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A miscarriage is a spontaneous event that results in the loss of a fetus before 20 weeks of pregnancy. A miscarriage is also known as spontaneous abortion. Miscarriage usually happens during the first trimester of pregnancy.
Medical reports suggest that about 10 to 15 (10-15 cases out of 100) percent of pregnancies end in miscarriage.
NIH reports the prevalence of miscarriage in Indian women as high as 32%. While the fetus expels by itself in a miscarriage, an ultrasound test and follow-up treatment is essential to ensure complete expulsion. Otherwise, incomplete miscarriage risks severe infections, consecutive miscarriages, permanent infertility, and life-threatening complications to the health of the mother.
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Diagnosis and Treatment - Miscarriage
Diagnosis of Miscarriage
Before determining the line of treatment, the gynecologist or OB-GYN might have to run a couple of diagnostic tests for miscarriage. Some of them include:
Ultrasound – The doctor may recommend an ultrasound to check for the heartbeats of the fetus and confirm if the development of the fetus has stopped. If the ultrasound does not provide an actual result, the female might have to retake the test.
Pelvic examination – A pelvic exam may be required to check if the cervix has begun to dilate.
Blood tests – The doctor might recommend a blood test to look for pregnancy hormones in the blood and compare it with the levels of the hormones in the past.
Chromosome test – If a woman suffers two or multiple miscarriages, the doctor might recommend a chromosome test to check if the genes of the woman or her partner have caused the miscarriage.
Tissue test – If a woman expels tissues from the vagina, a tissue test might be recommended to confirm that a miscarriage has occurred and that the symptom is not due to any other health issue.
Treatment for Miscarriage
Once the pregnancy loss is confirmed through any of the above-mentioned diagnostic tests, the doctor recommends a Dilation & Curettage (D&C) procedure to clean and expel the pregnancy tissues.
D&C is performed under the influence of general anesthesia. During a D&C, the gynecologist dilates the cervix of the patient and removes the fetal tissues from inside the uterus. During the procedure, a spoon-shaped device (known as a curette) is used to scrape the uterine wall lining gently.
Several risk factors can increase your chances of suffering a miscarriage. Some of them are:
Recurrent miscarriage is defined as the loss of two or more pregnancies. After two consecutive miscarriages, it is essential to undergo a thorough pelvic exam and take the necessary tests.
Treatments for recurrent miscarriages include medication, lifestyle changes, and timely genetic testing. Even after having 2-3 consecutive miscarriages, a woman has a fair chance (60-80 percent). It is essential to consult a gynecologist near you to reduce the risk of another miscarriage.
A missed miscarriage is when the fetus has died in the womb, but the mother hasn’t had any symptoms, such as bleeding or pain.
In case of a missed miscarriage, the common treatment approaches include expectant management (allow the miscarriage to progress naturally), medical management (expel the pregnancy tissues through medications), or surgical management (D&C).
Miscarriages are not always painful. In most cases, the mother may experience sudden abdominal pain and cramping along with vaginal bleeding. But in missed miscarriages, the mother experiences no symptoms at all.
The common signs of miscarriage – heavy vaginal bleeding and cramping can last anywhere between 4-10 days. Lighter vaginal bleeding and spotting can continue for another one week or so. Depending on how far the pregnancy was, the miscarriage may last for a longer or shorter period.
Yes, medical studies state that PCOS has an association with recurrent miscarriages. However, the extent to which PCOS contributes to miscarriages remains uncertain to date.
The primary symptom that indicates a miscarriage is vaginal bleeding during your pregnancy. This is likely to follow by mild to severe abdominal pain and cramping.
Several benefits of D&C make the procedure weigh above any other treatment after miscarriage. D&C is a single, scheduled event that is not drawn for days. The process is performed under anesthesia and hence involves just mild cramps and no severe pain. Additionally, the chances of preeclampsia, placental abruption, malpresentation, or risk of future miscarriages are significantly lower in D&C.
Most of the time, bleeding is the first sign of a miscarriage. But, that does not mean that a miscarriage cannot occur without bleeding. In many cases, other signs of pregnancy loss may occur before bleeding. Bleeding during pregnancy loss occurs when the uterus empties. But, in case the fetus dies and the womb does not empty, the woman will not experience any bleeding.
It is difficult to predict when you might get your periods after a D&C. A woman might get periods early or later after the procedure. According to the American College of Obstetricians and Gynecologists (ACOG), the uterus will build up a new tissue lining after the procedure (like it does after a period). During the first 2-3 menstrual cycles after D&C, a woman might experience heavier bleeding with more blood clots and comparatively severe abdominal cramping.
For miscarriage treatment, you should consult a gynecologist, an obstetrician or an Ob-Gyn. They are generally familiar with recurrent miscarriage, missed miscarriage, autoimmune miscarriage, silent miscarriage, early miscarriage, and incomplete miscarriage. They are trained to run the necessary tests for miscarriages and determine the best line of treatment for each condition.
Pristyn Care is one of the best clinics in Gurgaon for treatment after miscarriage or pregnancy loss. Pristyn Care houses expert and trained obstertricians and gynecologists who can provide treatment after miscarriage with an empathetic approach and also rule out the risk factors that can potentially contribute to miscarriages in the future.
The cost of D&C after a miscarriage in Gurgaon at Pristyn Care may range anywhere between INR 10,000 to INR 25,000. However, the cost may vary depending upon how far you’ve been through in the pregnancy if the mother has any other health complications, the diagnostic tests, and other miscellaneous costs.
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