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miscarriage bleeding

What is a Miscarriage?

Miscarriage is a spontaneous loss of a pregnancy that may happen before 20 weeks of gestation. It is typically marked by a sudden, yet repeated vaginal bleeding and cramping during pregnancy. 

 

At all such times, it is important that you consult a gynecologist immediately. In case it is only a threatened miscarriage and the cervix is still close, there are chances that the pregnancy may still be saved. 

 

However, in cases of inevitable miscarriage where the fetus is dead or the cervix has already dilated, the doctor can help you quicken the expulsion, manage the pain and negate any chances of infection. 

 

Note that, while a fetus does expel by itself in most miscarriages, it is important to diagnose its exact cause, ensure complete expulsion, and treat the infection. Otherwise, incomplete miscarriage risks severe cervical and uterine infection, fever, chills, nausea, excessive bleeding, difficulty in the next conception, and/ or complete infertility.

miscarriage causes

Why Does It Happen?

Unlike what its name may indicate, a miscarriage does not always happen because of a problem in the carrying of the pregnancy. Rather, most miscarriages simply occur because of: 

 

  1. An abnormal formation of the embryo because of an extra or missing chromosome.
  2. Abnormal growth of the fetus and placenta because of the abnormal division of the embryo. 
  3. Abnormal planting of the embryo in the fallopian tubes, ovaries, cervix, or abdomen, instead of the uterus.
  4. Fluctuations in the mother’s health, such as- high diabetes, BP, thyroid or hormonal imbalance 
  5. Infection in the cervix or the uterus 

Types of Miscarriage

Threatened Miscarriage

Threatened Miscarriage

Inevitable Miscarriage

Inevitable Miscarriage

Complete Miscarriage

Complete Miscarriage

Incomplete Miscarriage

Incomplete Miscarriage

Missed Miscarriage

Symptoms

  • Vaginal Bleeding
  • Cramping
  • Abdominal Pain
  • Back Pain
  • Passing of the Vaginal Fluid
  • Passing of the Fetal Tissues

Risk Factors

  • Teenage/ Oldage
  • Excessive/ Lesser weight
  • Hormonal Imbalance
  • Fluctuations in the BP
  • Accidents

Diagnosis

Transvaginal Ultrasound/ Abdominal Ultrasound 

Procedure: Both transvaginal and abdominal ultrasounds are simple, 7-10 minutes imaging tests, that is,  the tests that provide an internal image of the body organ using high-frequency sound waves. 

 

However, as the name suggests, transvaginal ultrasound is done by inserting the sound wave device through the transvaginal cavity, whereas the abdominal ultrasound is done through the abdominal surface. Since the sound wave device is closer in transvaginal ultrasound, it can help pick up the type of pregnancy earlier and is more accurate than the results of an abdominal ultrasound. 

 

Confirmation: The development of the fetus confirms the state of pregnancy. If the fetus is projected to develop abnormally, or is marked dead, the miscarriage is considered inevitable. the type of pregnancy. 

 

Risks & Complications

The cleaning procedure to ensure complete miscarriage is called- D & C (dilation and curettage. It is one of the safest and most successful methods with only mild-minimum risks. However, some of the rare complications that you should know about include-

 

  • General anesthetic complications
  • Excessive bleeding
  • Blood clotting
  • Damage to the surrounding organs, such as the bladder, ovaries, ureter, or rectum (rare)

 

  • pregnancy after miscarriage

    Effect on Future Pregnancy

    pregnancy after miscarriage

    Most patients go on to have a normal and healthy pregnancy post-miscarriage. However, some may have another or repeated episodes of miscarriage. 

     

    The risk percentage totally depends on the basal reason for miscarriage. If the same happens to be ectopic/ molar pregnancy, the chances of a healthy pregnancy reduce to less than 50%. However, the risk is comparatively milder in all other cases. 

     

    In most cases, ovulation begins within 1-2 weeks and you can conceive accidentally. However, doctors typically prescribe you to wait for at least 1-6 months before planning the next pregnancy. The period may vary particularly on the reason for your miscarriage. 

  • Prevention

    Prevention

    Prevention

    In most cases, there is not much you can do to prevent a miscarriage. However, you can follow the following steps to reduce the risk percentage of the most common risk factors. These include:

     

    • Avoid the known miscarriage risk factors — such as smoking, drinking alcohol and/or the use of recreational drugs.
    • A few recent studies claim a disturbing connection between the caffeine and miscarriages. Consuming more than two caffeinated beverages a day was found to be associated with a higher risk of miscarriage.
    • Seek regular gyne checkups and prenatal care.
    • Take a daily multivitamin and practice at least 30 minutes of light yoga/ breathwork.
  • Treatment for Recurrent Miscarriages

    Treatment for Recurrent Miscarriages

    Treatment for Recurrent Miscarriages

    Recurrent miscarriages are not very common and may have deeper underlying conditions. This includes- sepsis of the reproductive system, genetic abnormalities, and/or problems with the uterus. 

     

    To treat the same, detailed testing is done post-D&C. Based on the exact cause, appropriate treatments are suggested. 

     

    Example: Antibiotics to remove the infection (if any), myomectomy to remove the fibroids (if any), salpingectomy to remove the septic fallopian tube (if any), etc. 

     

When to Consult a Doctor ?

Consult your gynecologist as soon as you experience :

 

  • Bleeding/ spotting
  • Passage of fetal tissue/ fluid
  • Pain in the abdomen or pelvis
  • Nausea/ lightheadedness
  • Sudden and acute pain in the abdomen

 

Questions To Ask Your Doctor

Why did the bleeding occur?
Can the child be saved?
What was the reason for the miscarriage?
What is my best treatment option?
How long would the recovery take?
When can we plan the next pregnancy?

Treatment options & cost

If the miscarriage happens early in the pregnancy and the diagnostic tests negate any chances of infection, the cleaning treatment can be done through medications. 

 

Procedure: Typically, the prescribed medications include a combination of 2 different pills (commonly known as RU486. These can be taken both- orally and directly through the vaginal passage. When used together, they dilate the cervix and help quicken the process of expulsion. 

 

Side effects: Some of the side effects include- 

  • Abdominal pain 
  • Vaginal bleeding
  • Nausea
  • Vomiting
  • Diarrhea
  • Dizziness

 

*For the same reasons, most gynecologists prescribe taking the medicines rather through the vaginal passage. *

 

Cost: The medical management of ectopic pregnancy typically costs between Rs. 2000 to Rs. 3000 in India.

 

insurance for miscarriage

Insurance coverage

Yes, the insurance does cover the miscarriage treatment cost in most cases, as the same falls under the ‘medically necessary’ list of treatments.

 

However, the specifics may vary from policy to policy. Please confirm the same from your healthcare or insurance provider.

insurance for miscarriage

Recovery rate

Be it the medical or surgical treatment for miscarriage, it may take several weeks for you to recover completely. Through this time you may feel mild but constant abdominal pain or discomfort, and or emotional disturbance. 

Please know that you are not alone in this. More than 50% of pregnancies risk miscarriage! Please take your time through this and seek help from friends, family or professionals if needed. 

Video testimonial - by patient

Video on the disease and treatment - by Pristyn Care doctor

Latest Research

FAQ

How common is a miscarriage?

Globally, 1 in every 8 reported pregnancies end in miscarriage in the first trimester.  In India, the prevalence is as high as 32%

Can miscarriages happen twice?

Yes, but repeat miscarriages are not very common. The predicted risk percentage is only 20%. Most of the women with an earlier miscarriage go on to have a healthy pregnancy thereafter.

What is the most common type of miscarriage?

Early miscarriage, that is, the miscarriage in the first 3 months of pregnancy is the most common type of miscarriage. About half of these are caused by hereditary or spontaneous chromosomal abnormalities in either or both of the parents.

Can the baby be saved in a miscarriage?
  • Yes. Though rare, but if you approach the gynecologist timely and the reports mark that the fetus is still viable, and the cervix is not dilated, there are favorable chances of saving the baby. However, if the fetus is dead, and the cervix is dilated, the chances are,  that the pregnancy cannot be saved.  In either of the cases, the best approach is above is best decided only by the operating gynecologist.
Can women die during a miscarriage?

No. This is not very usual. However, if the bleeding is intense and uncontrollable, or the treatment remains improper, the eventual sepsis may risk severely high abdominal and pelvis pain.

Which type of doctor treats miscarriage?

A gynecologist is the most ideal to perform D&C treatment post-miscarriage. A substantial experience of handling prior cases of miscarriage is even better. 

What is favored more- medical or surgical cleaning post miscarriage?

D&C is the most favored method of cleaning the uterus and the cervix post-miscarriage. This is because of its immediate and confirmed results.

Is removal of ectopic pregnancy an emergency treatment?

No. D&C mostly remains an elective treatment where you get a good time to decide the course and time of treatment. However, in cases of ectopic or molar pregnancy, the same becomes an urgent and emergency treatment.

How long should I wait before trying to become pregnant again?

The time period you should wait before planning your next pregnancy varies from case to case.  It may be either a month/ 6 months or even a year depending on the exact cause of the miscarriage. It is best decided by your operating gynecologist.

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Why choose Pristyn Care for miscarriage treatment?

Pristyn Care brings the most advanced and holistic gyne treatments with its experienced doctors and latest laparoscopic and laser technology in 15+ cities in India. We are associated with multiple reputed gyne-clinics and super-specialty hospitals, giving you the option to choose amongst the best hospitals that suit your needs, be it the hospital distance, its infrastructure, or insurance panel. 

As you choose Pristyn Care for your treatments, you get some of the added benefits.  These include:

  • Free online/ in-clinic consultations: We offer free consultations. Also, you have the choice to speak with the doctor in-clinic or offline, sitting from the comfort of your home. You can ask as many questions, and we ensure we give you the right and detailed answers. 
  • Free transportation to and from the hospital: We provide free cab pick up and drop off from and to your residence on the day of surgery.
  • Minimal-no waiting time for hospital admission: We perform most of our admission formalities beforehand, so you do not have to wait for hospital admission at the site. 
  • All paperwork done on your behalf: We do all your hospital admission and discharge paperwork ourselves on your behalf to reduce your hassles and provide a seamless patient experience. 
  • Multiple payment options: We accepts all modes of payment including cash, credit, and debit card. 
  • All insurances accepted: We accept all insurances and offer cash-less facilities at most of the hospitals. 
  • No cost EMI option: You can also opt for the No cost EMI option while paying for your medical bills. 
  • Free follow-up: We provide free follow-up post consultations to ensure a complete and smooth recovery. 

 

How to book an appointment with a Pristyn Care Gynecologist for miscarriage?

Booking an appointment with a Pristyn Care gynecologist is easy. 

Simply call us directly or fill out our ‘Book my Appointment’ form.  It would ask you just four basic questions such as ‘Your name’, ‘Contact’, ‘Disease name’, and ‘City’. Just fill them and click ‘submit’. Our medical coordinators will call you shortly and help you speak to a doctor of your choice. 

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