Any unwanted, spontaneous pregnancy loss until the second trimester of pregnancy is considered a miscarriage. Once such an impulsive pregnancy loss occurs after approximately 23-24 weeks of gestation and it is considered a so-called intrauterine demise. One out of every three women age 18-45 has experienced a reproductive loss. Women experience miscarriage often receives no explanation for the cause of their miscarriage. The lack of advice regarding the future and what can be done to avoid another miscarriage is too often the case.
Some miscarriages occur before women recognize that they are pregnant. About 15% of fertilized eggs are lost before the egg even has a chance to implant in the wall of the uterus. A woman would not generally identify this type of miscarriage. Another 15% of conceptions are lost before eight weeks’ gestation.
Symptoms of Miscarriage: -
The warning sign of vaginal bleeding precedes nearly all miscarriages. Bleeding that signals a miscarriage may be little or heavy. It may be constant, or it may come and go. Bleeding may be followed by cramping abdominal pain and, in some women, lower backache. • Vaginal bleeding is the first miscarriage symptom associated with spontaneous abortion. Vaginal bleeding refers to the bleeding in or from the vagina. The vaginal bleeding may be heavy or light, regular or irregular. • Abdominal cramping, genitals, thighs, buttocks and lower back pain are the signs of miscarriage that usually occur soon after the vaginal bleeding commences. Unusual pain in the pelvic region is another miscarriage symptom. • Passage of tissue, resembling large thick blood clots in the earliest weeks up to pinkish/grayish material, with or without cramps or pain. • Other miscarriage symptoms include decreased breast tenderness, morning sickness, failure of fetal heartbeat, and no fetal movements. A sudden loss in the weight, dizziness, severe vomiting, painful contractions for five to twenty minutes are also miscarriage symptoms that give good indications of pregnancy loss.
Treatment for Miscarriage: -
• Many women are uncomfortable with the idea of surgery, and the side effects can potentially be dangerous, including a slight risk of uterine or cervical injury. Unless surgery is absolutely necessary, some women may want to seek alternative treatments. • Expectant Management involves waiting for a miscarriage to progress naturally while being regularly monitored by a health professional. For many women, the miscarriage process may naturally be completed within 72 hours. • Expectant management is usually recommended in cases of an uncomplicated miscarriage. The woman must have a stable blood pressure and heart rate and not be experiencing high levels of pain, fever or excessive bleeding. In some cases bleeding may last for weeks and result in an incomplete miscarriage. • Medical Management is usually offered to women who have experienced an incomplete miscarriage with no serious complications. Medication is prescribed to allow the uterus to push out all remaining tissue.
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