Miscarriage is called spontaneous abortionFetus and its membranes up to 20 weeks of pregnancy. Of course, miscarriage appears to be a catastrophe for a pregnant woman, but do not forget that a miscarriage at a very early age is usually an undeveloped pregnancy, no embryo or vices incompatible with the life of the fetus. And the body of a woman by miscarriage itself gets rid of non-viable fruits.
Therefore, if a miscarriage begins in the early term,Treatment for up to 12 weeks in order to maintain pregnancy in the world is not provided. But often a woman wants to keep a pregnancy and insists on treatment. In this case, she is necessarily warned about the possible risks of a child with developmental defects or genetic defects and prescribes treatment. And with signs of frozen pregnancy (absence of an embryo, after 7 weeks, stopping the growth of an embryo with control for 10 days, no heartbeats and fetal movements at 7-9 weeks of pregnancy on ultrasound), a medical abortion is shown.
The threat of spontaneous miscarriage
The most commonly diagnosed threatening miscarriage isUltrasound (segmental reduction of the walls of the uterus), and until the very miscarriage it does not reach. Such a clinic is associated with a shortage of progesterone in women and a contraction of the uterus and passes after appropriate treatment. Clinically, the threat of spontaneous miscarriage is manifested by pains in the lower abdomen, without bloody discharge.
The miscarriage often results in deathEmbryo, with bloody discharge of varying intensity, pain intensified, the cervical canal of the cervix dilates, and the neck itself shortens. Ultrasound reveals a partial detachment of the membranes of the fetal egg - less than 1/3, at which the viability of the fetus remains, and the bruise in the detachment does not grow in dynamics and does not continue to exfoliate the membranes. The contraction of the uterus is no longer segmental, but can capture most of the uterine wall and deform the fetal egg.
With timely treatment of miscarriage, you canBut it is possible that the problem is not only in hormonal imbalance, but in the fetus itself, and there is a risk of congenital malformations while maintaining such a pregnancy. Therefore, if pregnancy has been preserved, biochemical screening tests for chromosomal abnormalities in the fetus up to 12 and up to 14 weeks of gestation are additionally prescribed. Later these tests are not informative.
Miscarriage in the process can not be stopped and, as a rule,This is contraindicated, especially if the detachment of the membranes is already more than half the diameter of the fetal egg, there is no palpitations or movements of the embryo, the cervix is shortened, and the cervical canal is open, there are bloody or serous discharge, permanent cramping contractions of the uterus.
Early miscarriage and its consequences
Incomplete early miscarriage is characterized byBecause the amniotic fluid has moved away, the birth canal is open, the fetus or embryo has already been born, but the amniotic membranes or parts of them remain in the uterus. Incomplete miscarriage is diagnosed on ultrasound and a treatment is prescribed to remove the membranes: a conservative (uterine contracting means) or a curettage of the uterine cavity.
Complete early miscarriage is characterized bycomplete removal from the uterus and fetus, and all its membranes. Usually after a complete miscarriage, the uterus contracts itself or medically, if necessary, antibacterial agents are prescribed for the prevention of uterine infections. If a miscarriage occurred in the early stages of the house, and not in the hospital, it is necessary to undergo an ultrasound examination to make sure that there are no parts of the fetus and its membranes in the uterine cavity.
If the first time there was a miscarriage at an early date,the consequences for subsequent pregnancies will not necessarily be negative. It is just necessary to pass the examination for torch infection, an examination with a geneticist and abstain from pregnancy within six months.
Preventive maintenance of an abortion on early terms: avoid physical and mental stress, infectious diseases, timely pass all necessary examinations recommended by a gynecologist, do not do abortions.