About 20% of pregnancies end with a miscarriage and more than 80% of these losses occur by the twelfth week of pregnancy. This does not include situations where a fertilized egg is lost before the pregnancy becomes established. Studies have shown that from 30 to 50% of the eggs are lost before or during the fertilization process.
"Some spontaneous abortions are suspected during one of the routine prenatal visits, when the doctor or midwife cannot hear the baby's heartbeat or notice that the uterus is not growing properly. Often, the embryo or fetus will stop developing for several weeks before the symptoms of an abortion, such as bleeding or cramping, appear, ”explains Dr. Silviu Istoc, primary obstetrician-gynecologist.
Causes of miscarriage
Many of the first trimester miscarriages are considered to be random events caused by chromosomal abnormalities in the fertilized egg. Most often, this means that the egg or sperm has the wrong number of chromosomes and, as a result, the fertilized egg cannot develop normally.
"Sometimes a miscarriage is caused by problems that arise during the delicate process of early development. This would include an egg that is not properly implanted in the uterus or an embryo with structural defects that prevents it from developing, "says Dr. Silviu Istoc.
Symptoms that announce abortion
Irregular bleeding or staining. Vaginal stains or bleeding is usually the first sign of a spontaneous abortion. Keep in mind, however, that one in 4 pregnant women have some irregular bleeding or blemishes at the beginning of pregnancy, and most of these pregnancies do not end with miscarriage. If the bleeding is accompanied by other symptoms, go to your gynecologist urgently.
Cramps. Abdominal cramps may also be a warning sign that you will have a miscarriage. Go immediately to gynecological control, especially if the cramps feel stronger than the menstrual period, if they are isolated on one side or are accompanied by bleeding.
Back pain. Cramps can also take the form of lower or moderate back pain in intensity. If the back pain is accompanied by bleeding, consult an obstetrician.
Vaginal secretions. If you notice unusual vaginal secretions, including blood clots or even bleeding, this may be a sign that you are losing your pregnancy. Also, if they are odorous or cause vaginal irritation, you have a cause for concern.
Sudden change of state. If you suddenly feel nauseous after weeks of nausea, it usually just means that your hormone levels have leveled off, but this can also indicate a miscarriage, especially when accompanied by other symptoms. This should not worry you, but if you have other symptoms of miscarriage, talk to your doctor.
Negative pregnancy test after a positive one. Fear of miscarriage causes some women to repeat the pregnancy test after a period, even if they have already had a positive one, just to calm down. If this last test comes out negative, to be sure, go to your gynecologist.
Abdominal pain. Abdominal pain usually begins after vaginal bleeding occurs. They may be felt at low intensity or may be persistent, mild or sharp, but may be in the form of a pelvic pressure that creates discomfort.
Although any woman may have a miscarriage, there are risk factors that can cause her to appear: old age, family history, health problems: diabetes, autoimmune disorders, cervical or uterine problems, genetic problems, infections, alcohol consumption , cigarettes, drugs, excessive drug use, toxic environment, obesity.
What can you do to prevent abortion?
A healthy lifestyle before and during pregnancy is very important and can help prevent a potential miscarriage. Women who are preparing to become pregnant, prior to this decision, should go to the gynecologist to talk to him about methods of preventing complications and especially spontaneous abortion.
"A healthy diet, well balanced, natural supplements to support the body and its preparation, moderate physical movement, limitation of the amount of coffee consumed, avoidance of smoking, stress management and periodic control are the essential factors leading to a healthy pregnancy, without problems or problems. the risk of spontaneous abortion ”, explains Dr. Silviu Istoc.
Dr. Silviu Istoc is a primary obstetrician-gynecologist at the Medicover Hospital, within the Department of Maternal-Fetal Medicine and Minimally Invasive Gynecological Surgery and at the ProVita Clinic. More details can be read on www.dristoc.ro and on the Facebook page: //www.facebook.com/DrSilviuIstoc.
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