"Irrecoverable loss": miscarriage - causes and psychology
Often female, getting pregnant, it happens not in condition at once recognize his position and her organism rejects fetus in the first 2—3 weeks pregnancy. But happen and situations, when unborn child dies in womb mothers already on the more late timing (before 22 weeks), what strong affects on the psychological condition. Before than to plan new pregnancy, necessary sort out what is the true cause miscarriage and as prevent his in the future.
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Why does a miscarriage occur?
The unhealthy lifestyle of failed parents is not always the cause of a miscarriage or a frozen pregnancy. The correct development of the fetus depends on many factors, and if a couple has lost their long-awaited child, this does not mean at all that in the future they will not be able to conceive a healthy baby. First, you should visit specialists, pass the necessary tests and understand the reasons for the tragic event, and then plan the birth of a baby.
More often Total miscarriage happens on the early term — in the first 12 weeks pregnancy. The main the reasons:
- Genetic malfunction, often hereditary. In the first weeks of pregnancy, all the most important organs of the fetus develop, if in the process there is a change in the structure of the chromosomes of the parents (chromosomal mutation), the woman's body will reject the non-viable fetus, carrying out the so-called natural selection. It is almost impossible to influence the genetic failure in any way, because it does not happen for reasons beyond the control of a person (radiation emissions, the influence of viruses, work in hazardous industries), but you can minimize the risks of miscarriage and prevent it even before conception.
- Hormonal causes. If the expectant mother detects a lack of the hormone progesterone or an excess of the male hormone, then the likelihood of miscarriage increases significantly, most likely it will occur in the first weeks of pregnancy. To prevent this from happening, a woman is prescribed a special hormonal therapy at the planning stage, which must be adhered to up to 16 weeks of pregnancy.
- Causes associated with the conflict of Rh factors. Even at the planning stage, expectant parents must take a blood test to find out their compatibility. If the fetus inherits a positive Rh from the father with a negative Rh from the mother, the female body will simply reject it as something alien.
- Sexually transmitted diseases. If one of the parents is infected with chlamydia, toxoplasmosis, syphilis or other diseases, the fetus will gradually become infected with pathogenic microorganisms, as a result of which a miscarriage or a frozen pregnancy will occur.
- The ailments that the mother suffers from are thyroid diseases, some forms of diabetes mellitus, heart disease, problems with the immune system.
- One or more abortions are very stressful for the body and often cause inflammation and infertility.
- Medicines and herbs, use which can provoke development pathology fetus or spontaneous his rejection.
- Stress, wrong lifestyle - malnutrition, smoking, alcohol.
- Taking a hot bath.
Signs of a miscarriage
Specialists distinguish several types of miscarriage:
- The condition with the threat of miscarriage is characterized by a small discharge of blood from the uterus, uterine contraction and pain in the lower abdomen. With timely medical intervention, pregnancy can be saved.
- With a full onset of miscarriage, uterine hemorrhage increases and it can no longer be stopped, severe pains in the lower back and in the abdomen appear. At the same time, the cervix opens and rejects the fetus.
- A failed abortion is a situation where the fetus dies but remains in the uterus.
- Repeated miscarriage is called abortion more than three times in a row.
If the following symptoms appear, you should urgently seek help from your doctor:
- All sorts of vaginal discharge - blood clots or bleeding. Such symptoms may not always mean that a miscarriage has begun, but they cannot be ignored. In this case, the obstetrician-gynecologist examines the tests, prescribes an ultrasound scan and conducts a personal examination.
- Sudden severe muscle cramps can be another sign of problems with pregnancy.
- Painful cramps in the lower abdomen, discomfort, intense pain in the lower back are also warning signs. Do not take medications without consulting a specialist.
- A miscarriage accompanied by the manifestation of infections is called septic. If a woman feels chills, fever, while her lower abdomen hurts and blood clots with an unpleasant odor are released, she needs urgent hospitalization.
Early miscarriage
An early miscarriage, unfortunately, is a very common phenomenon today. If you have already learned about your situation, you should better listen to your body. Any pain or discharge from the vagina is a reason to contact a medical facility. The doctor may suggest that the patient go to the hospital for preservation, it is necessary to give up all affairs for the sake of the baby's life.
The first stage of an incipient miscarriage is characterized by aching pains, contraction (tension) of the uterus. In this situation, all is not lost. If, with the threat of miscarriage, in time to take action and start treatment, there is a high probability that the child will be delivered before the due date. With a lack of progesterone, the patient is prescribed hormonal therapy, with bleeding - hemostatic drugs, with infection of the ovum, anti-inflammatory drugs are given.
During treatment, the following precautions must be observed:
- First of all, this is bed rest, it is desirable that the pelvis is in a raised position at the same time, this will reduce the load.
- The second rule is the observance of complete sexual rest.
- Thirdly, the patient should not be worried and worried, so as not to aggravate his situation.
When the miscarriage has passed into the second stage, the bleeding has intensified, and the pain does not stop, the possibility of outpatient treatment disappears, the woman is put on inpatient treatment, numerous injections and droppers are made, constantly monitoring the condition of the fetus.
Late miscarriage
Unfortunately, late miscarriage is a fairly common problem. In Russia, obstetricians-gynecologists consider late miscarriage untimely termination of pregnancy without outside help in the period from 12 to 22 weeks, after this period there is a possibility that the child can be saved and "left".
Factors affecting late termination of pregnancy:
- Uterine abnormalities - abnormal shape at birth (bicornuate uterus) or an acquired problem (development of fibroids).
- A malfunction in the genetics of the parents can also cause a miscarriage after 22 weeks, but often it is not associated with heredity, but with the influence of the environment or the wrong lifestyle of the mother.
- Isthmico-cervical insufficiency (ICI) is an untimely shortening of the cervix, as a result of which its disclosure can occur.
- Placental abruption.
- Development of infections and inflammation in the uterus.
- Falls, strong physical exertion.
How to survive a miscarriage
About half of women experience the loss of an unborn child at least once in their lives. Each of them has questions "Why?", "Why?" and "How to live after this?" Recovering from a miscarriage is not an easy task, requiring huge mental costs. What do psychologists advise in this situation?
- Realize that this is not always the fault of the parents, because chromosomal changes are the main causes of miscarriage. Many women blame themselves for the loss of a baby, perhaps there is a logical explanation for this. But be that as it may, first of all, forgive yourself.
- Try to find out the true reasons for what happened. Pass all the necessary tests for infections and hormones, conduct research on the genetic compatibility of the spouses, consult with several specialists. This is the only way you can minimize the risk of subsequent miscarriages.
- Get as much rest as possible. You have undergone a serious psychological and physical challenge. If there is an opportunity to go on vacation, be sure to use it.
- Understand that everything comes to an end one day, and so does your grief. Work on yourself every minute, repeating that you can cope, how you have come to terms with the loss of a thousand other women.
- Observe your psychological state, every day noting changes for the better, achievements, plans and goals.
- At the first thoughts of suicide, obsessive restlessness, hallucinations, immediately seek help from a specialist.
Pregnancy after miscarriage
Physiologically, pregnancy after a miscarriage can occur within a month. However, doctors recommend that a woman postpone this issue for at least six months or a year in order to be able to recover psychologically and physically, because every time after termination of pregnancy, the ability to bear and give birth to a healthy baby will decrease.
Indications for which the expectant mother should be examined at the planning stage:
- age from 35 years;
- history of abortion;
- infertility treatment;
- threatened miscarriage or miscarriage in previous pregnancies.
During pregnancy planning:
- Give up bad habits - alcohol and tobacco products can degrade the quality of the genetic material, as well as, if possible, from taking potent drugs.
- Eliminate stressful situations from your life, normalize your emotional state.
- Intense physical activity during this period is prohibited.
- Eat healthy, take vitamins and folic acid under the supervision of a doctor.
- Limit contact with viral and infectious patients.