Know the basics
What is miscarriage?
A miscarriage is the spontaneous loss of a pregnancy before the 20th week of pregnancy, suggesting that something was amiss in the carrying of the pregnancy or that the fetus is not thriving well. It is reported that the percentage of known pregnancies which end in miscarriage is about 10 to 20 percent.
How common is miscarriage?
This miscarriage is quite common. It is up to 50 percent of all prenancies end in miscarriage before a woman misses a menstrual period or even knows she is pregnant. Within the first three months of pregnancy, the case of misscarriages is reported to more than 80 percent. After 20 weeks gestation, it is less likely to occur. It can be managed by reducing your risk factors. Please discuss with your doctor for further information.
Know the symptoms
What are the symptoms of miscarriage?
The common signs and symptoms of miscarriage are:
- Vaginal spotting or bleeding;
- Pain or cramping in your abdomen or lower back;
- Fluid or tissue passing from your vagina;
- Bleeding which progresses from light to heavy;
- Severe cramps;
- Abdominal pain;
- Back pain.
There may be some signs or symptoms not listed above. If you have any concerns about a symptom, please consult your doctor.
When should I see my doctor?
If you have any signs or symptoms listed above or have any questions, please consult with your doctor. Everyone’s body acts differently. It is always best to discuss with your doctor what is best for your situation.
Know the causes
What causes miscarriage?
It is that the unborn baby has fatal genetic problems can cause your miscarriage. Usually, you are not responsible for these problems.
Your cervical Insufficiency can also contribute to your miscarriage. Miscarriage occurs because your cervix is too week, called an incompetent cervix, to hold the pregnancy. A miscarriage from an incompetent cervix usually occurs in the second trimester. Some symptoms if your cervical insufficiency is the reason for a miscarriage are that you may feel sudden pressure, your “water” may break, and tissue from the fetus and placenta may be expelled without much pain.
The other causes that lead to your miscarriage can be:
- Your medical conditions, such as diabetes or thyroid disease;
- Hormone problems;
- Immune system responses;
- Your physical problems;
- Uterine abnormalities.
Know the risk factors
What increases my risk for miscarriage?
There are many risk factors for miscarriage, such as:
- If you are older than age 35, you have a higher risk of miscarriage than younger women do;
- Previous miscarriages.If you have had two or more consecutive miscarriages before, you are at higher risk of miscarriage;
- Chronic conditions such as uncontrolled diabetes.
- Uterine or cervical problems;
- Smoking, alcohol and illicit drugs. Smoking during pregnancy put you at higher risk of miscarriage than do nonsmokers.
- Being underweight or being overweight has been linked with an increased risk of miscarriage;
- Invasive prenatal testslike chorionic villus sampling and amniocentesis, carry a slight risk of miscarriage.
Understand the diagnosis & treatment
The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.
How is miscarriage diagnosed?
To diagnose your miscarriage, your doctor may ask you to do a variety of tests.
- Pelvic exam can help your doctor know if your cervix has begun to dilate;
- Ultrasound is helpful for checking for a fetal heartbeat and identify if the embryo is thrive well;
- Blood tests is necessarr to determine whether you have completely passed all placental tissue when you have miscarried. Blood tests can include measurements of the pregnancy hormone and beta HCG;
- Tissue tests means that your passed tissue can be sent to the laboratory to confirm that a miscarriage has occurred.
How is miscarriage treated?
In case you are diagnosed with a threatened miscarriage, you can be recommended to rest until the bleeding or pain subsides. It is suggested that you should avoid exercise as well as sex. Doing so is supposed to help improve your comfort. In addition, this is good for you to avoid traveling, especially to areas where you can not receive prompt medical care.
To determine if the embryo has died or was never formed or to know if you can’t avoid a miscarriage, you should do ultrasound test. Some choices you can consider are expectant management, medical treatment, and surgical treatment.
Expectant management is suitable for you if you have no signs of infection. This means that you might choose to let the miscarriage progress naturally. In case expulsion doesn’t happen on its own, you should choose medical or surgical treatment.
If you wish to fasten the process of pregnancy loss, you can discuss with your doctor about using medication. Medication can cause your body to expel the pregnancy tissue and placenta. Inserting the medication vaginally to increase its effectiveness and minimize side effects such as nausea and diarrhea can be recommended instead of taking by mouth.
Another treatment for your miscarriage is a minor surgical procedure called suction dilation and curettage (D&C). During this kind of surgery, your doctor dilates your cervix and removes tissue from the inside of your uterus. You can need surgical treatment in case you have a miscarriage accompanied by heavy bleeding or signs of an infection.
Lifestyle changes & home remedies
What are some lifestyle changes or home remedies that can help me manage miscarriage?
The following lifestyles and home remedies might help you cope with miscarriage:
- If you experience heavy bleeding, fever or abdominal pain furing few hours of physical recovery every day, you should call your doctor for help;
- You should avoid having sex or putting anything in your vagina, such as a tampon, for two weeks after a miscarriage;
- You need to make sure you are physically and emotionally ready if you wish to pregnant again.
If you have any questions, please consult with your doctor to better understand the best solution for you.
Hello Health Group does not provide medical advice, diagnosis or treatment.
Review Date: May 30, 2016 | Last Modified: January 4, 2017
Pregnancy and Miscarriage. http://www.webmd.com/baby/guide/pregnancy-miscarriage. Assessed July 23, 2016.
Miscarriage. http://www.mayoclinic.org/diseases-conditions/pregnancy-loss-miscarriage/basics/definition/con-20033827. Assessed July 23, 2016.