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<h1><strong>Miscarriage</strong></h1>

Miscarriage

Loss of a pregnancy before the 20th week is termed miscarriage. Affecting 10-15% of confirmed pregnancies, it often occurs due to natural causes like chromosomal abnormalities, hormonal imbalances, or maternal health issues.

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Miscarriage symptoms

Recognizing miscarriage symptoms is crucial. Common signs include vaginal bleeding, cramps, blood clots, and reduced pregnancy symptoms like nausea or breast tenderness.

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Signs of an Early Miscarriage: 

Here are some of the signs of early miscarriage to watch for:

  • Vaginal bleeding: This may range from light spotting to heavy bleeding.
  • Abdominal cramps: These feel similar to menstrual cramps.
  • Blood clots: Passage of tissue or blood clot similar to periods.
  • Back pain: Persistent back pain or pelvic pressure can also indicate a miscarriage.


Threatened miscarriage

A threatened miscarriage or threatened abortion refers to symptoms that suggest a possible pregnancy loss but that's not the case necessarily. These may include vaginal bleeding or mild abdominal cramps during early pregnancy. Despite these symptoms, the foetus often remains viable, and timely medical care can help manage the situation.

Missed abortion vs threatened abortion

A missed abortion happens when the foetus stops developing without symptoms like bleeding or cramping appearing immediately. On the other hand, a threatened abortion involves signs like vaginal bleeding or abdominal cramps. Despite these symptoms, the pregnancy remains viable and may continue with proper care.

Reasons for miscarriage 

Miscarriages can occur for various reasons including chromosomal abnormalities, maternal health issues, uterine problems, infections, dietary concerns and lifestyle factors.

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Chromosomal abnormalities

Chromosomal abnormalities, often out of the parent's control, account for up to 50-60% of cases. These occur when the foetus has an incorrect number of chromosomes, leading to developmental issues.

Mother's Health

Maternal health conditions like diabetes, thyroid disorders, and hormonal imbalances can increase the risk of miscarriage. Uterine issues such as fibroids or structural abnormalities can also hinder fetal development.

Foods

Certain foods such as unripe papaya and pineapple, and excessive consumption of herbs such as fenugreek or asafoetida may trigger uterine contractions or hormonal changes. Always consult your doctor about safe dietary choices.

What does not cause a miscarriage?

Many women worry about everyday activities or habits leading to miscarriage, but it’s important to separate facts from myths. Here are some common misconceptions clarified:

  1. Exercise: Light to moderate physical activity is generally safe and does not cause miscarriage.
  2. Foods: Most everyday foods, when eaten in moderation, are safe for pregnancy and unlikely to cause harm.
  3. Sex: Sexual activities, including orgasms, do not lead to miscarriage.

Top tips to handle, prevent & overcome miscarriage

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First 6 months

Give your baby the best nutrition by breastfeeding exclusively during the first six months

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Postpartum care

Schedule a follow-up visit to monitor your vitals, wound care, exercises and diet guidance

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Early warning

Spotting or bleeding can be an early sign of miscarriage, watch out for signs to seek help

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Rest up

Catch up on sleep and get as much rest as you can when your baby is sleeping 

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Doctor’s guidance

During any bleeding episodes or medicine intake always follow your doctor's guidance. 

Miscarriage bleeding

Miscarriage bleeding varies based on your pregnancy stage. It may begin as spotting and progress to heavier miscarriage blood with clots. Always consult your doctor if in doubt.

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Precautions 

Taking the right precautions during early pregnancy can significantly reduce the risk of miscarriage. Here are some key steps to follow for a safe and healthy pregnancy:

  • Follow a balanced diet rich in folic acid, iron, and calcium.
  • Avoid smoking, alcohol, and excessive caffeine.
  • Stay hydrated and maintain a healthy lifestyle.
  • Avoid heavy lifting or strenuous physical activity.
  • Manage stress with relaxation techniques like yoga or meditation.
  • Regularly consult your doctor for prenatal care.

Medication

If you are concerned about miscarriage, it’s important to consult your doctor for personalised advice. They may recommend:

  • Progesterone supplements to support the pregnancy, especially if you have a history of hormonal imbalance.
  • Low-dose aspirin to improve blood flow to the placenta in cases of recurrent miscarriages.
  • Medications for underlying conditions like thyroid imbalances or diabetes.
  • Folic acid and prenatal vitamins to enhance overall pregnancy health.

Dilation and curettage procedure

The D&C procedure for miscarriage is performed to remove pregnancy tissue and clean the uterus. Bleeding typically lasts 1-2 weeks after the procedure, though it may vary. To support recovery, focus on rest, hydration, and a healthy diet. 

Risk of miscarriage 

Miscarriage risk is highest in the first 8 weeks. After detecting a fetal heartbeat, the risk drops significantly and decreases further after 12 weeks.

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Karyotyping test

It is a genetic screening used to identify chromosomal abnormalities. It is especially recommended after recurrent miscarriages to determine if genetic issues are involved.

Pregnancy After Miscarriage

For most women, with proper care and guidance, pregnancy after miscarriage is still possible. Here's what you need to know:

  • Your period after miscarriage typically returns within 4-6 weeks, indicating your body is ready to conceive again.
  • Maintaining a healthy lifestyle and managing stress is key to a successful pregnancy.
  • Consult a doctor for personalised advice after a miscarriage.

FAQs

What is the most common week to miscarry?

Most miscarriages occur within the first 8–10 weeks of pregnancy, during the critical period when the baby’s organs are developing. Many of these are due to chromosomal abnormalities that prevent proper development.

How to decrease the chances of miscarriage?

To lower the risk of miscarriage, focus on prenatal care, a balanced diet, and avoiding smoking, alcohol, and excessive caffeine. Regular medical check-ups and managing chronic conditions can also help ensure a healthy pregnancy.

How can I confirm a miscarriage at home?

Heavy bleeding with clots, severe cramping, and the loss of pregnancy symptoms may indicate a miscarriage. However, only a doctor can confirm it through medical tests or an ultrasound. So seeking medical advice is essential.

Why wait 3 months after a miscarriage before trying to get pregnant again?

Waiting three months after a miscarriage allows your body to recover fully and ensures your uterine lining is healthy. It also provides time to address any health concerns and prepare emotionally for a new pregnancy.

When is it safe to announce my pregnancy?

Most people wait until after the 12-week mark, as the risk of miscarriage decreases significantly by then. This timing also allows for initial medical tests and greater confidence in sharing the news.