BECAREFUL FOR MISCARRIAGE PREGNANCY AND STILLBIRTH
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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