What factors are physical, genetic or infectious, miscarriage is always traumatic, unexpected and psychologically painful.

Miscarriages represent 10 to 20% of pregnancies confirmed, nearly one in five pregnancies failing to end. They are therefore relatively common, and there is no need to get too alarmed when there is a first miscarriage, as it does not jeopardize the success of a future pregnancy.

How to identify and prevent a threatened miscarriage

Sometimes there are signs that can be considered a miscarriage are misleading and do not lead to this sad date. This is the case of an ectopic pregnancy, a molar pregnancy (placental tissue degeneration in the form of small cysts) or a pelvic inflammatory disease, endometritis one of a benign or malignant cervix or vagina. During the first two or three months of pregnancy, it is not uncommon that a pregnant woman can observe slight blood loss occurring on the dates corresponding to those of the period in which it had previously menstruating. They are not always signs of miscarriage, but better consult your doctor because he alone is able to determine the exact cause bleeding and make the examinations necessary to raise doubt.

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The signs of a miscarriage

* Miscarriages are the most common ones that occur very early in pregnancy. Symptoms that characterize them are bleeding (sometimes abundant and continuous) from the cervix, pain and cramps in the abdomen, an incompetent cervix. You can also see the gradual disappearance of consecutive signs in pregnancy: deflation breasts, nausea, loss.

* When the trigger miscarriage in the 3rd or 4th month of pregnancy, symptoms may resemble those of childbirth, with contractions, pain in the back and abdomen, sometimes accompanied by a leakage of amniotic fluid, bleeding, loss or clots red or brown. It must consult urgently, because all these signs increase with the progression of miscarriage.

The causes that lead to trigger a miscarriage

In 15-20% of cases, no cause is found in a miscarriage.

* Nine times out of ten when it comes to a first miscarriage, the most common cause is an abnormality of chromosomes of the fetus, who was suffering from very severe malformations or would not have survived if a miscarriage had not occurred. A feature which, without exception, is not due to systematic faults eggs or sperm and does not preclude considering another pregnancy, which in 85% of cases, is normal.

* Infection can also be a factor that can cause a spontaneous termination of pregnancy.

* In case of repeated miscarriages (from three), it is necessary to investigate the cause including analyzing the placenta, the lining of the uterus and the embryo. It may be a malformation of the uterus, hormonal disorders related to thyroid, diabetes or the age of the mother (the risks are greater beyond 40 years), benign tumors, polyps of the uterine lining, causes infectious, high blood pressure.

Available treatments

Taking tablets of prostaglandins (hormones that trigger contractions), vaginally or orally, allows the expulsion of the embryo in its entirety in about 80% of cases. In the absence of expulsion after taking medication during a miscarriage bleeding when the egg is large (regardless of the term of pregnancy), the practice curettage. The gynecologist performs an aspiration of the uterus using a cannula under general anesthesia on an outpatient basis and is analyzed ovular debris to find a tissue abnormalities organic egg .

Advice after a miscarriage

A contraceptive pill that allows tissue regeneration, can be prescribed because it is better to wait two or three cycles before considering another pregnancy. Psychological counseling may be helpful to prepare to be pregnant again. In the meantime, it is better not to abuse tobacco or alcohol, avoid self-medication and avoid violent sports.