afsari… – … of reproduction & …, 2014 – ncbi.nlm.nih.gov