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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:
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.
Miscarriage can be self-diagnosed through either of the symptoms of repeated bleeding, cramping, or pain in the abdomen or pelvis. In the case of either or all of the signs, you must visit your gynecologist immediately. In the process of waiting, please ask for any pre-consultation instructions.
In case, you have passed a fetal tissue, you are advised to keep it in a clean box and bring it along to your gyne clinic. It shall help prepare the diagnosis and treatment better.
The doctor diagnoses the condition through a combination of your explained symptoms and ultrasound reports.
In case the miscarriage seems inevitable, medications or surgery may be prescribed to quicken the process and negate any chances of infection.
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:-
Delaying the treatment or leaving it untreated leaves a 50-50 chance of sepsis in the uterus or cervix. That is, while the woman may experience slight bleeding or fetal passage, in case, the same remains incomplete, the remaining fetal tissues or fluid may develop an internal infection. This causes:
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:
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.
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-
A miscarriage in the later weeks or where the doctor may detect sepsis is best removed through D&C method (dilation and curettage).
Procedure: First, the doctor gives you the medicine for the complete dilation of the cervix. This is particularly important for the pregnancy tissue to expel out of the birth canal. It may take 30-40 minutes or more. Then, once the cervix is fully dilated, the surgeon uses a curettage instrument to remove all the pregnancy tissues out of the uterus. Soon after a few hours, the cervix contracts naturally and the pregnancy is ended without any cuts or sutures.
**The cleaning treatment differs in case of ectopic and molar pregnancy. You can read more about both, here.
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.
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:
Globally, 1 in every 8 reported pregnancies end in miscarriage in the first trimester. In India, the prevalence is as high as 32%
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.
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.
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.
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.
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.
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.
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.