If pregnancy hormone levels in the blood are monitored from the moment the pregnancy first occurs, a significant portion of all pregnancies, approximately 40%, will actually end in miscarriage. We cannot make a diagnosis because most women think of these losses as normal bleeding after a slight menstrual delay. We see the gestational sac in ultrasonography approximately one week after the menstrual delay. 20% of the women in whom we see the gestational sac, and 5% of the pregnancies in which we progress a little further and see the fetal heartbeat, end in miscarriage. As a result, after seeing the baby's heartbeat, we can give more assurance to the family that the pregnancy can continue without any problems.
Chromosome disorders are responsible for two-thirds of the miscarriages that occur in the first 3 months (12th week of pregnancy). Most of these are the result of bad coincidences related to that pregnancy. Rarely, chromosomal disorders detected at carrier levels in the mother or father may also cause recurrent miscarriage. In addition, infections during pregnancy, use of medications that negatively affect pregnancy, radiation and chronic diseases of the mother can also cause miscarriage.
If the miscarriage occurs painlessly in the later weeks of pregnancy (between 13th and 26th weeks), there is weakness in the cervix. (decrease in resistance/failure) should be considered.
If there is bleeding in the early pregnancy period and the cervix is closed, the situation is called Threatened Miscarriage. Although there is an increased risk, a significant portion of these cases do not result in miscarriage. When we look at the scientific data, neither strict bed rest nor hormonal drugs taken make a significant change in the natural outcome. It may be good to avoid sexual intercourse during this period in order not to trigger contractions in the uterus.
There is no scientifically proven cause and effect relationship between miscarriage and nutrition. However, there is information that a diet rich in cigarettes, alcohol and caffeine increases the risk of miscarriage.
Three consecutive miscarriages under the age of 35 and two miscarriages over the age of 35 are called Recurrent Miscarriage. Despite further examination, no cause can be found in approximately half of these cases. Screening for structural disorders in the uterus, carrier level chromosomal disorders in the mother or father, infections, diabetes and thyroid is appropriate. Detected in the uterus, congenital or acquired Surgical intervention for cervical problems or stitching for support in cases of cervical insufficiency may provide good results. Although it was widely screened for a while, the relationship between blood's tendency to clot (thrombophilia) and recurrent miscarriage is controversial. Thrombophilia screening is not recommended in those without venous occlusion (thromboembolism) and a strong family history.
In carrier chromosome disorders, healthy embryos obtained through in vitro fertilization must be transferred into the uterus.
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