An abortion is spontaneous when the pregnancy ends naturally before the 20th week of it. A normal pregnancy lasts about 40 weeks, being called premature delivery when the pregnancy ends from that moment. Up to 50% of pregnancies end in spontaneous abortions.
Although, most are so premature that the woman does not have a period without menstruation cycle and does not know that she has had an abortion. Most miscarriages occur in the first 12 weeks of gestation.
Miscarriages can occur for different problems:
- The fetus begins to grow but stops its development. It is usually due to genetic abnormalities.
- The mother has medical problems, such as poorly controlled diabetes, blood group incompatibility, severe trauma, etc.
- The maternal uterus is abnormal.
The risk of miscarriage increases with maternal age. Some studies show that the risk of having an abortion in your 20s is between 12% to 15% and increases to 25% in your 40s.
Women who have already had one abortion are more likely to have a second abortion, and those who have had two abortions are more likely to have a third.
Symptoms of this type of abortion:
- The most common symptoms are vaginal miscarriage bleeding and abdominal pain during the course of a pregnancy. When abortion is imminent, bleeding and pain increase and the cervix dilates.
Given these early miscarriage symptoms, any pregnant woman should go to the hospital emergency room. You should also consult your doctor if in a pregnancy there is:
- Fever of 38.5 ° C or higher.
- Expulsion of something solid through the vagina.
- Expulsion of a thick, foul-smelling fluid through the vagina.
How is it diagnosed?
To know if an abortion has occurred, in some cases it is enough to take a good history and a pelvic exam. When the amount of bleeding is similar or greater than that of menstruation period, it is rare that the pregnancy can run its course.
The diagnosis of certainty is established by ultrasound (preferably vaginal). That shows that the fetus's heart has stopped beating. Sometimes blood tests may be necessary to determine the levels of pregnancy hormones.
Can miscarriage be prevented?
In general, miscarriage cannot be prevented and are usually due to the pregnancy not proceeding normally. However, to decrease the chances of an abortion you must:
- To avoid the use of tobacco.
- Avoid drinking alcohol.
- Avoid consuming caffeine.
- Avoid hitting yourself in the abdomen.
- Lead a healthy life before and during pregnancy and receive complete prenatal care.
Fever, some infections, poorly controlled diabetes mellitus and obesity can also put pregnancy at risk. So, it is advisable to consult with your doctor if there is any way to prevent these diseases or improve their control.
Some of the tests that are done during pregnancy to check the status of the fetus can cause a miscarriage. Similarly, some medications (prescription or over-the-counter) or other tests or treatments can be harmful to the fetus. For all this, you should always consult your doctor before conducting medical tests or taking any medicine.
In some occasions, when the cause of the abortion is the incompetence of the cervix, the surgical treatment to repair it can be of help.
Can you have a normal pregnancy after suffering a miscarriage?
Probably yes. Up to 85% of women who miscarry later have normal pregnancies. However, women who have suffered a miscarriage are more likely to have it recur than women who have never suffered one.
In the case of 3 or more miscarriages, which is called recurrent miscarriage, it may be necessary to perform various tests to find the reason.
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