Pregnancy losses are one of the most common problems during pregnancy. So what causes pregnancy losses and what are the treatments when they occur?
Gynecology and Obstetrics Specialist Op. Dr. Meriç Çağrı Ağır gave detailed information about the subject.
Why Me?
Op. Dr. Meriç Çağrı Ağır said, “Since people are generally not as open about sharing negative events with others as they are with positive events, when an expectant mother experiences this unpleasant situation, she may feel as if she is the only one experiencing this situation.” People living in this situation should know that many people around them have encountered a similar situation and ask "Why me?" "They should not further increase the psychological effects of this difficult enough process by asking themselves the question." said.
Half of Pregnancies End in Loss
Gynecology and Obstetrics Specialist Op. Dr. Meriç Çağrı Ağır said, “When we experts look at the numerical data, we see that less than 50% of pregnancies result in a healthy birth.
20. Loss occurring before the gestational week or loss in which the fetus weighs less than 500 grams is called miscarriage by experts.
12. Miscarriages up to week 12-20 are called "early miscarriage". We consider miscarriages between 2 weeks and 6 weeks as "late miscarriage".
Pregnancy losses can of course occur for different reasons and in different ways. There are multiple types of losses. These are;
Ectopic Pregnancy
In an ectopic pregnancy, after the sperm and egg unite, the union of the sperm and egg takes place in the tube. Then, the embryo that forms slowly progresses and settles in the uterus.
If there is any problem in this progression part, this embryo may not settle in the uterus but settle somewhere outside the uterus. In fact, it usually settles in the tube and this situation is an ectopic pregnancy. As we all know, ectopic pregnancy does not result in birth.
In some cases, it may terminate spontaneously. In some cases, it may burst the tube and cause internal bleeding. When caught early, it can be treated with injections. However, if it is late and there is internal bleeding, surgery may be needed.
Chemical Pregnancy
Chemical pregnancy, which is another cause of loss; It is a situation in which a pregnancy test performed in blood and urine is determined to be positive, followed by the loss of the baby and the sac before they become visible.
But today, the medical world no longer calls chemical pregnancy a miscarriage.
Empty Pregnancy
In a null pregnancy, after the pregnancy test is positive, the gestational sac is visible in the ultrasound examination, but the baby is not observed inside the gestational sac.
Complete Abortus
This type of miscarriage is a "complete miscarriage", that is, everything related to the pregnancy is expelled from the uterus at the same time. There is no need for any extra intervention in this type of miscarriage. A specialist should only check whether the inside of the uterus is completely cleaned with ultrasound.
Incomplete Abortus
This type of miscarriage is what we call "incomplete miscarriage". This is a situation in which part of the product of pregnancy, that is, the baby, is expelled through bleeding, but not all of it is expelled. In popular parlance, it means that a piece continues to remain inside.
Missed Abortus
This miscarriage is what we call "forgotten miscarriage". In this case, the sac and the baby are visible inside the uterus, but there is no bleeding or expulsion yet. The sac and the baby are visible inside, but the heartbeat is not.” he said.
Remedy: Medicine or Abortion
Çağrı Ağır said, “Especially in cases of incomplete miscarriage (Incomplete Abortus) and this forgotten miscarriage (Missed Abortus), Experts may need to intervene. There are two different treatment methods. One of these is treatment with medication and the other is the abortion method we all know.
The Lost Baby is Poisoning!
Ağır said, “One of the most important aspects of this situation is that the mother's It is the psychological state he enters. In general, mothers may experience trauma due to the loss of the baby. After this situation, they want to get over it as soon as possible before choosing to go through a painful process.
It is not right to keep the lost baby inside for a long time. However, if there is no serious bleeding, it would be more appropriate to intervene under appropriate conditions rather than an emergency intervention. The incident of the baby poisoning the mother, in advanced stages It is an event observed in the losses experienced during the pregnancy weeks.
For example, it is not an expected situation for a 6-week-old baby to poison the mother in a short time in the womb. Therefore, it would be more appropriate to carry out this process in a planned manner. “In case of losses experienced in the following weeks, it would be more appropriate to carry out the transaction as soon as possible.” he said.
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