What does an early miscarriage look like: the difference from the next menstruation. Miscarriage in early pregnancy: what to do

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Pregnancy is a wonderful period in a woman's life. But not always she is destined to end with the birth of a child. Sometimes the body itself decides to expel the emerging life from the female womb. In most cases, miscarriage occurs at the very beginning of pregnancy - in the first trimester. But why and how does a miscarriage occur? There are many reasons - from bad habits of the mother to chromosomal pathologies in the fetus.

According to statistics, every fifth pregnancy ends in spontaneous abortion. To avoid this, a woman should know the symptoms and signs of a miscarriage, as well as what to do if she finds herself in a similar situation.

How does pathology develop?

How a miscarriage occurs is a question that worries every woman who is faced with the threat of abortion. The body rejects the fetus as a result of the influence of negative factors. It is excreted from the uterus either completely, which is typical for the first weeks of pregnancy, or partially. Often, women completely overlooked the symptoms of a miscarriage, not noticing their condition.

Depending on the cause, for example, the presence of an acute infectious and inflammatory process in the body (flu, rubella, etc.), the immune system begins to show aggression towards a developing pregnancy, as a result of which a miscarriage may occur. The formation of the connection between the mother and the unborn child is disrupted, it ceases to function, the fetus is deprived of support and nutrition.

As a result, the fetal egg is torn away from the uterine mucosa and leaves it along with bleeding. Depending on the mechanism of development of a miscarriage, experts determine its causes.

Types of miscarriages

Consider the main ones:

• Incomplete miscarriage , also called inevitable. In this case, the woman notes pain in the sacrum and in the lower abdomen, which is accompanied by bleeding and dilation of the cervix. If we are talking about an inevitable miscarriage, then in this case there was a rupture of the membranes. For an incomplete miscarriage, the symptoms of pain and spotting are constant.
• Complete miscarriage means that the fetal egg or fetus is completely expelled from the uterine cavity. In such a situation, bleeding may stop on its own, like other symptoms.
• Missed miscarriage . The embryo or fetus dies, but remains in the uterine cavity. Usually this condition is called missed pregnancy, and it is discovered by chance during a routine ultrasound examination or examination by a gynecologist.
• Anembryony . Despite the fusion of the germ cells of a man and a woman, the fetus does not begin its development in the uterus. In this condition, signs of pregnancy can be noted and even the gestational sac and corpus luteum can be diagnosed by ultrasound, but the child is absent in it, curettage is necessary, as after a miscarriage.
• Repeated miscarriage is diagnosed in a woman if she had at least three spontaneous abortions one after another. This violation occurs rarely, no more than 1% of families. Usually it is included in the group of consequences after a miscarriage.
• chorionadenoma . This violation is also preceded by fertilization, but during it, the chromosomal information breaks down, and instead of the embryo, tissues develop in the uterus, which eventually grow and increase in volume. Pathology may end spontaneously as a miscarriage, or cleaning of the uterine cavity will be required.

Causes

About 20% of pregnancies end in miscarriage. Most often, this happens at a time when the woman herself does not yet know about her position. But this can also happen with those who planned pregnancy and managed to rejoice at its onset. Why is this happening?

The causes of miscarriage in early pregnancy (mainly before 12 weeks, since it is the first trimester that is the decisive link in this matter) will be as follows:

• Chromosomal problems in the fetus . Experts believe that approximately 73% of pregnancies are terminated solely due to genetic disorders. At the same time, chromosomal mutations are not always inherited at the genetic level; negative environmental factors, such as radiation, viruses, and much more, can influence their occurrence. It is believed that in this case, the pregnancy is terminated according to the type of natural selection, that is, initially such an embryo is not viable. Therefore, we are talking about such a condition as a micro-miscarriage, which occurs much earlier than at 12 weeks of gestation. Many women do not even know that they were pregnant, perceiving unexpectedly heavy periods for menstrual irregularities.
• Hormonal disorders . Fluctuations in the hormonal background in the early stages of pregnancy often lead to its interruption. Usually the culprit is progesterone - a hormone aimed at supporting pregnancy. If the problem is detected in time, then the fetus can be saved. Also, an excess of male hormones - androgens, which inhibit the synthesis of progesterone and estrogen, can also provoke a spontaneous abortion. This usually results in multiple recurring miscarriages.
• Immunological problems . Most often occur in the blood of the mother and fetus. In this case, the child inherits the father's Rh factor with a "+" sign, while the mother's Rh factor is "-". The immune system of a woman perceives a positive Rhesus embryo for foreign bodies, starting an active fight against them.
• infections . The causative agents of cytomegalovirus, herpes, chlamydia and other pathogenic bacteria and viruses infect the fetal membranes and the fetus itself in the uterine cavity, causing a miscarriage. To avoid this, you need to prepare for pregnancy and treat any infectious and inflammatory processes in the body in time. Common infectious diseases are also fraught with a threat to the development of the fetus, these include influenza, rubella, etc. All these diseases occur with intoxication of the woman's body and a strong increase in body temperature, which can cause spontaneous abortion.
• Past abortions . This is not just a medical procedure to remove the fetus and membranes from the uterus. It is also a serious stress for a woman's body, which can give complications. For example, a dysfunctional disorder of the ovaries, changes in the functions of the adrenal glands, inflammation in the reproductive system. In the future, all this leads to infertility and problems with bearing subsequent pregnancies.
• Taking medicines and medicinal plants . Almost all pills and other drugs in the first trimester are dangerous, as the fetus is actively forming. Most drugs provoke malformations of the fetus or disrupt the formation of the placenta, all of which can lead to spontaneous abortion. Pills, due to which it can be, for example, at week 12 - hormonal drugs, narcotic analgesics, etc. Not only the medicine can cause a miscarriage, but also some medicinal herbs, quite harmless at first glance mint, parsley, nettle, tansy and much more.
• Stress . Any mental shock is dangerous for pregnancy. If it was not possible to avoid stress, it is important to seek help from a specialist in order to prevent the possibility of a miscarriage.
• Bad habits . Alcohol abuse, smoking, drug addiction can cause early pregnancy termination. If a woman wants to give birth to a healthy and strong child, she must give up addictions at the stage of conception planning and ask her partner about it.
• Excessive exercise . Violent sexual intercourse, falling, lifting weights sometimes become a trigger for a miscarriage. Pregnancy is a time when you need to take care of your own health as much as possible.

Symptoms

What are the symptoms of a miscarriage? The first symptom is abdominal pain, which is soon followed by spotting. Painful sensations are not always localized in the lower abdomen, many women note that it gives off most intensively to the sacrum.

Discharge from the genital tract can be different, varying in color and intensity. But their detection, in any case, requires a doctor's consultation. Smearing weak discharge may indicate a threat of miscarriage and the possibility of saving the pregnancy. Abundant uterine bleeding, especially with tissue particles and clots, speaks for itself - the fetus is dead, and cleaning is needed after a miscarriage.

These signs are typical for any period of pregnancy, so it doesn’t matter what week they appeared. It is more important to know what symptoms are characteristic of the loss of a child, and what measures should be taken in this situation.

There are 4 stages of miscarriage, let's look at them briefly:

1. threatened miscarriage . The woman complains of pain in the lower back and lower abdomen. There may be slight spotting from the vagina. In this case, the pregnancy can still be saved.
2. Started miscarriage . The pain grows and becomes like contractions. The divisions are intensifying. There is weakness and dizziness. The chances of saving the fetus are minimal.
3. Miscarriage in progress . The pain intensifies, the bleeding is significant. Fetal death at this stage is obvious. The fetus may leave the uterus with bloody discharge completely, or cleaning will be required after a miscarriage.
4. Completed miscarriage . The fetus and its membranes are expelled, there is a contraction of the uterus after a miscarriage. The bleeding stops. It is necessary to conduct an ultrasound to determine the condition of the uterus and the presence of remnants of the fetal egg.

At what time does a miscarriage occur?

Usually pregnancy is terminated in the first trimester due to the fact that the fetus is not viable. More often this happens during the period of the expected onset of menstruation, and then the woman may not even know that she was pregnant. If this happened later, the fetal egg rarely comes out completely, vacuum cleaning of the uterus after a miscarriage is necessary.

Much less often, pregnancy is interrupted in the second trimester. This condition is called a late miscarriage.

Diagnostics

Diagnosis of miscarriage for a specialist is not difficult. The doctor examines the patient on a gynecological chair, determining the correspondence of the size of the uterus to the gestational age, the presence of tone, the condition of the cervix and the nature of the discharge. For the final assessment of the woman's condition, an ultrasound is prescribed. With its help, the specialist sees the localization of the fetal egg, the presence of detachment or its complete absence.

Based on the diagnostic examination, the subsequent tactics of therapeutic actions are decided. If the pregnancy can be saved, the woman is referred to a hospital. If we are talking about the death of the fetus, the patient needs cleaning after a miscarriage and treatment.

Is it possible to independently determine that there was a miscarriage?

Self-determine that a miscarriage is occurring , it is difficult if the gestational age is short and the woman did not know anything about her; it is another matter if the spontaneous abortion occurred later, for example, at 12 weeks. In this case, the woman simply will not be able to miss the symptoms associated with the death and expulsion of the fetus. This situation requires a mandatory visit to the doctor, as cleaning will be required after a miscarriage.

Therapy

Therapeutic measures are completely dependent on the results of ultrasound and the clinical manifestations of the pathology. With a threatening and incipient miscarriage, a woman is prescribed treatment aimed at maintaining the pregnancy.

If the fetal egg exfoliates and bleeding begins, then the pregnancy has already terminated, and cleaning or scraping is necessary after a miscarriage.

With a miscarriage at a later date, for example, at 28 weeks, funds are needed to reduce the uterus and artificially induce contractions (Oxytocin). After the expulsion of the fetus, so that the uterus contracts better and the bleeding decreases, an ice pack is placed on the woman's stomach.

Treatment after a miscarriage does not end there. A woman should undergo an examination to find out the cause of spontaneous abortion: pelvic ultrasound, diagnosis of infections, hormones, cytogenetic examination of the fetal egg, etc. For up to 6 months, a woman is prescribed oral contraceptives to restore the reproductive system and prevent unwanted pregnancy, since sex is soon after a miscarriage may lead to reoccurrence. The body needs time to heal.

Complications after a miscarriage

Complications after a miscarriage are often associated with the fact that the situation can repeat itself. Therefore, it is important to go through rehabilitation and find out why the failure occurred and when it is possible to become pregnant again.

If treatment after a miscarriage is ineffective, a woman may experience the following complications:

• the development of inflammation in the organs of the reproductive system, followed by a chronic process in endometritis, salpingo-oophoritis, adhesions, etc.;
• hormonal disorders;
• problems with conception and secondary infertility.

In addition, frequent consequences after a miscarriage - severe stress, depression, psychological experiences of a failed mother.

Prevention

It is impossible to prevent a miscarriage at 12 or any other week of pregnancy due to genetic factors - it is impossible to influence genetics. But every woman who wants to have children can adjust her lifestyle, take care of her health.

So, how to minimize the likelihood of miscarriage and complications after it:

• plan pregnancy in advance, while adjusting nutrition, give up bad habits, undergo examinations and treatment;
• after the onset of pregnancy, direct all efforts to preserve it, for example, put it in a timely manner if there is a threat of miscarriage;
• avoid stress, physical and psycho-emotional overwork, visit a gynecologist on time.

Since complications after a miscarriage can be serious, it is recommended to plan a new pregnancy six months after the failure. At this time, doctors advise using hormonal contraceptives, in which the body recovers faster.

According to statistics, sex after a miscarriage on the twelfth day of the cycle can lead to a new pregnancy. Some women take advantage of this, wanting to quickly forget a failed pregnancy. Thus, they expose themselves to a new blow, because a weakened body can again reject the fetus. Do not rush, only time and effort will help set up the reproductive system to expect a child.

Useful video about early miscarriage

Instruction

First of all, vaginal discharge in the form of pink mucus or a large amount of light liquid can indicate the likelihood of a miscarriage. Also, a woman may notice spotting, which is accompanied by painful sensations (pain is not required). The amount of blood in this case varies from a couple of drops to massive bleeding. In the first cases, you should not panic - you just need to urgently see a doctor to stabilize the condition, but when bleeding, you need to call an ambulance, because it threatens both the life of the child and the life of the mother.

Bleeding with severe spasms is especially dangerous - they may indicate the onset of labor activity (at later stages of pregnancy) and an increased tone of the uterus, which can literally push the fetus out of the woman's body. If a miscarriage occurs in the early stages of pregnancy, it can be determined by the presence of a light pink blood clot or a gray tissue clot in the discharge. At the same time, spontaneous abortion at the very beginning of pregnancy is often confused with women who have come.

If you find yourself with the above symptoms of an impending miscarriage, you need to take "No-shpu", which will reduce the increased tone of the uterus, and go to bed, after calling an ambulance. It is strictly forbidden to strain and move - otherwise the chances of maintaining a pregnancy are significantly reduced. If cramping pains are present, it is necessary to measure their interval - in preterm labor, they occur every 5-10 minutes or more often.

If there is no pain, but there is suspicious discharge, an ultrasound examination should be done, with the help of which the doctor will determine the presence or absence of a heartbeat in the embryo. If the fetus is alive, the woman will be referred to the pregnancy pathology department, where she will receive the necessary medication, which can last from several weeks to several months. Also, a miscarriage can be prevented by suturing the cervix - with it, the woman passes until the very birth and successfully conveys her baby.

note

Many women with unusual discharge early in pregnancy have healthy, full-term babies. But in no case should such a symptom be ignored.

Helpful advice

Even with the onset of labor activity, doctors who arrived on time manage to stop the miscarriage and save the fetus.

A miscarriage is the termination of a pregnancy in the absence of intentional intervention. It occurs up to 22 weeks. Approximately 15% of pregnancies end in miscarriage.

Instruction

Alarm number one is uterine bleeding of varying intensity. At first, blood can come out in small amounts with vaginal discharge, then gradually the bleeding increases. In this case, characteristic pains in the lower abdomen are possible.

Such bleeding with pain can last more than one day, and can also disappear and resume. If pieces of tissue can be identified among the bloody discharge, the miscarriage has occurred one hundred percent.

Excretion from the body of the fetus most often occurs in parts, because it is already dead. In more rare cases, it comes out entirely, in the form of a rounded bubble of a grayish tint. After a spontaneous abortion, bleeding may continue for several days.

Not all women know that there is a chance to prevent a miscarriage. As soon as cramping pains and spotting of any intensity begin, the woman feels weak and dizzy. These signs cannot be ignored, it is necessary to consult a doctor.

In this article:

Pregnancy, if desired, is wonderful. But not all pregnancies end as planned. Sometimes the body of the expectant mother independently decides to reject a new life, and this usually happens in the first weeks after conception, that is, a miscarriage occurs in the early stages.

According to statistics, this is observed in 20% of women, while many of them did not even know that they were in a position. From a medical point of view, this is a spontaneous abortion before the onset of 22 weeks. After this period, we are no longer talking about a miscarriage, but about, since starting from the 22nd week the child has a high chance of being born viable.

Probability of miscarriage by week

There are critical periods of pregnancy when its further bearing is threatened. And the most vulnerable in this respect is the first trimester.

2-3 weeks

At this time, the implantation of the embryo occurs, and factors such as fibroids, a scar or trauma to the mucous membrane (after an abortion,), anomalies in the structure of the uterus, as well as the severe psycho-emotional state of a woman, can interfere with this.

A miscarriage in early pregnancy occurs if the fertilized egg fails to attach. It looks like a heavy period. The woman in this case does not even know that there was a pregnancy, taking the bleeding for the next menstruation.

4-6 weeks

At this time, the fetus is most vulnerable, it is now that all malformations (heart disease, cleft lip) are formed, which may be incompatible with life.

8-12 weeks

At this stage, active development affects, and it is possible that anomalies in its structure or localization may occur. Also at this time, a miscarriage can occur due to hormonal disorders in the woman's body, in particular, progesterone deficiency.

Causes

Consider the main causes of miscarriage in the early stages.

Genetic disorders in the fetus

According to statistics, 73% of early miscarriages occur for this reason. In most cases, we are not talking about a hereditary problem, but about single gene mutations that arose by chance as a result of the influence of negative factors, such as infections, alcohol.

That is, the pregnancy was initially pathological, and the body itself refused it - there was a so-called natural selection. A miscarriage at such an early date does without cleaning and occurs on the days when menstruation should begin, or with a slight delay.

A woman may note that the discharge this month turned out to be more abundant and painful. Less often, the pregnancy is terminated later, and then the genetic abnormalities of the fetus are diagnosed using a histological examination after curettage of the uterus.

Hormonal disorders

The disturbed balance of hormones in the body increases the likelihood of miscarriage in the early stages. As a rule, pregnancy is terminated due to a lack of progesterone. If you detect a problem in advance, you can save the pregnancy with conservative therapy.

Immunological causes

This is most often seen with . If the mother's blood has a negative Rh factor, and the fetus inherits an Rh-positive protein from the father, the mother's body will reject the embryonic tissues at the immune level.

To prevent the immunological causes of miscarriage in Rhesus conflict, specific therapy is used, including progesterone preparations that can protect the fetus.

Sexual infections

These diseases are also an explanation of why a miscarriage occurs in the early stages. Chlamydia, toxoplasmosis, gonorrhea, and other STDs often cause abortion in the first trimester. Pathogenic flora causes damage to the membranes, infects the fetus itself, as a result of which a miscarriage begins.

To exclude this, it is important to identify and treat any infectious pathologies of the genital area even at the stage of pregnancy planning.

Common infections

Any diseases that occur with signs of intoxication of the body, for example, with an increase in body temperature above 38 ° C, can be the causes of miscarriage in early pregnancy. The leading positions in the list of these infections are assigned to influenza, rubella, chickenpox and viral hepatitis. Even a common sore throat often causes fetal death before the 10th week of gestation, the situation looks worse with pneumonia, appendicitis and pyelonephritis.

Therefore, when planning a pregnancy, you need to remember about a preliminary medical examination, which will help detect foci of infection in the body.

abortion

A large number of women at various stages of their lives resorted to this procedure for one reason or another. For many failed mothers, abortion seems like a simple manipulation, during which the doctor simply removes the contents of the uterus along with the unwanted fetus. But in reality, everything is much more complicated.

Abortion is always a deep stress for a woman's body, which can later cause dysfunctional disorders of the reproductive system, problems with the adrenal glands and ovaries, inflammation in the pelvic organs, ending in an adhesive process and subsequent infertility.

Due to the negative consequences that abortion causes, a woman may experience recurrent miscarriage, which explains why miscarriages occur in the early stages.

Medicines and herbal preparations

In the first 12 weeks of pregnancy, it is better not to take any drugs and herbs at all. Most of them, especially with uncontrolled use, can terminate a pregnancy or provoke the development of defects in an unborn child.

The most dangerous are antibiotics, hormonal drugs, some analgesics and an overwhelming number of plants, even harmless chamomile and parsley are not indicated for internal use in the first trimester.

Many medicinal plants are used in folk recipes that tell women who do not want to keep their pregnancy how to have an early miscarriage.

Stress, nervous shock

Deep nervous shock, prolonged stress, sudden mental shock are dangerous during pregnancy. So that the situation does not end in a miscarriage, the expectant mother needs to pull herself together and discuss with the doctor the possibility of using sedative drugs.

Unhealthy Lifestyle

Habits such as smoking, alcohol and drug use, uncontrolled coffee addiction, dieting and fasting, and simply poor nutrition can lead to miscarriage symptoms in early pregnancy.

It is recommended to correct your habitual lifestyle at the stage of pregnancy planning.

Carrying weights, falls, violent sex life

These factors, although very rare, can cause spontaneous abortion. To prevent this from happening, it is important to take care of yourself from the first days, as it became known about pregnancy.

Symptoms

Most often, a woman is told about a threatened or incipient miscarriage by pain localized in the abdomen and vaginal bleeding. Pain may radiate to the lower back. Bloody discharge from the genital tract comes in different shades and intensities, but their appearance in any form should be a mandatory reason for an urgent consultation with a doctor.

Minor discharge often means that the pregnancy can still be maintained. Abundant bleeding, especially with clots and pieces of tissue, indicates that the pregnancy has already been terminated. Usually, these symptoms of an early miscarriage are accompanied by increased uterine tone, which causes discomfort and pain in a woman.

Sometimes the above symptoms occur in the first trimester, but the pregnancy is not interrupted, and the woman continues to bear it further under the close supervision of a gynecologist and a “threatened miscarriage” mark in the outpatient card.

Regardless of the gestational age - both in the fifth and in the twentieth week, the signs of termination of pregnancy are similar. Therefore, you need to know how they manifest themselves in order to take action in time.

stages

Spontaneous abortion occurs in several stages.

Stage one - threatened miscarriage

Signs of an early miscarriage are characterized by aching pain in the lower back and lower abdomen. Sometimes there are minor spotting from the genital tract.

These symptoms require immediate treatment, as the first stage of pregnancy can almost always be maintained.

The second stage - the onset of a miscarriage

Pain becomes more intense, takes on a cramping character, localized in the region of the sacrum and abdomen. Bloody discharge intensifies, especially with the physical activity of a woman. There is a feeling of weakness, dizziness.

Third stage - miscarriage in progress

Pain in the abdomen and lower back becomes sharp. The bleeding is significant. The fetus at this stage is already dead, the pregnancy cannot be saved. The fetal egg can partially leave the uterus along with bleeding (in this case, they speak of an incomplete miscarriage) or come out completely.

Fourth stage - completed miscarriage

At the fourth stage, the fetus is completely expelled from the uterine cavity. The organ is reduced, its size returns to normal. Bleeding after an early miscarriage stops. It is necessary to find out with the help of ultrasound whether there are any remains of the fetus and membranes in the uterus.

What happens after a miscarriage

If there is a suspicion of spontaneous abortion, a woman should contact a medical institution. Only a specialist can say with certainty whether a miscarriage has occurred or not. Usually, for this purpose, an ultrasound scan and a blood test for hCG, the pregnancy hormone, are performed.

If there is no fetal egg in the uterus, and the results of hCG are unsatisfactory, then there is no pregnancy. A woman should consult a gynecologist. The doctor will help to find out the cause of the miscarriage and give recommendations on how to proceed.

Complications

Most women who have had a miscarriage feel well. But in 10% of cases, there may be complications, such as abdominal pain and bleeding of varying intensity.

Seek immediate medical attention if after miscarriage in early pregnancy experienced the following symptoms:

• massive bleeding;
• sharp pains in the abdomen;
• convulsions, high fever;
• frequent heartbeat;
• nausea, vomiting.

Curettage of the uterine cavity

Cleaning, or curettage of the uterus, is carried out in order to eliminate the remnants of the membranes and the fetus. This is a surgical procedure performed under general or local anesthesia. During cleaning, the woman is on the gynecological chair. Her external genitalia are treated with a 5% iodine solution. The doctor inserts the vaginal mirrors, exposing and fixing the cervix, after which, by means of a curette, which looks like a spoon, the curettage itself is carried out.

After cleaning is completed, the extracted biological material is sent to the laboratory for further research. Histology of a miscarriage must be carried out in order to find out the cause of the problem and prevent it in the future.

Is it always necessary to clean?

Many women are confident that they know how a miscarriage occurs in the early stages, and are in no hurry to seek medical help or refuse to clean, considering it an unnecessary manipulation. But it's not. The fetus and fetal membranes are exceptionally rarely expelled in full. And if they are not removed from the uterus in time, they will decompose and cause inflammation in the female body.

That is why after a miscarriage, regardless of the conditions in which it occurred, you should contact a medical institution, where the doctor will determine for sure whether cleaning is needed or not. If curettage is necessary, you should not refuse it, as complications can be more serious.

Treatment after a miscarriage

To do without consequences, it is important to follow the requirements of the doctor:

• monitor secretions from the genital tract, if they change, contact your doctor;
• control body temperature - its rise can mean inflammation in the body;
• monitor the cleanliness of the genitals, washing them at least twice a day with antiseptic solutions.

To normalize the hormonal background, the doctor may prescribe COCs (Logest, Lindinet 20). Contraceptive pills after an early miscarriage are also a prevention of early re-pregnancy, which is undesirable in the first 6 months after curettage. Antibiotics (Cifran) are also prescribed to prevent infection of the genital area after the intervention.

How to restore health after a miscarriage

The early re-conception of a child as a way to survive an early miscarriage is seen by many women as the only way out. This is a normal mental reaction.

But before planning a new pregnancy, doctors advise paying attention to your own health with the help of the following recommendations:

• You should not become pregnant for 6 months to give the body time to rehabilitate the reproductive system and prevent another failure. This will require reliable contraception in the form of COCs or condoms.
• It is important to prepare the body for a second pregnancy. Measures to prevent miscarriage should be discussed with your doctor.

Currently, there are not only antenatal clinics, but also family reproduction centers, where doctors specialize in conception and pregnancy. Do not neglect the help of these centers.

Specialists will be able to draw up an individual work plan, based on the health and reproductive capabilities of partners, which will help ensure successful conception and pregnancy in the future.

Psychological rehabilitation

After a miscarriage occurs in the early stages of pregnancy, the female body physically recovers after 4-6 weeks, and psychological rehabilitation can take years. If the pregnancy was desired and planned, then it is difficult to cope with the burden of loss.

In this case, it is recommended not to withdraw into yourself, not to look for the guilty, and even more so not to blame yourself for the failure. In 73% of cases, spontaneous abortion is due to mutations, chromosomal problems, which means that the fetus was not healthy. You need to tune in to the fact that after some time a new pregnancy will come, for which you need to prepare better than last time.

After the bleeding after an early miscarriage has passed, you should not sit back, but consult a doctor, undergo an examination, be tested for possible infections, and do an ultrasound. All these actions should distract a woman who wants to become pregnant again from the development of depression. While waiting for the doctor's verdict, you can consult a psychologist to smooth out the acute moments of fears and worries.

Even if pregnancy does not occur on the first try, there is no need to panic. Most likely, the “striped” test will not keep you waiting long, and you can start this path all over again - from conception to the logical conclusion of pregnancy, that is, the birth of a child. Everything will work out!

Useful video about early miscarriage

If pregnancy is desired, then its termination is the biggest fear for the expectant mother. But it is better to know in advance how an early miscarriage occurs. This will help to identify deviations in time and immediately consult a doctor, which will avoid sad consequences.

How does this happen?

What processes take place during an abortion? early on? Let's try to get to the bottom of things. Under the influence of some factors, everything starts to go wrong. So, which is attached to the walls of the uterus, can exfoliate from the cavity and then pass through the cervix and out of the vagina. But it may also be that the uterus begins to contract (as during childbirth), due to which the emerging fetus will come out.

If you want to find out how it happens, then you should know that there are several stages. At the first stage, the process is just starting. The uterus begins to contract, and the fetal egg may partially exfoliate from its wall. This is called threatened miscarriage. The second stage is more intense contractions and more extensive detachment. This is called In this case, the pregnancy can still be saved. The third stage is the death of the fetal egg. If it remains in the uterine cavity, and an early incomplete miscarriage occurs, cleaning is necessary. Otherwise, intoxication or sepsis will begin. The last stage is a miscarriage. The fertilized egg comes out of the vagina.

Causes and symptoms

Now you know how an early miscarriage occurs. It would be useful to know the reasons for this phenomenon. There can be many of them, we list the main ones:

Now it is worth listing the symptoms of a miscarriage:

• aching pain in the lower abdomen, which can radiate to the lower back;
• pain may intensify and become cramping;
• any pathological discharge (brown, pink, and even more scarlet) should alert the woman;
• you may feel weak and dizzy.

A photo will help determine this. But most often small clots come out of the vagina, since at this stage of development the fetus has not yet had time to form.

What to do?

In case of any alarming symptoms, you should immediately call an ambulance. While you are waiting for the doctors, lie down and try to calm down.

If a miscarriage does occur, it is important to undergo an ultrasound examination to make sure that the uterine cavity is clean. Otherwise, scraping will be required. The doctor will remove whatever is left.

A woman who has had a miscarriage needs support and understanding. But she must know that life does not end.

Good luck and happy pregnancy to you!

How does a miscarriage occur, in what weeks does it become possible and why? These are important questions that disturb the heads of expectant mothers. After all, they can perceive any slight tingling in the abdomen or vaginal discharge as symptoms of a miscarriage in the early stages. Let's figure it out.

The most worrying time, according to doctors, is the first trimester. Immediately after conception and up to 12 weeks. During this period of time, the laying and formation of all organs and systems takes place, while the embryo itself is very susceptible to any negative influences and changes. So, spontaneous miscarriage can occur due to taking Nurofen, a non-steroidal anti-inflammatory drug that doctors so often prescribe to relieve pain and fever. That is why it is so important to know right away that pregnancy has occurred, and not to take medicinal, and even folk, drugs for treatment at your own discretion. And during the consultation, it is imperative for the doctor to say that you are “in a position”, so that he takes this into account when prescribing treatment. Many medications are toxic to the fetus, their use can lead to the formation of numerous malformations in it.

And yet, at what time can a miscarriage occur most often? Some doctors refer to weeks 4, 8, 12 as when a new menstrual cycle was supposed to begin. But scientists deny this. They say that the most dangerous are 6-8 and 10-12 weeks. Moreover, in the first case, most often the embryo dies first, that is, the pregnancy becomes frozen, and then, after a while, a miscarriage begins. But in the second case, at the end of the first trimester, the expulsion of the ovum occurs more often.

How a miscarriage occurs in the early stages depends largely on the week in which everything happens. For example, abortions often occur literally in the second week of delayed menstruation, when many women are not at all aware of their situation. Toxicosis may not yet begin. Well, the delay ... It happens to everyone. There may be uterine spasms, bleeding. In general, almost everything is like with normal menstruation. Doctors even say that such unidentified miscarriages happen at least once in a lifetime for all women. And the reasons why a miscarriage occurs in these cases is almost always - random deviations in the chromosome set in the unborn child.

But the longer the period, the harder the miscarriage proceeds. The woman already knows about her position, and can adequately respond to pathological symptoms. As we wrote above, up to 10 weeks, miscarriages often occur with an embryo that has already stopped developing. That is, the pregnancy first “freezes”, and then, after a few days, the uterus gets rid of the “contents”. A woman learns a miscarriage, what it is from her own experience. If doctors diagnose a missed pregnancy in a woman, they are often immediately sent for a “cleansing”. It is possible to diagnose a frozen pregnancy only by passing an ultrasound examination.

At 10 weeks and later, pregnancy in many cases is terminated very quickly. The fertilized egg flakes off and leaves the uterus.

What to do if there was a miscarriage at an early stage of pregnancy, and at the same time you know for sure that you were pregnant? For example, if there was a positive pregnancy test, or you took a blood test for hCG. First of all, you need to do an ultrasound. If you have stopped bleeding, nothing hurts, and according to the ultrasound everything is normal, there is nothing left of the fetal egg in the uterus, you do not need to do curettage of the uterus. Moreover, if the miscarriage was for the first time, even additional examinations are not required. The exception is the desire to have a baby soon and the failure to undergo a standard examination when planning a pregnancy earlier (before a miscarriage).