When should critical care come after a miscarriage? Incomplete miscarriage

Every woman dreams of having children. This instinct is inherent in nature. But life doesn’t always work out the way you want. Many representatives of the fairer sex have to deal with pathologies such as frozen pregnancy or miscarriage. After such a disappointing diagnosis, it seems that the whole world has collapsed. But don't give up. Today's article will tell you what to do after a miscarriage and how to regain your health. It is worth recalling that the information below should not encourage you to self-medicate or refuse medical care. If you are faced with a similar problem, then you will not be able to cope with it without doctors.

General concept of miscarriage

Spontaneous is called a miscarriage. In this case, the membranes may come out (this often happens in early stages) or remain in it partially. Such an event can occur at any time. If termination of pregnancy occurs in the first 12 weeks, then they speak of an early miscarriage. The situation is more complicated when a similar condition develops in the second trimester. After 25 weeks, we are already talking about premature birth, since at this time the embryo can be viable (if the right conditions are organized).

Is cleaning necessary after a miscarriage?

If this happens, then nothing can be fixed. There is no need to withdraw into yourself and refuse medical help. The consequences of such renunciation can be very dangerous. It's not uncommon for women to need a cleaning after a miscarriage. How to find out about such a need?

Contact your gynecologist and visit the ultrasound room. During the examination, the physician will determine the condition of the uterus and its inner lining. If there are visible residues ovum(even the smallest ones), then you will definitely be prescribed curettage. You cannot hesitate in such a situation, since wasted time is fraught with unpleasant consequences and even sepsis. When no residues are found in the reproductive organ membranes- you can safely move on to subsequent actions.

Curettage after a miscarriage is performed more often if the interruption occurred after 6-7 weeks. Manipulation is carried out exclusively within the walls medical institution using intravenous anesthesia. It lasts no more than 10-15 minutes. After this, the patient remains under medical supervision for several hours and, if she feels well, can go home. A miscarriage in the second trimester requires the woman to be hospitalized for several days for medical supervision.

What medications will you need first?

If the termination of pregnancy occurs spontaneously with complete removal of the fertilized egg, then no medications are prescribed after this (except in certain situations). When curettage was performed after a miscarriage, the gynecologist prescribes appropriate medications. Among them, the most popular are the following:

Antibiotics (preference is given to penicillins and macrolides, other groups are prescribed less frequently). Bacteriostatic and bactericidal medications are prescribed to prevent infection. Often such consequences arise from cleaning. You need to take antibiotics for 3-10 days in accordance with the doctor’s recommendation.
Uterine remedies (most often they use Oxytocin or medications based on it). These drugs enhance the contractility of the myometrium. Due to this, the mucous layer is quickly rejected, preventing extensive bleeding and speeding up the recovery process.
Immunomodulators (“Isoprinosine”, “Derinat”). These drugs increase the body's resistance; they are also intended to eliminate viral infections obtained during or after curettage.

Any medications after a miscarriage should be prescribed by a doctor. Self-administration of drugs can be fraught with unpleasant consequences. Don't listen to your old friends. Trust only your gynecologist.

Recovery period for the reproductive organ

The uterus recovers quite quickly after a miscarriage. Even if spontaneous termination of pregnancy occurs at a long term, the reproductive organ returns to its usual size within a few days. If this does not happen, then, again, the patient is prescribed appropriate contractile medications.

Sex after a miscarriage should be completely avoided until the arrival of the first natural menstruation. Despite this warning, many couples rush into another sexual encounter. The consequence of this may be infection, inflammation, bleeding and other troubles. Sexual intercourse without a condom is strictly contraindicated for the patient! Even if you are accustomed to other methods of contraception, now they need to be replaced with barrier ones. The fact is that condoms protect well against sexually transmitted infections. And yours women Health is especially vulnerable now.

First menstruation after termination of pregnancy

What does the first period look like after a miscarriage? Many patients confuse discharge after cleansing with their first menstruation. In fact, this is not entirely correct. In fact, the doctor cleared the cavity of the reproductive organ from the endometrium. It turns out that the doctor did in a few minutes what usually takes 3-7 days. From this moment you can start a new cycle. But postoperative discharge should not be confused with menstruation. The next bleeding normally occurs after 3-5 weeks. It is preferable to use gaskets with it. Tampons can cause bacterial infections.

The first menstruation can be scanty or, on the contrary, abundant. This happens because of the change hormonal levels. An important role in this issue is played by the period at which the miscarriage occurred. If the cessation of embryo development occurs before 8 weeks, then the woman’s body has not yet had time to fully adjust to pregnancy. The cycle will be restored quickly and with minimal consequences. When a miscarriage occurs after 12 weeks, the placenta is already fully functioning. Here everything is more complicated. A woman's body needs more time to restore normal functioning. There are known cases when the consequence late miscarriage became hormonal diseases (mastopathy, endometriosis, ovarian tumors).

Determine the cause and carry out treatment

Is it possible to determine the cause of this outcome after a miscarriage? Is it possible to find out why the pregnancy was terminated? After all, awareness of the problem is already half the way to solving it.

It is possible to reliably establish the cause of a miscarriage only after curettage. The materials obtained during the manipulation are sent for histological diagnosis. Its result helps determine why this situation arose. But this is not always enough. The patient definitely needs to get tested. Depending on your health status and obstetric history The doctor prescribes appropriate tests: blood tests, detection of sexually transmitted infections, identification of genetic abnormalities. You should definitely visit such specialists as a urologist, cardiologist, therapist, endocrinologist. These doctors may find pathologies in their area that contributed to the miscarriage. A comprehensive examination will allow you to prescribe the most correct treatment.

Organize your nutrition properly

Many women complain of pain after a miscarriage. If gynecological pathology is excluded, then the issue may be in digestion. Often the described condition causes stress, which, in turn, leads to constipation and increased flatulence. This is why it is so important to establish proper nutrition in the first months after a miscarriage. It will promote normal metabolism and good digestion.

Fill your diet with foods rich in protein and fiber. Eat lean meats and fish. Be sure to eat greens, vegetables and fruits. Drink plenty of water. After gynecological curettage, the likelihood of thrombosis increases. To prevent this from happening, thin your blood naturally: drinking water. Avoid any alcoholic beverages. They are actually contraindicated for you, since restorative drug therapy is present.

If constipation persists even after changing your diet, then it is necessary to eliminate it with the help of medications. Poor bowel movements contribute to stagnation of blood in the cavity of the reproductive organ. This is fraught with its consequences, for example, inflammation. Your doctor will tell you what medications to use to soften stool. Usually prescribed safe means"Guttalax", "Dufalak" for long-term use or medications "Glycerol", "Microlax" for fast action, but single use.

Psychological side

Afterwards, patients often withdraw into themselves. If spontaneous abortion occurs in the second trimester, then the situation is even worse. Women become depressed. There are cases when patients after this decided to commit suicide. It is not simply impossible to remain in this state. This can be very dangerous. We definitely need to talk about this problem. Such topics are rarely discussed with a partner. Therefore, the most the right decision There will be an appeal to a psychologist.

During the consultation, the specialist will listen to your complaints and concerns. This is the doctor who will help you cope with negative emotions after a miscarriage. After a few sessions you will already feel much better. If necessary, the doctor will prescribe you sedatives and antidepressants. Only the right approach to the problem will help solve it once and for all.

When can you plan your next pregnancy?

Absolutely all women for whom pregnancy was desired ask the question: is it possible to immediately plan a new one after a miscarriage? Any doctor will tell you that this cannot be done. Even if the interruption occurred on short term and didn't have negative consequences, your body needs time to restore strength and hormonal balance. We also need to find out what exactly caused such a tragic outcome. Otherwise, the situation may repeat itself again.

If everything is fine with the woman’s health, and the cause of the miscarriage is not the presence of pathologies (the interruption occurred due to taking some kind of medication or injury, nervous breakdown), then doctors allow planning in 3-6 months. In this case, the menstrual cycle should be restored completely.

When the cause of the problem is discovered, treatment is prescribed. It can be short or long. Planning for a subsequent pregnancy is postponed indefinitely. Remember that patients are often prescribed antibiotics. After a miscarriage, you can start planning only for the next cycle, starting with the completion of antibacterial therapy. But practically you can conceive a new life in the same cycle. Therefore, the entire designated time period must be carefully protected.

What kind of reminder can be provided to a woman who finds herself in a similar situation? What to do after a miscarriage? Doctors give the following step-by-step instructions.

Go for an ultrasound and find out if there are remnants of membranes in the uterus. With the result obtained, go to the gynecologist.
If the doctor prescribes curettage, then be sure to undergo this procedure. Otherwise, complications await you.
Strictly follow the doctor’s recommendations: take medications, follow the regimen, adjust your diet.
Find out the cause of your miscarriage with your doctor, after which the doctor will develop a treatment plan for you. Follow it, do not plan a new pregnancy at this time.
If there is mental anguish, depression and stress, consult a psychologist, do not withdraw into yourself.
Start new planning when the specialist allows it. Try not to remember negative moments, set yourself up for the positive.

Summarize

From the article you could find out step by step plan recovery after spontaneous abortion. If a miscarriage occurs in the early stages, its cause is often not possible to determine. Be sure to monitor your health. If vaginal discharge after a miscarriage acquires a strange color and an unpleasant odor, then an infection has probably occurred. Don't think that everything will go away on its own. The sooner you see a doctor, the fewer negative consequences will be for you. Gynecologists categorically do not recommend trying to solve the problem on your own. Do not take any medications on the advice of your girlfriends. This can only worsen the existing situation. Speedy recovery to you!

A miscarriage is not only a psychological trauma for a woman, but also severe stress for her body. After this unpleasant event, you need to monitor your health to prevent complications from developing. How to recover after spontaneous abortion and cleansing? First of all, you should pull yourself together, be patient and visit a gynecologist.

Causes and consequences of miscarriage

Spontaneous abortion can occur both in early (before 12 weeks) and late (from 12 to 22 weeks) pregnancy. Early miscarriages occur, as a rule, due to the uterus rejecting a defective embryo, and late ones - due to weakness of the cervix. Pregnancy can be interrupted due to Rh conflict between mother and fetus.

The consequences of a miscarriage depend on a number of factors. Most often, inflammatory processes occur. Even after cleaning, there is a possibility of incomplete removal of the fertilized egg. In this case, the doctor recommends repeating the procedure. Recovery after a miscarriage is the return of the uterus and hormonal levels to their previous state. It should be remembered that conception is possible immediately after a spontaneous abortion.

A miscarriage does not always indicate reproductive problems, but to prevent it from happening again, a new pregnancy should be delayed until hormonal levels and the condition of the uterus are normalized. In addition, after a spontaneous abortion, health problems may begin. If bleeding is too long, body temperature rises, or painful periods, you should consult a doctor.

How to recover after a miscarriage

A woman should monitor her well-being, the amount, color and consistency of vaginal discharge. The normal duration of the latter is from 4 to 10 days. You should consult a doctor as soon as possible if the discharge is too abundant, bright and accompanied by malaise. Must pass ultrasonography to determine whether there are any particles of fertilized egg left in the uterine cavity.

It is impossible to carry out at least a month after a spontaneous abortion sex life. It is necessary to protect yourself for at least 3 months to give the body the opportunity to recover. Many gynecologists believe that it takes six months to fully normalize the condition of the uterus and hormonal levels, so a woman should, first of all, follow the instructions of her doctor.

The first month after a miscarriage, you should not overheat, including visiting a bathhouse, sauna, taking hot bath, as well as exercise and lift weights. Otherwise, complications may arise. For the offensive new pregnancy Hormone therapy may be needed. A woman must be ready to conceive not only physically, but also psychologically.

A woman needs:

Lifestyle after miscarriage

enjoy sanitary pads to control the amount of blood released. Change them at least every 8 hours. Shower 1-2 times a day to prevent infection from developing.
Do not douche or clean the area around the vagina with strong antiseptics or soap, as this may cause irritation and lead to infection.
Stick to proper nutrition. This will allow the body to recover faster and fill it with energy. Eat foods rich in vitamins and minerals. Drink at least eight glasses of water per day. Eat foods containing large amounts of calcium: milk, sardines, salmon, etc. Increase your folic acid intake to replace blood loss after a miscarriage. This can be done by adding leafy and regular vegetables and fruits to your diet.
After a spontaneous abortion, abstain from sexual activity for 1-2 months to allow the vagina to heal. In the future, use condoms during sex, since there is a chance of getting pregnant before the cycle normalizes.

Recovery after cleaning

Cleaning (scraping) is a small surgical intervention that is performed to remove the remnants of the fertilized egg from the uterus. Pregnancy after curettage is possible almost immediately, but experts recommend waiting about six months (at least 3-4 months). During this time, the woman’s body should fully recover if she adheres to proper nutrition, proper rest, and also enlists the moral support of her closest relatives.

If you encounter difficulties with a new pregnancy after cleansing, you will need to visit a gynecologist and undergo the necessary examinations and treatment. It is important to remember that complications may arise after surgery, so you will need to carefully monitor your well-being and immediately consult a doctor if you notice severe bleeding, an increase in body temperature above 37.6 degrees, or severe abdominal pain. IN best case scenario for minimal recovery of the body it will take 1-2 days after curettage.

During the rehabilitation period you will not be able to:

take a hot bath, visit a bathhouse, sauna;
douche;
use vaginal tampons;
lift weights;
be sexually active (in the next 1-2 months from the date of the procedure).

It is possible that during intimacy there will be pain caused by surgical intervention. If they bother a woman for more than 2 months in a row, she will need to consult a doctor. The first menstruation will begin 30-45 days after the spontaneous abortion. It is possible that they will be more abundant than usual.

In order to recover faster after cleansing, a woman will have to undergo examinations, adhere to the treatment recommended by the doctor, and correct image life and refrain from intimacy with a man. It will be important to enlist the support of loved ones, try to remain calm, be patient and be positive.

Body after miscarriage4.33 /5 (86.67%) Votes: 3

This happened, and nothing can be changed. The pregnancy was interrupted, and now it is important to carefully monitor your feelings and condition. What consequences can occur for the body after a miscarriage?, how to understand that everything is in relative order, or something is going wrong? Today we will talk about what is important to know about the period after a spontaneous abortion in order to prevent any complications from occurring.

Restoration of the body implies that the uterus contracts after a miscarriage and returns to its normal state. This, of course, takes time - after all, pregnancy, even if it is interrupted early, is a colossal hormonal change in the body. Therefore, a woman should remain careful for a certain time after the incident, especially if doctors used the so-called cleansing - curettage of the uterine cavity. For some time after a miscarriage, you should not overheat or overcool, play sports, lift weights, or be sexually active. Your doctor will definitely tell you about all this – and believe me, it’s better to listen to this advice.

Bleeding

How long can bleeding continue after a miscarriage? Bleeding in this case is an absolutely natural process, and normally its duration is from 4 to 10 days. But if the discharge lasts longer, the woman needs to see a doctor.

The intensity of bleeding after a miscarriage depends on the timing at which it occurred, the reasons and whether the fertilized egg was completely expelled. In early pregnancy, bleeding can be light or heavy. It is extremely important that if a woman has a miscarriage, she is fully examined to rule out the possibility of an incomplete miscarriage. If an ultrasound confirms that there are no remnants of the fertilized egg in the uterus after a miscarriage, inflammatory processes may develop.

Therefore, a woman and her relatives need to know the following: if, after being discharged from the hospital, a woman suddenly feels unwell, she continues to bleed, changes in body temperature, chills or fever, palpitations, fainting - it is necessary to urgently call an ambulance. Doctors will re-examine the uterus after a miscarriage and, if necessary, perform a second curettage.

How do your periods go after a miscarriage?

The main question that interests women is when will their period come after a miscarriage?. The day of miscarriage is the first day of the new menstrual cycle. The big mistake of many women is that they do not even suspect that after a miscarriage they can become pregnant almost immediately, and therefore do not consider it necessary to protect themselves, despite the recommendations of doctors. But in theory, ovulation can occur in the first month after a miscarriage, as always, so, of course, pregnancy can also occur. It is possible to bear it, but it will be a lot of stress for the body that has not yet recovered from the miscarriage. Therefore, you should not take risks, because it is no coincidence that doctors establish minimum term, during which you need to use protection is 3 months, and the recommended one is six months after a miscarriage.

Menstruation after a miscarriage may not occur in the usual way. Normally, they come in accordance with the cycle that the woman had before pregnancy. Over the next two or three cycles, they may be less or more abundant than before. This depends on many factors, including hormonal levels and curettage after a miscarriage.

If your periods after a miscarriage, especially those occurring for the first time, are heavy and painful, you should definitely see a doctor to rule out the possibility of particles of amniotic membranes being in the uterus. To do this, you will be prescribed an ultrasound examination. If it is confirmed that the particles really remain, it is necessary to carry out curettage of the uterine cavity - otherwise inflammatory processes are extremely likely to occur.

Breasts after miscarriage

Another problem may be breasts after a miscarriage - especially if it occurred in the second trimester. If you lose an early pregnancy, the swelling of the breast gradually goes away and it returns to its original shape. Typically up to 14 weeks breast milk it is not produced in women. But if the miscarriage occurs later, then the appearance of milk is possible - this does not depend in any way on the woman’s desire, since it is controlled by hormones.

Colostrum can be released spontaneously when the baby cries, is stressed, or is touched. In order to stop lactation, if it has begun, the breasts after a miscarriage should, if possible, not be stimulated, wear a bra, and if pain is present, try to relieve swelling with the help of cabbage leaves or lotions with magnesium. Your doctor may also prescribe medications to suppress lactation. In any case, if you do not like the condition of your breasts after a miscarriage, consult a doctor so as not to miss the development of mastitis.

In general, you need to adhere to the recommendations of doctors and complete all prescribed treatment. A big mistake can be stopping a course of antibiotics on your own, not following the recommended timing or method of contraception, or taking medications without a doctor’s prescription. Your common goal with your doctor is to minimize the consequences after a spontaneous abortion - so you should trust him. Monitor your well-being and do not hesitate to seek advice. We wish you good health!

If a woman has a miscarriage, it is important to take competent measures to restore her health. This will help cope with the pathology morally and prepare the way for a new pregnancy. Medical statistics claim that 15-20% of pregnancies end in spontaneous abortion due to various reasons. Symptoms of what happened rarely go unnoticed.

This allows a woman to diagnose what happened in a timely manner, contact a gynecologist, undergo adequate treatment and plan the birth of a child in the future. Experts classify spontaneous abortion into three categories:

Termination biochemical pregnancy – the embryo leaves the uterine cavity in the first to third week after conception. During this period, a woman most often does not suspect that she is carrying a child. Pregnancy becomes known only through testing for hCG levels in the urine and blood, which is why it is called “biochemical”. The failed mother perceives the blood leaving the body as menstruation, which for unknown reasons began outside the planned period. Few people consult a doctor if they carefully monitor their own health.
Spontaneous abortion or miscarriage in early pregnancy - up to 22 weeks, when the weight of the embryo does not reach 0.4 kg.
Premature birth when the pregnancy is completed at 22-37 weeks. If provided on time health care, efforts have been made to ensure the life of the child; in most cases, the baby can be saved. In medicine, a person born early is called premature.

After birth, the child is connected to life-supporting equipment, which helps him adapt to new conditions.

What is a miscarriage like - an overview of options

The miscarriage that occurs is complete when all parts of the embryo leave the uterine cavity along with the membranes and amniotic fluid. If parts of the fetus remain in the uterus, they speak of an incomplete miscarriage, which occurs more often in the early stages of pregnancy. To neutralize the negative consequences and prevent the development of an infectious process in tissues, the product of conception is evacuated from the uterine cavity using medical interruption, gynecological curettage, and vacuum aspiration. Therapy may include the use medicines, aimed at contracting the uterus and pushing the contents out. Ultrasound examination is considered the control diagnostic method. Miscarriage during the first pregnancy has negative consequences. After this happens, conception is possible after a thorough examination and treatment.

The first month of pregnancy is considered the most dangerous for spontaneous miscarriage. Doctors identify so-called critical periods of development, during which the embryo (fetus) is especially susceptible to the effects of harmful factors:

2-3 weeks from conception;
8-12 weeks;
18-22 weeks;
28-32 weeks.

During this period, most accidents involving the loss of a child occur. Therefore, the expectant mother should exercise increased caution.

Why does the body reject the embryo?

When does a woman's body begin new life, the causes of miscarriage often lie in the presence of chromosomal abnormalities in the fetus. Therefore, it is extremely undesirable to correct the pathological condition before 12 weeks. Factors that provoke embryo rejection include:

Hereditary factor and a genetic failure at the stage of fertilization of an egg by a sperm. A non-viable fetus appears as a result of various risk factors - environmental conditions, occupational hazards, viral disease of the parents. It is impossible to neutralize these factors. The only way out of the situation is to reduce the likelihood of their occurrence by protecting the mother from dangers during pregnancy. If a defect incompatible with life develops in the child’s body, the embryo does not undergo natural selection. The body commits a spontaneous abortion, getting rid of a non-viable fetus;
Hormonal imbalance caused by disruption of the endocrine system. The situation may be affected by an insufficient amount of progesterone in the mother’s body or an excess of testosterone. If a malfunction of the hormonal system is detected early, the woman undergoes specially organized therapy before pregnancy, which eliminates the possibility of miscarriage;
Presence of tumors, neoplasms in the pelvic organs;
Isthmic-cervical insufficiency(ICN), when the isthmus and cervix open prematurely, unable to cope with the increasing pressure caused by the fetus growing in the body;
There is a risk of miscarriage in the presence of anomalies in the functioning of the cardiovascular and renal systems;
Drug addiction, alcohol addiction, maternal and paternal substance abuse;
Depressive states, stress, nervous stress of a pregnant woman;
Mechanical loads, shocks, bruises, backbreaking physical labor of the expectant mother;
X-ray examination– Radiation can cause miscarriage.
Use of drugs. In the first trimester, the use of potent medicinal formulas is prohibited. The drugs can cause the development of defects in the embryo. Some herbal decoctions are also contraindicated. These are parsley, tansy, cornflower, nettle, St. John's wort. Self-medication is prohibited. Each drug is agreed upon with the attending physician.
Infectious and viral process in the body of a pregnant woman. Any sexually transmitted infection can provoke a miscarriage, which must be treated before pregnancy, otherwise there is a high risk of infection of the fetus in the womb. There is a high risk of miscarriage in the early stages due to viral infections and inflammation of internal organs. Dangerous symptom - heat mother, accompanied by intoxication of the body. At the stage of pregnancy planning, it is important to stop chronic diseases, get vaccinated against dangerous infections.
History of abortion, unsuccessfully performed surgical intervention, lack of professionalism of the doctor and unfortunate circumstances can lead to the loss of the fetus.
Immunological factors.

The list of causes of miscarriage in the early stages of pregnancy and in a later period can be more extensive; in each specific case, doctors identify the pathology individually. The expectant mother is not able to prevent the impact of all harmful factors, however, much is within her power.

A little about frozen pregnancy

Having studied the symptoms of a miscarriage, recovery time and treatment methods, one cannot ignore the issue of a frozen pregnancy. The condition is characterized by the death of the embryo in the womb, often occurring in the first trimester of pregnancy. Among the reasons, similar factors are noted - maternal infections, genetic failure, hormonal imbalance, bad habits, strong medications, stress.

If during a spontaneous miscarriage the clinic is expressed by severe pain and blood loss, then a frozen pregnancy is often asymptomatic. There are no pulling and pulsating sensations of pain, no urges reminiscent of contractions, no blood is released from the vagina. The uterus may not reject the dead embryo, leaving it inside itself. At the initial stage of pregnancy, the condition is difficult to detect; in the second and third trimester, the mother is alarmed long absence movements in the stomach. The next visit to the doctor reveals a discrepancy between the timing and the size of the uterus, the absence of a heartbeat in the mother’s womb. Ultrasound makes an accurate diagnosis.

If the fetus is dead and tissue rejection does not occur, curettage or vacuum extraction of the dead embryo is prescribed. If this is not done, there is a high probability of poisoning by toxic decay products that enter the bloodstream from the uterus. A thorough examination will help to establish the causes of the anomaly and prescribe effective therapy.

Both spouses should be tested. Based on the removed material, histology of the embryo tissue is carried out. Diseases are diagnosed and adequate treatment is prescribed for the underlying causes of fetal loss. Comprehensive diagnostics includes microbiological, ultrasound, hormonal, and immunological examinations.

The existing threat of miscarriage during pregnancy is a reason to carry out therapy in a specialized medical institution if it is determined that the pregnancy is progressing. The hospital will provide a calm regime and timely administration of medications. Hospitalization of a woman with recurrent miscarriage is an adequate response to the risk of fetal loss.

Isthmic-cervical insufficiency (ICI)

One of the most common causes of spontaneous miscarriage during pregnancy is ICI - dilation of the cervix and isthmus of the uterus in response to increasing pressure from the growing fetus. Pre-pregnancy manipulations of the uterus (cervical dilatation due to abortion, childbirth or curettage) affect the condition of the muscle ring. Damaged areas are covered with scar tissue that does not have elasticity and cannot be stretched or contracted. ICI also has a functional nature, when there is a hormonal imbalance - the level of testosterone in the blood rises, and there is a lack of progesterone.

ICI occurs in the period from 11 to 27 weeks after conception, when the embryo begins to produce androgens into the mother’s body, triggering the functioning of the adrenal glands. Taking into account the mother’s hormones, their indicator may be exceeded - this softens the cervix, opens it, and shortens it. Harmful bacteria and microorganisms penetrate into the formed canal, infecting the fertilized egg. Obvious symptoms the initial stages do not have ICI, since they do not entail the tone of the uterine muscles. When the shells lose their strength amniotic fluid pour out. There is no pain during a miscarriage.

If a woman has experienced spontaneous termination of pregnancy, which began with effusion amniotic fluid, when monitoring a subsequent pregnancy, she should indicate this fact to the doctor.

Treatment of isthmic-cervical insufficiency

Endocrine disorders leading to an increase in testosterone are corrected by prescribing hormonal drugs. An assessment of the condition of the uterus is done by a doctor a couple of weeks after starting medication. ABOUT Positive dynamics they say when the opening is suspended and no further expansion of the cervix is observed. If therapy does not produce the intended effect, surgery is prescribed. Similar measures are used for the traumatic nature of cervical deformation. There is no need to be afraid of the operation; the doctor acts delicately, without causing additional injuries to the patient, without causing discomfort to the expectant mother and the baby growing in the womb. The procedure is more effective in the early stages. Suturing can significantly reduce the risk of infection of the embryo through the lower edge of the cavity.

Surgery is performed in an inpatient setting. Before the operation, the pregnant woman undergoes an examination. After the procedure, the vagina is sanitized, for which the suture area is treated with antiseptics for 3 days. For this purpose, chlorhexidine and furacillin are used. Then, every week, the patient needs to undergo a follow-up examination with the attending physician, where he assesses the situation, making adjustments to the therapeutic protocol if necessary. Sutures are removed at 38 weeks of pregnancy. During this time, the cervix ripens, preparing the birth canal for the passage of the fetus. Many women in labor are worried that stitches require caesarean section. This is not true. In most cases, women give birth on their own.

Emergency measures are recommended if, from 16 to 24 weeks, the amniotic sac prolapses into the cervix. The operation of suturing the cervix obliges the woman to observe bed rest, strictly follow the daily routine, avoid physical activity, and do not miss a dose medicines. In rare cases, complications occur after suturing. These include cutting sutures through tissue, provoked by frequent tension in the muscles of the uterus. To prevent tone, tocolytics are prescribed. The expectant mother should be prepared to undergo intensive examinations and undergo smears to check the vagina. This is caused by the likelihood of accumulation of pathological microflora on the suture threads.

It is important to conduct psychological therapy, where a woman is taught techniques of self-soothing and relaxation. Maternal behavior is a decisive factor in the successful pregnancy of a fetus in the event of complications. Panic and fuss create an unfavorable prognosis for stabilizing the situation. Careful health monitoring is carried out in a newborn baby to eliminate the risk of infection in the womb. If a spontaneous abortion occurs due to ICI, when can you get pregnant after a miscarriage, the doctor will tell you. Ideally, the period should be at least two years. The doctor must take measures to prevent a repeat situation of losing the child.

Nowadays, in addition to the suture, ICI correction is also carried out using an obstetric pessary. Alternative method is the application of a special ring made of hypoallergenic materials to the cervix. The most commonly used is silicone. The ring creates additional support, preventing the neck from opening.

Uterine hypertonicity – risk prevention

Contractions of the uterus until natural birth called hypertonicity of the organ. The condition is not an independent disease; it signals problems in the body of the expectant mother, and often manifests itself in the early stages of pregnancy. The causes of the pathological phenomenon are considered:

Hormonal imbalances, caused by insufficient function of the placenta, ovaries, disruption of the adrenal glands, causing an imbalance.
Genital infantilism, organ defects;
Neoplasms, tumors in the uterus, not necessarily malignant (fibroids);
Transferred during pregnancy infectious processes, viral diseases;
ICN - cervical dilatation under increasing pressure created by the growing embryo;
Immunological dysfunction;
Chronic diseases of the body(cardiovascular disorders, renal failure);
Previous spontaneous miscarriages in the early stages, the symptoms of which may recur, artificially induced abortions.

Except physiological reasons are of no small importance psychological factors. A depressed woman can provoke uterine hypertonicity.

A woman can feel the tension of the muscles of the uterus herself, without the help of a specialist. This is evidenced by the heaviness that appears in the lower abdomen, nagging pain in the lumbar region. The symptoms are similar to painful menstruation. Occurring in the first trimester, the condition provokes spontaneous abortion, frozen pregnancy, and death of the fertilized egg. In the subsequent period, premature birth is likely due to uterine hypertonicity.

Why does tension in the walls of the uterus cause dire consequences? The problem lies in the impaired blood supply to the placental tissues, the occurrence of hypoxia of the embryo, and the slowdown in the development of the developing child. Following the contraction of the uterine muscles, the placenta does not contract. This causes its detachment, provoking the release of the amniotic sac.

Uterine hypertonicity is detected during a routine visit to a specialist. Stabilization of the situation requires the prescription of sedatives and antispasmodics. Therapy with the inclusion of vitamin B6 and magnesium has a strengthening effect. In most cases, the measures taken are sufficient to neutralize the risks. Self-medication is strictly prohibited. This may cause irreversible consequences. With hypertension, the main rule for a pregnant woman is calmness and absence physical activity. Some mothers who have successfully given birth say that they “didn’t get up” throughout their pregnancy. This is true, but the result is worth the sacrifices spent on it. With hypertonicity, sexual intercourse and sexual life are excluded.

If the threat cannot be neutralized, hospitalization of the pregnant woman in a hospital setting is recommended. It is especially dangerous when severe cramping pain is accompanied by bloody discharge. Going to bed is an adequate measure in the fight for the birth of a healthy and strong baby. In the hospital, a pregnant woman is prescribed a vaginal examination and ultrasound. On a computer monitor while scanning the amniotic sac and uterus, a doctor with high degree accurately determines their condition. If it is needed, future mommy is sent for an assessment of hormone levels, undergoes urine and blood tests, and is examined for the presence of STIs.

When labor begins before 34 weeks, they try to stabilize the condition with tocolytics. The most dangerous period is from 25 to 28 weeks; the woman is recommended to have the maximum possible bed rest. After this, the fetus has every chance of survival. In order to quickly form the pulmonary system of the embryo, allowing it to survive early birth, hormones are prescribed. Having an unfavorable prognosis for miscarriage and the threat of miscarriage, it is necessary to prevent this situation at the stage of planning conception.

Stages of spontaneous abortion

There are certain signs of a miscarriage that attract attention and divide the course of a miscarriage into specific stages:

Threat - having noticed factors threatening pregnancy, you can take measures to restore the situation and normalize the mother’s well-being.
Starting an abortion - adequate therapy can work wonders. At this stage, the doctor can apply life-saving manipulations and give recommendations to a pregnant woman who plans to become a mother.
A miscarriage is in progress - the condition is irreversible, it is impossible to stop the pathology. The death of the fertilized egg begins, leaving the uterine cavity.
Completed abortion– the uterus gets rid of residual embryo tissue, cleanses itself, and restores its original parameters. It is important to prevent the remains of foreign fibers inside, otherwise the organ becomes infected with decaying debris, and toxins go into the bloodstream.

An effective diagnostic method is ultrasound examination of the uterus and pelvic organs.

Symptoms of miscarriage - how not to miss the threat

If there is a threat of miscarriage in the early stages, the following symptoms may occur:

Pulls appear, incessant pain in the lower abdomen. The pain can be monotonous or come in waves.
Slow bleeding begins, the symptoms of which are reduced to brownish spotting. Bright scarlet blood may be released and is often confused with menstruation.
Uterine tone.

A woman who does not know how a miscarriage occurs in the early stages should listen to her inner state. You should be wary:

spasmodic pain impulses;
nagging pain in the lumbar region.

In the later stages, the following symptoms are added to the above symptoms:

liquid vaginal discharge, which may indicate damage to the amniotic sac;
pain when urinating;
internal bleeding, which is indicated by deterioration of general condition, fainting, dizziness, pallor skin
These conditions are indications for emergency hospitalization of a pregnant woman.

The stage of the onset of abortion is characterized by more vivid symptoms of miscarriage - pain similar to contractions, severe dizziness, loss of strength. Instead of spotting, clot-like discharge appears, which appears abundantly when moving. At this point, in some cases, it is still possible to save the pregnancy, if the area of detachment of the ovum is small, the pregnancy is progressing, and the fetal heartbeat is detected.

The third stage is useless for saving the fetus. There is a girdling pain in the lower back and abdomen. Along with heavy blood loss, the fertilized egg comes out of the uterus. An incomplete miscarriage requires curettage of the uterine cavity if parts of the embryo or membranes of the fertilized egg remain in the cavity, otherwise there is a high risk of developing complications that will threaten the life of the mother.

An early miscarriage has symptoms similar in many ways to a late abortion - pain and bleeding. The intensity and duration of symptoms may vary. The fertilized egg passing through the birth canal damages the small vascular network, injuring the tissue. This causes bleeding. Normally, blood will stop coming out after a spontaneous miscarriage after a few days. A period exceeding these indicators confirms infection of the uterus and the preservation of embryonic remains in the cavity. Therapy is based on drug treatment, surgical intervention.

After a spontaneous miscarriage, complications and serious health consequences are likely. This rare cases, in most situations, the body independently copes with what happened, expels the parts remaining in the uterine cavity by natural muscle contraction. Early spontaneous miscarriage does not always occur, dangerous condition may wait at a later date. Some women try to provoke the birth of the fetus with decoctions of herbs and medicines. This is fraught with complications, including sepsis, dysfunction of the reproductive organs, after which pregnancy in the subsequent period becomes impossible.

Diagnostic methods

If there is a threat of early miscarriage, a doctor will help determine the symptoms when visiting an antenatal clinic. The specialist will check the size of the uterus, determine the tone of its muscles, the condition of the cervix, and examine discharge from the genitals. A reliable method to identify the existing threat is transvaginal ultrasound diagnostics. The doctor pays attention to segmental muscle contractions of the uterus and detachment of the fertilized egg. Analyze probable reasons Genetic testing will help in miscarriage. The patient's medical history is carefully collected, and clinical signs of spontaneous abortion are noted.

Drug therapy

In order to maintain pregnancy, any method is good. A qualified doctor develops an individual treatment protocol based on available diagnostic data. Among the drugs used:

sedatives;
restorative therapy;
medications that stabilize hormonal levels;
antispasmodics that reduce uterine tone;
vitamin and mineral supplements.

The specialist eliminates the threat of miscarriage in the early stages and tells how to prevent a relapse for a woman who has lost a child. In later stages, the cervix is fixed with special sutures (usually at 16-25 weeks, if there is ICI).

At unsuccessful attempt To stop spontaneous abortion, the following treatment tactics are used:

Expectation – the organism freed from the embryo on its own does not require specialized treatment.
Drug therapy– the patient is prescribed medications that complete the removal of foreign tissue from the body. By causing severe spasms in the muscular walls of the uterus, the tablets provoke the expulsion of residues from the cavity.
Surgery – used for complications or when the uterus is inconvenient for spontaneous exit of the fetus.

The control conclusion is made by the doctor after the ultrasound.

Surgery (curettage)

Having diagnosed the symptoms of miscarriage in the early stages of pregnancy, and faced with the need for curettage, the woman worries about the state of the reproductive system. This should not be done; the operation is carried out in a gentle manner, with maximum delicacy in relation to the patient’s fertility. Curettage is carried out when there is a risk of incomplete exit of the embryo from the uterine cavity and the development of infection in the pelvic organs due to elements remaining in it. Ignoring the procedure can lead to blood poisoning and the formation of pathology that prevents re-conception.

The specialist conducts an examination, fills out the patient’s health card, and sends the woman for an enema. Before the operation, hair removal from the pubic surface must be performed. Considering individual characteristics female patient, the anesthesiologist selects a drug for pain relief. The doctor dilates the cervix and uses a curette to clean out the internal cavity, freeing it from the remnants of the fertilized egg. The uterus is scraped out from the inside, which prevents the development of infection. However, vacuum aspiration is more often performed as it is a gentler method of removing debris from the uterus.

After a miscarriage, the materials obtained from curettage are sent for histological analysis. The rules recommended by the doctor should be strictly followed. Resume sexual activity a woman will be able to do so no earlier than 1.5-2 months after the procedure. During this period, damaged tissues will be restored. By this time, menstruation will resume, and it will be possible to use the usual methods of contraception.

Scraping - what and why

Cleaning is carried out after an early miscarriage in most cases to prevent the development of infection in the uterine cavity from the remaining tissues of the dead fetus. There is no point in being afraid of the negative consequences of cleaning. Gynecological curettage is a procedure for removing the upper layer of the inner cavity of the uterus. Once the excess is removed, the endometrium begins to recover naturally, returning its ability to function normally. To facilitate access to the cavity, the neck is expanded after local anesthesia. Special medicinal formulas or medical instruments contribute to this. Gynecological cleansing is performed for diagnostic and therapeutic purposes for various indications:

after childbirth;
with frozen pregnancy, miscarriages;
in case of irregularities in the menstrual cycle;
to make an accurate diagnosis of gynecological disorders.

The combined use of the method with hysteroscopy allows you to carefully examine the internal contents of the uterus in order to prevent poorly cleaned areas on the mucous membrane. The essence of the technology makes it similar to abortion, but the purpose of the procedures differs significantly.

Preparing for gynecological cleansing

It is recommended to carry out curettage a few days before the start of menstruation. In this case, blood loss is reduced and a favorable prognosis for rapid tissue recovery is given. The operation requires a preliminary examination and tests. This:

blood clotting test;
smear to examine the bacteriological environment;
STI test.

Before curettage, stop taking any medications or dietary supplements that were not discussed with the specialist. Even plant components that can affect blood clotting and provoke blood loss during surgery can pose a danger. It is important that your doctor is informed about the medications you are taking so that they know what risks may arise. The rules for preparing for the procedure are simple:

3 days before surgery, refrain from sexual contact;
eliminate the use of intimate hygiene products (gels, creams, ointments, liquids), suppositories, tablets and vaginal sprays;
do not douche;
10 hours before surgery, do not take food or water. This is necessary for high-quality anesthesia, allowing the patient not to feel discomfort.

Carrying out cleaning

Curettage is performed in a hospital setting, the woman is placed on a gynecological chair in the operating room. The doctor removes the top layer of mucous lining the inside of the uterine cavity. Elimination of painful sensations involves anesthesia. If there were signs of miscarriage in the early stages of pregnancy or in a later period, after which it spontaneously terminated, the dilated cervix allows curettage to be performed without anesthesia. Used for anesthesia intravenous administration a drug selected individually, taking into account the characteristics of the patient’s body. A few seconds after the injection, the woman falls into a shallow sleep, the discomfort disappears, which makes the doctor’s actions painless.

A dilator inserted into the cervix straightens the walls of the organ, facilitating access to the internal cavity. Holding the neck, the specialist inserts a rounded probe with a small diameter, after which he replaces it with a larger analogue. A special video camera attached to the end of the probe allows for hysteroscopy - inspection of the cavity before curettage. Cleaning is done with a curette, shaped like a small spoon on a long handle. Carefully collected tissues are stored in a specialized sterile tube, which is later sent to the laboratory for histological examination.

The procedure rarely takes more than one hour; usually the doctor needs 20 minutes. The cervical canal is cleaned along with the uterine cavity. The manipulations are called RDV - separate diagnostic curettage. Collected samples are placed separately. Histology is used to identify the structure of tissues in order to exclude the presence of atypical cells in them, indicating cancerous lesions and precancerous conditions. The study is carried out within two weeks; after receiving the results, the woman visits the gynecologist again for a follow-up examination.

Curettage is often performed for diagnostic purposes to determine the symptoms of pathological conditions in the functioning of the organs of the reproductive system. It can be:

menstruation with irregular cycles;
heavy discharge and painful menstruation;
bleeding during menopause;
difficulty conceiving in the absence of visible causes of pathology;
assumption of developing uterine cancer.

Gynecological cleaning is carried out in order to obtain materials for histological analysis.

Curettage after miscarriage - possible complications

Complications can occur, as with any surgical procedure. Serious consequence– opening of uterine bleeding due to insufficient blood clotting. To prevent this, oxytocin is used - injections stimulate the cessation of abnormal blood flow. Oxytocin will help if the bleeding is caused by the uterus contracting poorly. It is not effective in case of coagulation disorders.

Another complication is hematometra, when blood clots accumulate in the uterine cavity, which can cause the development of an inflammatory process in the tissues. The hematometer is promoted by cervical spasm, which prevents blood from leaving, which occurs immediately after the cleansing. Experts recommend the use of antispasmodics that relax the muscles of the organ and promote normal blood flow. A woman should be alerted to nagging pain in the lower abdomen and a sudden cessation of discharge.

After cleaning, endometritis may occur, when inflammation affects the uterine mucosa. An adequate measure of treatment for a dangerous diagnosis is a course of antibiotics. Abdominal pain and a sharp increase in body temperature indicate a pathological condition. Any dangerous change in condition should be reported to your doctor immediately. In this case, countermeasures will be taken in a timely manner, which will eliminate the risks of developing more serious complications.

How to behave after a miscarriage

A miscarriage that occurs requires the failed parents to follow certain behavioral tactics. Among the measures recommended by doctors:

It is advisable to postpone a new attempt at pregnancy for 3-6 months. Otherwise, there is a high risk of repetition of undesirable developments. If pregnancy occurs before the due date, there is no need to panic. The main thing is observation by a specialist. Then there is a chance to give birth safely.
If you are expecting, seek advice about an effective contraceptive method.
Follow the recommendations given by your doctor. Having understood what threats of miscarriage exist, it is easier to neutralize them.
Complete the recommended examinations and take the necessary tests. Possible studies for both parents include identifying infections of the reproductive system, hormones in the blood, hemostasis, and immune status. Identified failures are subject to mandatory correction.

Consult what effect the medications you are taking will have on the fetus if you become pregnant during therapy. Find out after what period of time you can safely try to conceive a child. In most situations, in addition to the therapeutic course, it is necessary to change familiar image life - daily routine, nutrition, habits.

Psychological state of a woman during the recovery period

Spontaneous abortion is a serious stress for a woman. Faced with this situation, many lose the meaning of life, are afraid to plan a new pregnancy after a miscarriage, fearing a repetition of what happened. The woman’s condition during this period is unstable, emotions are negative and unstable. Often, a failed mother begins to bully herself with negative thoughts, revel in the contemplation of other people's children on the street, communicating with mothers who have experienced grief on forums, visiting children's stores and looking at small things in the windows. A likely behavior tactic is to blame yourself for what happened. Against the backdrop of such thoughts, families are destroyed and divorces occur.

Psychologists advise to show persistence, endurance, and determination. To do this you need:

Over time, negative thoughts will fade into the background, and the desire for a fulfilling life will appear. A new pregnancy will not frighten or worry you.

How to detect genetic pathologies during repeat pregnancy

If there was a miscarriage of the first pregnancy due to a genetic factor, it is especially scary to decide on a second one. There is no need to be afraid of this; with well-designed therapy, the chances of success are more than great. Diagnostic procedures Today they are highly accurate and allow us to detect pathology in the early stages. Deviations include Edwards syndrome, Down syndrome, Patau syndrome and other pathologies. It is mandatory to examine women with repeated miscarriages, as well as:

over 35 years old;
having changes identified during screening;
with markers chromosomal pathologies and malformations of the embryo;
from earlier born children with a chromosome abnormality.

Ultrasound diagnostics can detect malformations in 80-85% of cases. However, the technology is not perfectly reliable, as it misses pathologies in 20% of situations. Biochemical screening and invasive examinations have valid data. The latest version of the study allows you to identify up to 99% of anomalies. No less popular is the highly accurate PANORAMA test for determining DNA pathologies.

When planning a new pregnancy, you should definitely visit a geneticist. Screening diagnostics to identify abnormal genes will help eliminate the risks of possible pathologies, the factor of heredity and genetic failure during conception. Sometimes the threat of miscarriage in the early stages exists in practically healthy carriers. The examination will allow you to find out about the anomaly in advance and undergo adequate treatment for possible pathology.

Planning a new pregnancy

The medical community is unanimous on the issue of planning a new pregnancy after a spontaneous abortion has occurred. It is not recommended to conceive for at least 3-6 months after the misfortune has occurred. During this period, the woman’s body will recover and gain strength to bear the fetus. It is important to observe a doctor, harmonize hormonal levels, and examine parents to identify possible pathologies. To avoid getting pregnant after a miscarriage in the first months, it is recommended to use contraceptive methods recommended by your doctor.

Examination after a miscarriage includes blood and urine tests, examination of the vaginal microflora using a smear, identification of obvious and hidden sexually transmitted infections, analysis of glucose and hormones, examination of the biological compatibility of partners. Planning is an important step on the path to birth healthy baby. After the studies, the woman is prescribed strengthening therapy. It is important to completely review your eating habits and eliminate factors that are harmful to your well-being. Vitamins are used folic acid. Fast food products, foods containing carcinogens and preservatives are excluded from the diet. If you follow the rules recommended by your doctor, a successful pregnancy with a favorable outcome is likely.

It is not uncommon for a pregnancy test to show two lines after a miscarriage. This is explained by the restructuring of the body and organs of the reproductive system. It is important to report the incident to your doctor. The presence of fetal tissue remains in the uterus can provoke a positive test result. In this case, immediate curettage is necessary, which neutralizes the risk of inflammation and infection. To accurately determine her condition, a woman needs to undergo ultrasound diagnostics, take tests to determine hCG in the blood.

The question of whether it is possible to get pregnant after a miscarriage worries many parents. The answer is clear - yes, if you follow the recommendations of specialists, carefully plan a new conception, monitor your well-being and state of health.

Ingredients for success after miscarriage

The patient’s health condition does not always lead to a miscarriage; in many ways, non-compliance becomes a threat. simple rules. To reduce the risk of losing a child during pregnancy, you need to:

Keep calm– It is important for a mother to exclude from her life all factors that make her nervous. Irritation is not the best The best way normalize the condition. In order to stabilize the emotional background, rest and the use of soothing teas with the permission of a doctor are recommended. Gives good results herbal teas from chamomile, lemon balm, mint.
Avoid taking unnecessary medications and drugs. Self-cessation of therapy prescribed by a doctor is unacceptable. Every step needs to be discussed with a gynecologist.
Eliminate harmful occupational factors. Working in the chemical industry and other hazardous facilities can create an undesirable background in the body, which prevents normal pregnancy child. It is important to understand what is of greater value to the mother - the birth of a healthy baby or a career factor. Many women refuse to work during harmful conditions to increase the chance of having a baby.
Eliminate bad habits. It is unacceptable for a mother facing miscarriage to practice bad habits in ordinary life– drink alcoholic beverages, smoke. The father is also prohibited from doing this. Harmful effects negatively affect the quality of sperm, which provokes difficulties with conception and risks of deviations in the development of the embryo.
Take vitamin complexes, specially designed to prepare the body for pregnancy, creating basic conditions for its favorable course.
Healthy eating. A nutritious, balanced diet works wonders. If the woman is underweight, the nutritionist will develop an adequate diet for the woman, including a large amount of protein foods, vegetables, fruits, and grains rich in vitamins and microelements. Fatty foods are allowed as long as we are talking about the “right” fat, which is found in fish, seeds, nuts, avocados, and olives.
Get rid of extra pounds. Obesity adversely affects the development of pregnancy. Science has proven that enhanced nutrition during pregnancy, consisting of large meals, is not required. The main thing is its balance.

Psychological readiness for conception and observation by a gynecologist until a successful birth is important. Science knows the facts of successful pregnancy even after multiple failed attempts.

Repeated pregnancy makes a woman worry about every little thing. Fears frighten and set you up for a negative wave. It is important to suppress the pathological state of the psyche in yourself - the emotional background is transmitted to the baby. Try to treat pregnancy as a miracle given by heaven. Prepare yourself physically for childbirth, with your doctor’s permission, attend trainings and seminars for pregnant women, courses for expectant parents.

It happens that a woman, having become pregnant again, does not want to share her experiences with loved ones. You shouldn't do this. At work, when confirming conception, provide the employer with a certificate of the need to transfer to light work. Perhaps the gynecologist will completely protect you from visiting the workplace by writing out a sick leave.

Infections during pregnancy

Infectious processes suffered before pregnancy develop immunity in the mother to similar agents of influence. Primary infection poses a great threat, so vaccination is not superfluous when planning conception. Perinatal diagnosis allows you to detect an infectious process early stage and prevent its harmful effects. This is possible if a pregnant woman is registered from an early stage.

Infection in a pregnant woman can develop due to an infection transmitted by airborne droplets. This is the most dangerous type, since it is almost impossible to prevent it. This applies to mumps, measles, and rubella. HIV and hepatitis infect the body through sexual contact, and chlamydia acts similarly. Listeriosis is transmitted through poor-quality products. A pregnant woman can pass infections to her developing baby. This pathology is determined by specialized tests for latent infection.

Planned monitoring of pregnancy development involves regular testing. Sexual infections are determined using a smear, ultrasound shows abnormalities in the baby’s development, and CHT is aimed at listening to the work of the fetal heart muscle. If there is a suspicion of serious infection of the embryo, blood is taken from the umbilical cord and an analysis of amniotic fluid is taken.

Infection of a child also depends on accompanying factors. The speed of diagnosis, the appropriateness of treatment, the type of pathogen, and the duration of pregnancy are taken into account. Special attention The following infectious processes deserve:

Viral etiology - a huge number of viruses pose a danger to a pregnant woman. The virus only needs to capture one cell for the pathological process to begin. The carrier carries the infection, spreading it to internal organs and tissues. The threat is posed by genital herpes, rubella, erythema infectiosum, cytomegalovirus, hepatitis B, measles, mumps, chickenpox.
Bacterial infections detected during the analysis of biological materials (stool, urine, blood) and examination of individual organs of the body deserve attention. Active reproduction provokes a rapid increase in the number of bacteria in the vagina. Not all microorganisms pose a threat to the child. Antibiotic therapy is used to destroy harmful microflora. Dangerous are candidiasis, streptococcus, chlamydia, bacterial vaginosis, cystitis.

Pregnancy is at risk intestinal infections, often active in summer. Animals that have poorly processed food before consumption can be carriers of the infection. Of particular danger are listeriosis, salmonellosis, and toxoplasmosis.

Preventing infections during pregnancy

Maternal infection poses a threat to the life of the fetus. From 3 to 12 weeks, the infected organism responds with a miscarriage or the formation of defects in the child. From 11 to 28 - developmental delay. At a later date, it deforms already formed organs and creates conditions for premature birth. For prevention purposes intrauterine infection It is recommended to apply a number of rules:

Examine mother for detection of STIs.
examine blood, determine the presence of antibodies to carriers of infection, pathogens.
avoid contact with sick people, visiting crowded places where there is a possibility of infection by airborne droplets.
examine pets for the presence of dangerous infections, treat them if necessary or remove them from the home until the threat is eliminated.
eliminate fast food from your diet, store-bought semi-finished products, subject meat and fish to thorough heat treatment.
remove exotic foods from your diet– sushi and other culinary delights purchased in restaurants and cafes.
wash hands, fruits, vegetables thoroughly with special disinfectants that cannot harm a pregnant woman and child.
plan to visit a gynecologist, undergo examinations recommended by the doctor, take tests, take vitamins.
register at the first signs of pregnancy to be under medical supervision.
when planning pregnancy prepare for conception, cure infections, carry out vaccinations.

It is important for the child's father to follow most of the recommended rules. If only the mother undergoes treatment, relapse during sexual intercourse is likely, neutralizing the beneficial effects of therapy.

A woman who has suffered a miscarriage in the past should be wary of any deviations from the norm in her health. It is important to pay attention to ailments, pain, weakness, and dizziness. Taking this into account in consultation at an early stage will create conditions for gestation and the birth of a child. There is no need to be afraid that a miscarriage will forever deprive you of the joy of motherhood.

By completing a course of examinations, taking tests and following the measures prescribed by your doctor to treat imbalances in the body, you will create all the conditions for a favorable pregnancy outcome. Tune in to the positive, protect yourself from worries, worries, and stress. Feel the support of loved ones, hope for the best. Get advice from good specialists to exclude any unfavorable prognosis before conception or take measures to neutralize them. Health and prosperity to you, your families and loved ones!

A miscarriage is always traumatic for a woman, especially if it occurs quite a long time ago. However, it will be extremely important to try to maintain composure in order to closely monitor your health and not miss the development of complications. What do you need to know about possible problems after a miscarriage in order to minimize them?

First of all, let us remind you that spontaneous abortion occurs in the early stages - up to 12 weeks and in later stages - from 12 to 22 weeks. The reasons that cause miscarriage at these periods are also different. Early miscarriages most often occur due to the non-viability of the embryo - their causes are genetic. Termination of pregnancy for more later often occurs due to isthmic-cervical insufficiency - weakness of the cervix, which is unable to hold the fetus inside the uterus. Another reason is the presence of Rh conflict between the blood of the mother and the fetus. We will talk about the consequences of a miscarriage due to this reason a little later.

Consequences of miscarriage

What consequences a woman can expect from a miscarriage directly depends on several factors:

At what stage did the termination of pregnancy occur?
Has the uterine cavity been curetted?
Whether the woman complied with the restrictions set by the doctor;
Did she undergo the treatment prescribed by the doctor?

Most dangerous consequences after a miscarriage there are inflammatory processes that can develop in the uterus. Even if curettage was performed, there is a danger that not all particles of the fertilized egg were removed. In this case, another scraping will be required. After a miscarriage, the uterus gradually contracts and returns to its normal state - this is the restoration of the body. However, heavy bleeding within a few days after a miscarriage should alert the woman and require immediate medical attention.

When can a new pregnancy occur after a miscarriage? This question worries all women without exception. The main thing to remember is that a miscarriage is the beginning of a new menstrual cycle. That is, in theory, there is a chance to get pregnant immediately after termination of pregnancy. But this should not be allowed under any circumstances, since even a short gestation period is a huge hormonal surge for the body, and it takes time for the hormones to return to normal. A new pregnancy occurring immediately after a miscarriage increases the risk of repeated spontaneous abortion.

What are the chances of failure again? If the miscarriage was the first, then it is extremely unlikely that the situation will repeat. Spontaneous abortion occurs in the most healthy women who subsequently give birth to children without problems. However, it is necessary to be examined before a new pregnancy, which many women neglect. But in this case, both problems with conception and new miscarriages are possible - and this will already be a significant problem.

If the interruption occurs late in pregnancy, the cervix may remain relaxed after a miscarriage. This is not a contraindication to repeat pregnancy, but doctors should definitely be aware of this problem. In this case, they will be able to prevent the threat of miscarriage in time by installing an obstetric unloading pessary or applying sutures to the cervix.

The consequences of a miscarriage that occurs due to Rhesus conflict (when the mother Rh negative, and the fetus is positive) are also very serious. The fact is that the lowest risk of Rh conflict occurs only during the first pregnancy. During a miscarriage, the blood of the mother and fetus mixes, so if she is pregnant again with an Rh-positive fetus, the mother will begin to produce antibodies faster. This is also not a reason for despair - successful pregnancy It is quite possible, but it will take place under the strict supervision of doctors.

So, planning a new pregnancy after a miscarriage should be thoughtful and balanced. If a miscarriage occurs due to sexually transmitted infections, both partners must undergo treatment.

Recovery after miscarriage

A woman should monitor her well-being, as well as the amount and color of vaginal discharge. Normally, discharge after a miscarriage lasts from 4 to 10 days, and varies in intensity. It is very important that ultrasound diagnostics be carried out in a timely manner to determine whether there are any particles of fertilized egg left in the uterus. If the discharge after a miscarriage is too abundant, bright, and the woman feels weak and unwell, she needs to see a doctor as soon as possible to rule out uterine bleeding. This is a life-threatening condition.

To achieve full recovery after a miscarriage, it is extremely important to follow the doctor’s recommendations: abstain from sexual intercourse (usually for one month), and use protection for at least 3 months. Many doctors believe that the recovery period takes about 6 months.

In addition, in the first month you should not overheat, including going to the sauna, bathhouse, or taking a hot bath. Lifting weights and playing sports is prohibited. These recommendations must be followed, otherwise the consequences may be unpredictable. 4.7 out of 5 (24 votes)