What is early pregnancy loss?
Pregnancy loss in the first 13 weeks of pregnancy is called 'early pregnancy loss'.
What is the frequency of early pregnancy loss?
10% of cases diagnosed with pregnancy end up as early pregnancy loss.
What causes early pregnancy loss?
Half of the cases are due to the abnormal number of chromosomes of that fetus. It is a problem that occurs only for that pregnancy. If the number of chromosomes in the egg coming from the mother or the sperm coming from the father is different from 23, the number of chromosomes in the fertilized egg will be abnormal and the development of the baby will not be normal.
Other causes that can be identified are hormonal disorders, infections, medical problems of the mother, and disorders during nesting. , lifestyle (such as smoking, alcohol, malnutrition, radiation, toxic substances, excessive caffeine), maternal age,
Are there certain activities that cause early pregnancy loss? ?
Some patients blame themselves for the miscarriage and think there is something they did wrong. Working, exercising, sexual intercourse, or using birth control pills before pregnancy are not causes of early pregnancy loss. There is no evidence to incriminate them. It is not the cause of nausea and vomiting during pregnancy. Sudden changes in mood, a blow or a falling action are not factors.
Although there is contradictory data on whether smoking and alcohol cause early pregnancy loss, it is recommended to stay away since other harmful effects have been proven. There is no harm in consuming less than 200 mg of caffeine per day.
Are there groups at risk for early pregnancy loss?
As maternal age increases, the rate of early pregnancy loss also increases. One third of the cases occur in women over the age of 40. While the rate is 15% at the age of <35, 20-35% between the ages of 35-45, it increases to 50% at the age of >45. Having a miscarriage slightly increases the risk of another pregnancy, but this increase is not scientifically significant.
What are the complaints and findings regarding early pregnancy loss?
Bleeding and cramp-like pain are the most common complaints. The pain often affects the lower back and is more severe than menstrual pain. Bleeding, pinkish in color It may include discharge or light red or brownish bleeding, which may not be accompanied by cramp-like pain. Early pregnancy loss occurs in only half of pregnant women with bleeding. Spotting and mild groin pain are normal pregnancy symptoms. Bleeding often stops on its own and the pregnancy continues its normal course. The same complaints may occur in ectopic pregnancy. Weight loss, sudden decrease or disappearance of pregnancy complaints, loss of clot-like pieces, regular contractions every 5-20 minutes are other possible complaints. If you have these complaints, you should definitely inform your physician
How is early pregnancy loss diagnosed?
If you have complaints of bleeding and cramp-like pain, immediately You should consult your doctor. When the bleeding started, its amount, accompanying findings and duration are always questioned. Ultrasound checks whether the gestational sac is inside the uterus. Is there a baby image and heartbeat in the pouch? It is looked like. A blood pregnancy test (beta-hCG) may be requested. Sometimes this is necessary in follow-up. Low or falling beta-hCG is a sign of poor pregnancy outcome. Serial ultrasound and blood tests are sometimes required to clarify the diagnosis. Sometimes ectopic pregnancy with evacuation of the uterus? Is it low? However, distinction can be made.
Is treatment required for early pregnancy loss?
When pregnancy loss occurs, sometimes products of pregnancy (placenta) remain in the uterus. remains and continues to bleed. Moreover, the presence of dead tissue inside may cause infection. That's why it needs to be cleaned. This situation is more common in advanced weeks of pregnancy.
If your blood type is Rh negative, a blood incompatibility injection (anti-D immunoglobulin) is given within 72 hours at most after the procedure. This is to prevent problems related to blood incompatibility in subsequent pregnancies.
Are there non-surgical treatment options for early pregnancy loss?
Extreme If there is no evidence of bleeding or infection, and if there are no excess pieces left behind on ultrasound, an option is to wait and wait for the pieces to fall out on their own. The follow-up period usually takes up to 2 weeks. It may take a little longer or longer for the inside to be completely emptied. Another option is drug treatment, but in our country it is legal to use the drug in question for this procedure. It is not.
What should be expected during non-surgical treatments?
You will bleed. Generally, it is heavier than menstrual bleeding and lasts longer. Cramp-like pain, diarrhea and nausea may also occur. The piece you drop will be clot-like and will not resemble a fetus. The decision on the need for surgery is made by ultrasound and beta-hCG monitoring in the blood.
What to expect during the healing process?
Bleeding may be in the form of spotting. . Due to the risk of infection, the use of tampons and a ban on intercourse for 1-2 weeks are recommended. If you have the following symptoms, you need to apply urgently: Excessive bleeding (bleeding a full size pad every hour for 2 hours), fever, chills, chills, severe pain.
Repeat. Is there a problem if I get pregnant?
Early pregnancy loss in the first trimester is usually a one-time occurrence. Most women later have healthy pregnancies and have children. Recurrent pregnancy losses are rare. However, after two pregnancy losses, investigation is required. If a cause cannot be found, there is nothing for couples to be worried about.
How long after early pregnancy loss should pregnancy be considered again?
You can ovulate and get pregnant as soon as 2 weeks after a loss. If you do not want to get pregnant again, you need to start protection immediately. You can use any method, including the intrauterine device. Even if you want to become pregnant, there is no medical obstacle that requires you to wait. Maybe if you wait for the next menstrual period and know the date of your last menstrual period, it will be easier to calculate the pregnancy week in case you get pregnant in that month.
Read: 0
