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.
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:
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.
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-
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.
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:
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.
Consult your gynecologist as soon as you experience :
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-
*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.
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.
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.
A cleaning after miscarriage is necessary and safe in both the immediate and long-term future. The procedure helps quicken the expulsion while ensuring the complete removal of any dead fetus or infection.
The risks of complications are standard and mild, and the surgery holds no long-term side effects.
Mrs. T (28 years, Hyderabad) approached us for testing and treatment after intense vaginal bleeding in the 10th week of her pregnancy.
Sensing the urgency of the condition, a consultation was scheduled for the same day.
Unfortunately, the ultrasound confirmed a dead fetus, and the cervix was found dilated in the clinical exam.
Finding the miscarriage inevitable, Dr. Juhul explained the condition and its severity to the couple. Post mutual discussion, the D&C treatment was scheduled for the next day.
The treatment was successful and the patient was discharged with stable body vitals the next morning.
Follow-up after 3 days suggested a complete recovery, whereafter, Dr. Patel guided the couple on post-care, future pregnancies, and a guideline of further prevention to avoid a repeat case of miscarriage.
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?
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:
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.