Early Miscarriage: What are the Causes and How to Prevent it?

Medical Video: Understanding Early Pregnancy Loss

Unfortunately, the initial miscarriage alias early miscarriage is a very common thing. Even often, a miscarriage occurs before you realize that you are pregnant. This occurs if about half of fertilized eggs are lost in the early days of pregnancy, even before the pregnancy test is done.

After a positive result on a pregnancy test, around 10% -20% of pregnancies end in a miscarriage. Miscarriage generally occurs in the first 12 weeks of pregnancy.

Miscarriage at any stage of pregnancy can cause in shock and the feeling of loss, even though a miscarriage occurs in the early stages of pregnancy, you can still be sad and cry over your loss.

What causes early miscarriages?

Early miscarriages usually occur because the embryo does not develop as it should. Chromosome problems are also another common cause. These problems usually occur without certain causes and rarely occur again.

To develop properly, babies need a normal number of chromosomes, 23 from mothers and 23 from fathers. Chromosomal abnormalities, such as too much or a little chromosome, or changes in chromosome structure, can inhibit the development of the baby. In that case, the pregnancy will stop at the embryonic stage.

It is estimated that up to 95% of pregnancies with chromosomal abnormalities end in miscarriage.

How do I know if I have an early miscarriage?

Common signs and symptoms of miscarriage are vaginal bleeding and abdominal cramps such as menstruation. Bleeding can vary from mild to severe, perhaps also with blood clots, and can come and disappear for several days.

Sometimes, symptoms can subside and pregnancy continues. This condition is called threatened miscarriage or the threat of miscarriage. There is some evidence that treatment with progesterone can stop the threat of miscarriage. You can ask your doctor about progesterone treatment. However, if a miscarriage will occur, a miscarriage will continue.

If you experience bleeding or pain early in your pregnancy, contact your doctor or early pregnancy unit. Our article will give a lot of advice and what you should do about miscarriage.

Some early miscarriages can only be known to pass scan routine pregnancy. Scan may indicate an empty embryo sac. This is called missed miscarriage or silent miscarriage, aka secret miscarriage. You may not realize this has happened and can cause it in shock, or you have experienced some symptoms that make you worry.

What can happen after a miscarriage?

In general, the woman's body will process miscarriages naturally, so you don't need further treatment.

Bleeding will subside in 1 week to 10 days, and will stop completely after 2 or 3 weeks. You can rest at home with painkillers and warm water, and most importantly, someone who calms and takes care of you.

Your doctor may ask you to do a pregnancy test after a miscarriage, to make sure the pregnancy has stopped.

Depending on the stage of pregnancy and the symptoms you experience, you will be asked to visit a doctor two weeks after a miscarriage occurs. This is useful to check whether your body is recovering properly or not.

If the bleeding does not improve or does not stop after 2 weeks or more, you will be given special attention by the doctor. Bleeding can mean that there is still a network of pregnancy in the uterus. This is called incomplete miscarriage or miscarriage is incomplete, and requires treatment. The doctor will suggest the following:

Expectant management: bleeding is left for 1 week without treatment, as long as there is no infection.
Medical management: the doctor will give medication to help complete the miscarriage.
Surgical management: the doctor will perform a minor operation to complete a miscarriage, also called Surgical Management of Miscarriage (SMM).

With medical management, You will be given a drinking tablet or pessary to be attached to the vagina. Bleeding after medical management can happen with a lot and longer to stop. This means you don't need to have surgery, but you need to stay in the hospital for some time after treatment.

SMM lasts for several minutes and you will recover soon. The procedure is usually done when you are unconscious, with the help of total anesthesia.

Some hospitals offer choices surgical management with local anesthetic. This procedure is called Manual Vacuum Aspiration (MVA).

One of the advantages surgical management is bleeding stops faster, which can relieve your suffering. This also means you don't need to come to the hospital often for further treatment. SMM works very well and usually does not require further handling. Your doctor will recommend SMM if you experience heavy bleeding or signs of infection.

The decision to choose treatment is a personal decision. Some women choose natural ways and carry out further treatment. Several other women chose to finish immediately.

The doctor will explain all the options so you can understand what you have to do. You will have the same opportunity to have a healthy pregnancy in the future, whatever choices you make.

The doctor will give you time to choose, unless you need emergency treatment. To help you choose, the doctor will suggest one of the options that he thinks is best for you.

Serious medical problems are usually not the cause of an early miscarriage. Most likely, your next pregnancy will succeed. For this reason, you may not need to see a doctor further, unless you have had an initial miscarriage three times in a row.

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