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BECAREFUL FOR MISCARRIAGE PREGNANCY AND STILLBIRTH

BECAREFUL FOR MISCARRIAGE PREGNANCY AND STILLBIRTH
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Miscarriage is a pregnancy that end before 24 week pregnancy. This problem is cause the Stillbirth for pregnancy woman. Usualy this problem happen before the fetus or growing baby can survive outside the uterus. While miscarriage, the placenta, fetus and sac of fluid around the fetus are expelled from the uterus, sometimes not all of the problem are expelled completely.

The Causes of Miscarriage

Pregnany miscarriage could be happen because the fetus isn't form properly, also happen if the placenta (the tissue that connects the growing baby to the inside of the uterus) is not attached with the right way. But some of miscarriage can not detect the cause of that. If the woman get miscarriage, it is not the permanent, that woman still could have normal pregnancy for the future.

Other problem that cause the miscarriage :

  • Genetic abnormality
    Around half of early miscarriages (before 13 weeks) are caused by a chromosomal abnormality in the baby. Chromosomes carry the genetic information donated by both parents and sometimes information just gets lost, meaning the baby can't develop.
  • Hormonal imbalance
    Some miscarriages are related to an imbalance of pregnancy hormones such as too high levels of lutenizing hormone, or low levels of follicle stimulating hormone (FSH).
  • Blood clotting
    Rare disorders such as Lupus or Antiphospholipid Syndrome (APS) can cause blood clots interfering with normal blood flow to the placenta, one possible cause of recurrent miscarriage.
  • Structural problems
    The weak cervix which dilates too soon could be the problem (incompetent cervix).
  • Infection
    A recent UK study found vaginal infection to be associated with increased risk of later miscarriage. These include bacterial vaginoisis or BV which is twice as common in smokers, and chlamydia.
  • Lifestyle Causes
  • Smoking
    Smokers have more complications in pregnancy including greater risk of placental detachment and low birth weight babies.
  • Alcohol
    The current DOH guidelines are to limit alcohol to one or two units per week.
  • Caffeine
    Caffeine intake above 300mg per day is linked to low birthweight and in some cases, miscarriage. 300mg is roughly equivalent to 4 average cups of coffee, 6 cups of tea, 8 cans of cola, 4 cans of 'energy' drinks, 8 bars of chocolate.

Sign of Normal Pregnancy
It’s important to remember that each cramp, ache, or blood spot are not necessarily miscarriage symptoms. Normal pregnancy signs that are NOT necessarily indicative of miscarriage include:

  • Mild cramps, achiness or a pulling sensation on one or both sides of the abdomen. This is normal unless it is accompanied with bleeding or if cramps are severe or constant.
  • Slight staining a little before or after the time you would have expected your period. This is common, known as implantantation bleeding, and doesn’t necessarily indicate a problem with your pregnancy, as long as it isn’t accompanied by lower abdominal pain. Bleeding during implantation is usually a light, pink or brown color.
  • Light pink spotting after intercourse is common and usually doesn’t indicate a problem unless the bleeding is heavy or accompanied by cramps

The Right Time to Call the Doctor

Bleeding during pregnancy always causes a woman alarm since it is one of the main signs of a miscarriage. The follwing symptoms and types of bleeding could be miscarriage signs. You should call your practitioner and seek medical attention if you experience any of these:

  • Vaginal bleeding that is heavier than a normal period and lasts more than 2 weeks
  • Vaginal bleeding that soaks one thick pad or more in an hour
  • Vaginal bleeding accompanied by passing large clots (the size of a walnut or larger)
  • Cramping that gets worse or lasts more than 2 days
  • Foul-smelling discharge from your vagina
  • Chills or fever (temperature of 38 degrees C or 100.4 degrees F or higher)
  • Vaginal bleeding, similar to a menstrual period, may last for up to a week after a miscarriage, with light bleeding, called 'spotting' occuring for a brief time after this

Make sure that you report any and all of the above symptoms to your health care provider immediately. Or if your symptoms are quite severe or your practitioner is not available, either call 911 or your local EMS or head straight to the nearest emergency room.

Recovering After a Miscarriage

Normal periods for recovery after pregnancy miscarriage should resume about 3-6 weeks. That is recommend to use sanitary pads rather than using tampons for the vaginal bleeding. You may use tampons during your next period.

  • Do not douche
  • Do not go into swimming pools or hot tubs
  • Shower rather than tub bathe
  • Do not have sexual intercourse
  • You may experience some lower abdominal pain similar to menstrual cramps. This pain may last for up to 2 days after the miscarriage. Talk to your doctor if the pain persists or if you cannot control the pain
  • Breast discomfort
  • Dilatation and Curettage. This is done if the fetus and/or some of the tissues from the pregnancy (placenta, fluid sac) remain inside the uterus. If the fetus or other tissues remain in the uterus, they can cause heavy bleeding or infection
  • Normal activities can be resumed after a miscarriage as soon as you feel able. Ask your doctor for more specific instructions regarding any vigorous or strenuous exercise

When the Right Time to Pregnant Again?

After you you feel emotionally and physically ready and also as long the woman no longer have bleeding. Some recommendation from doctor is to wait until the woman have 2 or 3 periods, to make sure everything back to normal again, but it is important to discuss with your doctor about your next pregnancy.

To passed the point of your last pregnancy can be very stressful and also worrying, but try to focus on the positive aspect of your current pregnancy, as the health and wellbeing can be affected by the levels of stress hormones in your system. Try to take it easy and get as much help as possible. Let your partner do more around the house and take up gentle exercise like walking and yoga. Take care of yourself and make sure you're in the best possible mental and physical condition during your pregnancy and try and enjoy it.

The Conception After Miscaraige

It is recommended that you wait until after you have had at least 1 normal menstrual period after miscarriage before you try to get pregnant again. This will give your uterus and body time to heal.

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