Miscarriage refers to the premature end of a pregnancy before the developing baby is able to survive outside the uterus. Miscarriage can occur during the first or second trimester, before 20 weeks. Most occur in the first 12 weeks of pregnancy. They often are unexpected and isolated events. About 15%-20% of recognized pregnancies end this way.
on the ovaries, uterus, or the pituitary gland during treatment of childhood cancers
Miscarriage may cause:
Pink or brown discharge
Passing the fetus, placenta, and surrounding membranes through the vagina
While miscarriage usually is a one-time occurrence, up to 1 in 20 couples experience 2 miscarriages in a row, and 1 in 100 have 3 or more.
In some cases, these couples have an underlying problem. Couples who have experienced 2 or more miscarriages should have a complete medical evaluation to learn the cause and how they can prevent another one from occurring.
Cause of repeat miscarriages may include:
Chromosome problem in one member of the couple
Immune system problems
You will be asked about your symptoms, the length of your pregnancy, and when you first noticed a change in your condition. Physical and pelvic exams.
Immediate care usually involves observation only, especially in early or first trimester miscarriages. Medication may be indicated in the event of heavy bleeding or cramping.
A dilation and evacuation (D&E) may be needed if uterine contents are not spontaneously passed through the vagina. During a D&E, the doctor dilates the cervix, inserts a tool into the uterus, and suctions out remaining material.
A counselor or
may be needed to help deal with the emotions surrounding a miscarriage.
Before you start to plan your next pregnancy consider the following regarding your health:
Is your diet ready to support another pregnancy?
Are there habits you should change prior to another pregnancy?
What medications are you taking and will they affect a pregnancy?
How is your health?
Are there issues you should resolve before trying another pregnancy?
If a specific cause of the miscarriage was found, certain treatments may help prevent future miscarriages. Treatments may include:
Medications such as:
Antibiotics to treat related infections
Hormone (progesterone) supplements
Aspirin and other medications to treat blood-clotting problems
Surgery for uterine problems such as:
Septate uterus (tissue in the center of the uterus)
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