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Looks like a frozen fruit. A useful video about the causes of a missed pregnancy in the early stages. What causes hormonal disorders

Pregnancy is a very important period in the life of any woman. Having learned about her interesting situation, a woman begins to make new plans for the future, related to the prospect of a child. Everything seems to be going well and the pregnancy is already at a late stage, and suddenly she receives an unexpected, inherently terrible message that there is no more pregnancy, and such a long-awaited and already dearly beloved baby has died without being born

After a long period of depression and nervous stress, painful questions begin to arise: what led to such a terrible event as frozen pregnancy? Why did the pregnancy stop?

Was it possible to prevent this?

Let's look at the answer to these questions.

At its core, s frozen (frozen), or non-developing, pregnancy is a type of miscarriage.

At first, everything goes according to plan. The embryo, formed as a result of successful fertilization, reaches the uterus and implants. However, at a certain stage, its development stops.

Despite the fact that the fetus no longer develops an immediate termination of pregnancy, which is accompanied by detachment of the fetal egg and its removal from the uterus, may not happen.

Therefore, during this period, all signs of a developing pregnancy continue to persist: the uterus continues to increase in size, chorionic gonadotropin is present in the blood - a kind of indicator of pregnancy, in addition, there are subjective sensations characteristic of pregnancy. All signs persist until placental abruption occurs.

With detachment of the placenta, there is a gradual disappearance of all objective and subjective signs of pregnancy.

One of the options for a missed pregnancy can be considered a case in which the development of the embryo does not even occur, instead only extra-embryonic organs are formed, which are called fetal membranes.

This is the so-called "empty ovum".

What do they consist of causes of missed pregnancy?

Modern medicine is not yet able to give a final answer regarding the whole complex of reasons leading to the "fading" of pregnancy. However, almost everyone agrees that very often pregnancy stops developing with serious genetic disorders.

Not the last role is also played by autoimmune disorders, in particular the so-called antiphospholipid syndrome. First, let's turn to the medical encyclopedia.

Antiphospholipid (APS) syndrome is a complex of disorders associated with the formation in the body of antibodies to some of its own phospholipids. Phospholipids are universal components of cell membranes (i.e. shells) and some cell structures, so the clinical manifestations of these disorders are very diverse, or, as doctors say, systemic. One of the manifestations of APS is the formation of blood clots in the smallest vessels - capillaries, at the level of which oxygen and nutrients are exchanged between blood and tissues. The formation of such microthrombi during pregnancy can lead to necrosis (destruction) of part of the placenta, impaired placental blood flow, and even death of the fetus. The role of APS in the formation of non-developing pregnancy, intrauterine growth retardation, up to fetal death in the II and III trimesters has been proven.

Agree that for a person ignorant of medicine, such an explanation will bring more questions than it will answer. Let's still try to explain all this in a more accessible language.

Also, the death of the embryo can be caused by hormonal disorders, various infectious diseases of the genitals. And of course, the risk group includes women who abuse alcohol, use drugs, and smoke.

Symptoms/signs of missed pregnancy

It is almost impossible to determine a frozen pregnancy on your own. The expectant mother may feel the disappearance of symptoms such as nausea or whims, but this does not mean that the pregnancy has stopped developing. The diagnosis of a frozen pregnancy can only be made by a doctor based on examinations. On examination, the gynecologist notes the lag in the size of the uterus from the expected gestational age. But the main method for determining a missed pregnancy is ultrasound. In some cases, the diagnosis is anembryonic, i.e. an empty ovum (lack of an embryo), therefore pregnancy cannot develop. The absence of a heartbeat is also a sign of a missed pregnancy.

One of the tests based on which the doctor will be able to detect a missed pregnancy is to stop and lower the level of hCG in the blood.

But still, a woman can observe some symptoms of a frozen pregnancy herself.

This is a deterioration in well-being, an increase in temperature above normal for pregnant women (37-37.5), chills, pulling pains in the lumbar region and lower abdomen, a decrease in the abdomen in volume, and the absence of fetal movement.

But these signs may not appear immediately, they may appear only 5-7 days after the freezing of pregnancy at any time.

But do not immediately panic, if such symptoms appear, you should immediately consult a doctor.

How do doctors diagnose a frozen pregnancy?

Often, a non-developing pregnancy is determined with a planned ultrasound. Doctors immediately pay attention to the discrepancy between the estimated gestational age and the size of the embryo, as well as the lack of a heartbeat.

Also, in the process of placental abruption, spotting and periodic pain in the lower abdomen may appear.

When conducting blood tests for hCG, it must be remembered that the beta subunit of human chorionic gonadotropin (hCG) in blood serum tends to persist for two to three weeks, therefore, even after the death of the fetus, a positive result of the study is likely.

What should be done when a missed pregnancy is detected?

After the pregnancy fades, the decay products of the tissues of the dead fetal egg begin to be absorbed into the blood, which leads to poisoning of the mother's body.

If these processes continue for more than four weeks, disturbances occur in the blood coagulation system. Tissue thromboplastin enters the mother's bloodstream, which can cause thrombotic complications and bleeding.

In addition, inflammation of the uterus may occur.

Therefore, when a missed pregnancy is detected, it is not necessary to wait until the pregnancy is interrupted spontaneously.

The dead fetus and its membranes must be immediately removed from the uterine cavity.

Removal of the embryo is performed by scraping the uterine cavity or using vacuum aspiration

The operation is performed under general anesthesia.

In preparation for the operation, women are tested for blood clotting, and also set the Rh blood.

How to properly prepare for the next pregnancy after a missed pregnancy?

At the very beginning, a thorough analysis should be carried out and an attempt should be made to identify the causes that led to the death of the embryo.

It should be noted that most cases of embryo death in early pregnancy are due to severe malformations.

Therefore, in order to identify infectious diseases that could cause the death of the embryo, a histological examination of the tissues obtained by scraping the uterine cavity is carried out. Also, both partners are required to undergo an examination for infectious diseases of the genital organs.

With the help of a cytogenetic study of the tissues of the fetal egg, the presence of genetic abnormalities can be determined. The complex of therapeutic measures also includes the study of the hormonal and immune status of women.

If a woman had a case missed pregnancy, then she should refrain from a subsequent pregnancy for 6-12 months. This is what the doctors advise.

At this time, you need to intensively prepare your body for a new pregnancy: be examined, treat the detected disorders, eat well, take a multivitamin complex, and completely give up bad habits.

The main thing is to set yourself up optimistically. No one should be blamed for what happened. This, as they say, will not help grief, but will only lead to even greater disappointment and the development of depressive states. One should take into account the fact that a non-developing pregnancy is a kind of one of the factors of natural selection, with the help of which the birth of a terminally ill person is prevented. Frozen pregnancy is not a sentence. This does not mean at all that in the future you will not have children.

It is rather a signal indicating the need for more thorough and thoughtful preparations for this event.

“This is my second time in a row! - the girl cries at the reception at the obstetrician-gynecologist. - Six months ago, the pregnancy stopped at 11 weeks, now it’s generally at 6-7. What is wrong with me? My husband and I really want a child ... "

Doctors calculated the terms at which the embryo is most vulnerable: 3-4, 8-11 and 16-18 weeks. It is at this time that the likelihood of miscarriage and missed pregnancy is high. This is the time of laying the vital organs of the future baby and changes in the mother's body.

Culprit 1: Hormonal imbalances

The most significant changes in the first trimester of pregnancy undergo a woman's endocrine system. The production of maternal hormones is influenced by placental and fetal hormones. From the moment of conception, the amount of female sex hormones in the body increases: progesterone and estrogen, and not only their presence is important, but also the balance.

So one of the hormonal causes of missed pregnancy and spontaneous abortion is the lack of progesterone, without which the embryo cannot firmly “settle” in the uterus. Approximately 20% of women during pregnancy increase the level of male sex hormones - this is the second possible reason for the fading of pregnancy.

These disorders can be predicted by hormonal status tests even before pregnancy and treatment can be started in advance.

Culprit 2: Genetic disorders

Genetic anomalies of the fetus manifest themselves quite early, many of them are incompatible with life. Genetic “breakdowns” are inherited by the embryo from both the mother and the father, or they arise from an unsuccessful combination of parental genes. It is believed that if the second, third or more pregnancy freezes in a row, genetics is to blame. However, doctors find it difficult to say with accuracy.

Culprit 3: Infections

Pregnancy is a state of immunosuppression, suppression of the immune system. Otherwise, how could the mother's organism come to terms with the appearance on its territory of a "stranger", half of whose genetic information is completely different? The immune system would instantly react with serious aggression to such a “semi-compatible transplant”, and the baby would have a hard time.

But nature has provided for everything - the child is reliably protected from the attack of antibodies by the placenta and fetal membranes. On the other hand, the pregnancy hormone - chorionic gonadotropin (the one from which the second strip appears on the express test) powerfully suppresses the immunological attacks on the part of the mother's body. The hormones of the placenta, the corpus luteum, the adrenal glands and the fetus itself act in approximately the same way. The baby is fine, but the mother is vulnerable to various infections.

In pregnant women, all infectious diseases are exacerbated. The “local” harmless flora, having gained freedom, multiplies without measure, causing a lot of problems. The vaginal flora is activated, and there is a risk of intrauterine infection of the fetus. In this sense, mycoplasmosis, ureaplasmosis, chlamydia and all sexually transmitted diseases (gonorrhea, syphilis, etc.) are unfavorable.

Irreversible changes and multiple malformations cause cytomegalovirus (CMV) and rubella virus. However, infection with them is dangerous only during pregnancy, the "old" infection, on the contrary, creates an incentive for the production of IgG antibodies and prevents the disease from exacerbating. But IgM antibodies are a sign of a “fresh” infection and a cause for serious concern. I don’t want to scare you, but getting rubella in the first trimester of pregnancy is a mandatory indication for its termination. Cytomegalovirus is less aggressive, but much more often the cause of non-developing pregnancy.

Another danger is the influenza epidemic. In pregnant women, a banal ARVI is difficult, because the immune system works at half strength. Moreover, the danger comes not so much from the pathogen itself, but from general symptoms: intoxication, fever, which leads to impaired blood flow in the mother-placenta-fetus system. The embryo lacks oxygen and nutrients and may die. Therefore, during seasonal outbreaks of influenza, pregnant women are recommended to be vaccinated with a polyvalent killed vaccine.

Culprit 4: Wrong lifestyle

Doctors say: in favorable conditions, pregnancy, as a rule, proceeds without complications and is easily tolerated. With the right mode, there is no need to make significant adjustments. Now show me a woman living in the right mode...

Frozen pregnancy often comes from stress and overexertion. The kid is unlikely to like it if the mother spends a full day in a stuffy room, staring at the computer, and getting up from her chair only to drink a couple of cups of coffee and brew Doshirak for lunch. Such conditions can contribute to various complications, such as early placental abruption, and put the uterus in a state of increased tone. Both disrupt blood flow, and the unborn child receives little oxygen and nutrients.

Pregnancy, especially its first trimester, is a reason to take care of yourself and even pamper yourself. In public transport it is recommended to spend no more than an hour a day. Nervous shakes are generally contraindicated. We need healthy food, a lot of fresh air and positive emotions, moderate mental and physical activity, preferably in the form of walks and simple exercises.

According to the labor law, pregnant women should not be involved in night work, overtime work, work related to lifting and moving weights, vibration, exposure to high and low temperatures, noise, radiation and certain chemicals. Healthy sleep for eight or more hours a day is important. Standing for more than three hours a day is not recommended. .

Foreign travel is also not without risk. First, if something unforeseen happens, a foreign country will not provide medical assistance in full. Secondly, long-distance flights, and even more so moving, changing time zones, an unusual diet and climate change require a lot of effort from the body and can damage it. The fetus in the early stages does not tolerate acclimatization well, and this can also cause a non-developing pregnancy.

Autoimmune disorders

Autoimmune processes are called when antibodies are formed not to foreign agents (bacteria and viruses), but to the body's own cells. These antibodies during pregnancy can also affect the fetus, which leads to its death.

Quite often, the cause of repeated regressive pregnancies is antiphospholipid syndrome (APS). In this case, antibodies are formed to their own phospholipids, which are involved in the formation of cell walls. Before pregnancy, this syndrome may not manifest itself in any way. APS can be suspected in repeated regressive pregnancies. The examination includes both an analysis specifically for APS markers and an analysis for blood clotting (with APS, clotting increases, which leads to the formation of microthrombi, including in the vessels of the placenta, which leads to malnutrition of the fetus, and in the absence of treatment to his death).

Often it is not possible to determine the exact cause of the regression, but usually with repeated regressions, a detailed examination still helps to identify it.

Necessary examinations after a regressive pregnancy

A minimum of examinations after a regressing pregnancy includes:

Ultrasound of the pelvic organs;

A blood test for hormones (usually an analysis for sex hormones is given, an analysis for other hormones is given if there are any symptoms indicating a possible disruption in the work of hormone-producing organs);

Analysis for infections;

Spermogram (the child has two parents, the causes of regressive pregnancy can be found not only in the mother).

This list can be significantly expanded depending on the specific situation, for each woman it should be individual, depending on the results of a general examination, the nature of the menstrual function, heredity, the presence of some diseases in the past or at present.

With repeated regressive pregnancies, the examination is more detailed. It is mandatory to conduct an examination for antiphospholipid syndrome and a study of the karyotype (set of chromosomes) of the father and mother.

How to be further

Of course, all women who have undergone such a test as a “regressive pregnancy” are concerned about the possibility of a favorable pregnancy outcome in the future. The probability of this is quite high, as mentioned above, often the regression of pregnancy occurs due to the "accidental" impact of some factor, an unfortunate set of circumstances. And it will never happen again in the future. In some countries abroad, after one regression, they do not even recommend a detailed examination, and resort to it only after repeated regressive pregnancies, since 80-90% of patients after a single regression of pregnancy normally carry a pregnancy in the future.

However, I think everyone will agree with me that it is better to avoid repeated regressions. Therefore, it is necessary to be examined, and if any violations are detected, they should be treated. Be sure to get rid of infections as much as possible. When hormonal and autoimmune disorders are detected, therapy is most effective if started at the planning stage, and not at the onset of pregnancy.

You can plan the next pregnancy no earlier than six months later. This time is necessary for the uterine mucosa and the hormonal background in the body to recover. During this period, it is recommended to take oral contraceptives, as they not only have a contraceptive effect, but also help the body recover from hormonal stress, regulate ovarian function and restore the menstrual cycle.

During the planning period for the next pregnancy, it is important to eat right, get plenty of vitamins (with food or in the form of multivitamin complexes), and lead a healthy lifestyle. This will help the body protect the baby from negative environmental influences during pregnancy.

Do not underestimate the role of bad habits. If “a girlfriend smoked the whole pregnancy and nothing”, “a neighbor drinks and nothing”, this does not mean that these factors are not harmful to the fetus. The body will be able to protect someone, but not someone, so the number of harmful factors should be limited as much as possible. Yes, we will not be able to protect the unborn baby from everything, but we must limit the number of harmful effects as much as possible.

Without a doubt, a frozen pregnancy is a psychological trauma for a woman, so if you are tormented by obsessive thoughts that you will not be able to have children at all, you are setting yourself up for failure, you should consult a psychotherapist. The role of psychological factors during pregnancy is recognized by most doctors.

I wish you all a successful pregnancy and the birth of healthy babies!!!

Maria Sokolova


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Missed pregnancy is one of the types of miscarriage, in which the intrauterine development of the fetus stops. Most often this occurs in the first trimester, much less often in the second and third. At the same time, a woman may not notice for a long time that the embryo has stopped developing.

Therefore, today we decided to tell you about the first signs of a missed pregnancy.

How to determine a frozen pregnancy in time?

In each trimester of pregnancy, the growth and development of the fetus depend on many factors (explicit and implicit). Sometimes it happens that an accidental combination of circumstances can lead to a halt in the development of the fetus. This is what in modern medicine is called a frozen pregnancy. How to recognize it?

This pathology has fairly accurate symptoms, so doctors can make a similar diagnosis without much difficulty.

The most important symptom is, of course, that any signs of pregnancy disappear completely. But in no case should you wind yourself up and make such a diagnosis yourself.

If you have any doubts, immediately contact your obstetrician-gynecologist . He will examine you and will do an ultrasound . Only after that the whole picture will become clear: did the child stop in development, or is it just your nerves being naughty.

The most certain symptoms of a missed pregnancy

Unfortunately, in the early stages there are no obvious signs of pregnancy fading. Such a diagnosis can be made after an ultrasound .

A woman may feel that toxicosis, gastronomic whims, pain in the mammary glands, etc. have abruptly stopped. But this does not mean that there is no more pregnancy.

Such a diagnosis can only be made by a gynecologist after an examination and identification of the following symptoms:

  • The fetus has no heartbeat;
  • The size of the uterus is smaller than expected at this stage of pregnancy;
  • Decreased in the pregnant woman's blood

Signs of a missed pregnancy in the early stages

  • Eliminate toxicity. In women suffering from severe toxicosis, this fact will certainly cause unrest. Then you felt bad in the morning, you were sick from pungent odors, and suddenly everything returned to normal. But the second trimester is still quite far away.
  • Mammary gland stop hurting and become softer. These manifestations of a missed pregnancy can be noticed by all women. The chest stops hurting 3-6 days after the death of the fetus.
  • Bloody issues. This clear sign of a miscarriage may only appear several weeks after the death of the fetus. Sometimes a small brownish discharge may appear, and then disappear. In such cases, women often think they “swept through”, but the fetus no longer develops.
  • Headache, weakness, fever(above 37.5), mild nausea - these symptoms are a bit similar to toxicosis, but some women observed them already 3-4 weeks after the pregnancy stopped. This is due to the fact that the decay products of the embryo enter the bloodstream.
  • Decreased basal body temperature- women who are very worried about the unborn baby can continue to measure basal temperature even after pregnancy. Most often, in the first trimester of pregnancy, the temperature stays around 37 degrees, when it fades, it drops sharply, because the body stops producing the hormones necessary for the development of the embryo.

But, unfortunately, not only in the first trimester of pregnancy, the embryo can stop developing, but also on later lines . If we talk about a missed miscarriage, then the risk persists until the 28th week.

Therefore, we will tell you about the signs of a missed pregnancy at a later date, because every expectant mother should know them.

Symptoms of a missed pregnancy at a later date

  • Cessation or absence of fetal movements. Usually, women begin to feel the baby's weak tremors at 18-20 weeks of pregnancy. It is from this moment that doctors recommend carefully monitoring the frequency of movements of the baby. The ideal option is more than 10 times a day. The number of movements will decrease, maybe only before childbirth, since the child is already large and there is not enough space for him. So, if you don’t feel the baby’s tremors for several hours, urgently go to the hospital. At first, this may be a sign of hypoxia (lack of oxygen), and if urgent measures are not taken, then pregnancy will fade.
  • The mammary glands have decreased in size , they lost tension, they softened. After intrauterine death of the baby, the mammary glands become soft for 3-6 days. This sign is very informative before the mother begins to feel the baby's movements.
  • Fetal heartbeat not heard . Of course, this symptom can only be accurately determined by ultrasound. However, after 20 weeks, the doctor can independently check the baby's heartbeat using a special obstetric stethoscope. An independent pregnant woman cannot check this sign in any way.

Not a single specialist will give you exact recommendations on how to identify a missed pregnancy at home. However, if you have any of the above symptoms, visit your OB/GYN.
We talked to women who faced a similar problem, and they told us what they began to worry about during a missed pregnancy.

During pregnancy for a period of 1 to 8 weeks, there is an embryo in the womb of a woman, and the death of an unborn baby at this period is called. In the literature, you can find a generalized concept of these two states -.

information According to statistics, the fetus dies quite rarely. In the first trimester (up to 12 weeks) - about 5% of all pregnant women, and in the second and third trimester - about 1%.

Causes

There are a lot of reasons and predisposing factors leading to intrauterine death of a baby. The main ones:

  • infections and inflammatory diseases of the mother, occurring in a complicated form (rubella, chicken pox, influenza, etc.);
  • (negative Rh factor in the mother and positive in the child);
  • intrauterine fetal hypoxia;
  • alcoholism and drug addiction;
  • placenta previa;
  • toxicosis (), severe course;
  • violation of the hormonal function of the body of a woman;
  • radioactive exposure;
  • contact with toxins;
  • injuries during pregnancy (blows or falling on the stomach);
  • heavy expectant mother;
  • genetically determined fetal developmental anomalies that are incompatible with life;
  • frequent and uncontrolled intake of medications that are toxic to the developing fetus;
  • hypertonic disease;
  • quite a strong stress of a woman during childbearing.

Signs of antenatal fetal death

Antenatal fetal death is characterized by classic signs and symptoms:

  • cessation of fetal movement;
  • lack of heartbeat of an unborn baby;
  • severe general weakness;
  • heaviness, discomfort in the lower abdomen;
  • lack of uterine tone and uterine contractions;
  • cessation of growth of the fetus and uterus;
  • reduction of the mammary glands, the disappearance of their engorgement.

In the case of late diagnosis of such a condition, when 2 weeks or more have passed after the death of the child in the womb, signs of sepsis join:

  • (temperature over 38-39 ° C);
  • pain in the abdomen;
  • headache;
  • disturbances of consciousness;
  • death as the final of an undiagnosed and untreated infection of the woman's blood with the toxins of a dead child.

Diagnostics

After a woman turns to a gynecologist with suspicions of a pregnancy pathology or comes for a routine examination, the doctor directs her to diagnostic procedures that will make it possible to make a final diagnosis and decide on the necessary measures. Among the simplest and most accurate ways to diagnose antenatal death of a baby, the following are distinguished.

  • ultrasound. Allows you to determine the absence of a heartbeat and blood flow, the location of the deceased fetus, its size, the state of the placenta and amniotic fluid.
  • . Allows you to determine the absence of cardiac impulses in the fetus.
  • FKG. By analogy with the ECG, it determines the absence of a heartbeat in the fetus.

Treatment of antenatal fetal death

Treatment of antenatal death of the fetus is its removal from the uterine cavity within a period of not more than 14 days after the development of this pathology.

  • In the first trimester (before), the uterine cavity is scraped (classic abortion).
  • In the second trimester, most often resort to stimulation of labor activity with oxytocin. In extreme cases, delivery is possible by.
  • In the third trimester, with the death of the fetus, labor most often occurs on its own.

dangerously In cases where a deceased unborn child cannot pass through the mother's birth canal on its own, fruit-destroying operations (decapitation, craniotomy, etc.) are performed, and the fetus is removed from the woman's uterus in parts.

After the baby is taken out of the uterus, the woman must pass rehabilitation course. Within 7-10 days, Ceftriaxone or its analogues are prescribed. Within 4-6 months after the incident, all possible causes of fetal death are eliminated:

  • treatment of chronic foci of infection;
  • nutrition correction;
  • taking several courses and minerals;
  • observation in the reproduction center and work with a psychologist.

Consequences

In the case of timely seeking medical help, intrauterine death of the fetus does not bear any consequences for the woman. In 99% of cases, a re-pregnancy that occurred six months or more after an artificial birth, ends happily.

In cases where a woman went to the doctor late, infectious and bacterial complications may develop, up to sepsis. This is due to the fact that the dead fetus releases a large amount of toxins into the blood, its decomposition occurs. In extreme cases, death is possible.

During the period of bearing a baby, every woman is worried that the development of the fetus may stop. Unfortunately, this is what happens sometimes. In about one in three cases, a miscarriage is diagnosed after fertilization. Signs in the first trimester can be different. This article will tell you about them. You will find out what causes it in the first trimester, as well as find out about the methods of diagnosis and treatment.

What it is?

What has in the first trimester? Symptoms of the pathology will be described below. To begin with, it is worth saying what it is.

The fading of pregnancy is the cessation of its progression. The fetus at some stage simply stops developing, but does not undergo a reverse change. As a result, its decomposition and rotting of the masses may begin. It is very dangerous.

Causes of pathology

Why does a frozen pregnancy occur in the first trimester or later? Pathology can occur due to certain diseases. Viruses are especially dangerous. These diseases include rubella, influenza, acute respiratory infections, toxoplasmosis and others. Often the fetus undergoes changes incompatible with further development due to diseases such as chlamydia, trichomoniasis, mycoplasmosis, and so on. These pathologies are sexually transmitted. That is why we can call a frequent change of sexual partners.

A variety of can lead to the fact that a frozen pregnancy will occur in the first trimester. Signs of it may appear immediately or be hidden for a long time. Often, the cessation of embryo development occurs due to previous abortions, diagnostic interventions and other manipulations in the area of ​​the reproductive organ. It also includes congenital or acquired pathologies of other organs and systems. Not the last role in this problem is played by the hormonal background.

Another cause of missed pregnancy can be called genetic abnormalities. Often such a fetus dies in the very early stages. At the same time, the woman does not even have time to find out about her new position. In some cases, pathology develops due to external influences. For example, if the expectant mother uses alcohol, drugs or leads an inappropriate lifestyle.

Frozen pregnancy: signs in the first trimester

The most reliable symptom that the fetus is no longer developing is the absence of a heartbeat. It is worth noting that in the early stages this can be checked only with the help of ultrasound diagnostics. For longer periods, such manipulation can be performed using a special sensor or a cardiotocography apparatus.

During the study, the specialist always compares the estimated term and size of the embryo. Much attention is paid to the fetal egg. Also, an examination is performed on the area of ​​\u200b\u200bthe corpus luteum. Frozen pregnancy in the first trimester ultrasound signs have the following:

  • discrepancy between the size and timing of pregnancy;
  • in some cases, the embryo is completely absent;
  • contraction of the heart muscle is not determined;
  • additional defects are established (absence of a corpus luteum, presence of detachment, and so on).

It is worth noting that it is impossible to talk about these signs without ultrasound diagnostics. It is this method of examination that is considered the most reliable in the formulation of the described diagnosis. Consider what signs of a frozen pregnancy in the first trimester it still has.

Painful sensations in the abdomen

Up to 70 percent of missed pregnancies are accompanied by pain in the lower abdomen. They develop due to the fact that the body tries to independently reject the pathological. In this way, the human self-preservation system works. Pain occurs as a result of the fact that the production of certain hormones stops. The uterus becomes more sensitive and begins to contract, the cervical canal slightly changes its position and expands. A woman may experience unpleasant pulling sensations in the lower abdomen or feel severe cramping pain. Each situation is individual and does not depend on the gestational age.

It is worth saying that such sensations often occur with the threat of interruption. If certain hormones are insufficiently produced in a woman's body, as well as under the influence of other factors, a reduction in the reproductive organ may begin. This process can be reversible in the early stages. You just need to take the appropriate drugs and follow the prescription of doctors. That is why it is so important to seek help from a doctor if you experience pain in the lower abdomen as early as possible and later.

Discharge from the genital tract of various nature

What other signs of a frozen pregnancy in the first trimester? A symptom of the development of pathology can be called vaginal discharge. During pregnancy, especially in the early stages, their number increases. This is considered the norm. However, the color of such a liquid should be clear or milky. Impurities of blood, pus and other substances are recognized as pathology. They should be cause for immediate medical attention.

Bloody discharge may indicate that the process of rejection of the fetal egg has already begun. As a result, small capillaries are damaged. When the bleeding gains strength, we can talk about a progressive spontaneous miscarriage. In the presence of purulent discharge, it may be suspected that the fading of the fetus occurred quite a long time ago, and the process of its decomposition has already begun. It is worth noting that, as in the previous paragraph, these signs can only indicate a threat of termination of pregnancy. The sooner you seek help from a gynecologist, the greater the chance to save the child.

Sensations in the area of ​​the mammary glands

What other signs of a frozen pregnancy does it have? Symptoms of pathology can manifest themselves in the form of the disappearance of soreness and sensitivity of the mammary glands.

Under the influence of the pregnancy hormone (progesterone), the process of preparing for breastfeeding begins immediately after fertilization. The mammary glands will undergo changes throughout the duration of pregnancy. At first, the breast becomes larger, it acquires a special sensitivity. Some women even experience pain. All these signs persist until about 12 to 16 weeks. That's when the placenta starts working. A sharp disappearance of breast sensitivity may indicate that there has been a stop in the development of the fetus.

Toxicosis and its absence

What are the signs of a frozen pregnancy in the first trimester? A photo of the embryo is presented to your attention in the article.

Most expectant mothers are faced with toxicosis. It appears already a few weeks after fertilization and can be more or less strong. Reliable reasons for this condition still cannot be stated.

An abrupt cessation of severe toxicosis may indicate that the pregnancy has frozen. This symptom is indirect, but, like all of the above, requires additional diagnosis and confirmation. It is worth saying that some expectant mothers do not experience such sensations at all. They successfully endure the first stages of pregnancy. This does not mean that there is a risk of missed pregnancy.

Basal body temperature

What other signs of a frozen pregnancy in the first trimester? The causes of the pathology have already become known to you. Another symptom of the problem is a decrease in the high level of basal body temperature. If you have observed the work of your body in this way, you may notice that immediately after ovulation there is an increase in the level of the thermometer readings. After fertilization and implantation, it can become even higher. So, the average value of basal temperature in expectant mothers is 37 - 37.2 degrees. If suddenly there was a drop in the graph line to 36 - 36.5 degrees, then we can talk about a frozen pregnancy.

It is worth noting that this sign can only be checked by those women who have previously conducted appropriate observations. The initial measurement in most cases turns out to be unreliable, because you will have nothing to compare with.

Fever

Another sign of a missed pregnancy is an increase in body temperature. It happens due to the fact that the fetus in the uterus begins to gradually decompose. It is worth noting that this sign appears with a long course of the process. This can be very dangerous for a woman.

If you have a high temperature, and there are also additional signs described above, then you should immediately run to the hospital, but it is better to call an ambulance. The slightest delay in sepsis can lead to the death of a woman.

How to find out about a missed pregnancy before an ultrasound?

If you have suspicions, only an ultrasound can confirm them. Any indirect signs cannot be a reason for making a diagnosis, remember this.

There are studies that can help you learn about the problem even before the diagnosis. This is a blood test. During the study, the amount of human chorionic gonadotropin in your blood is determined. The results are compared with generally accepted standards. Based on this, you can judge whether your real term corresponds to the expected one. For a more accurate diagnosis, it is recommended to conduct a study several times with a break of three or five days.

Frozen pregnancy in the first trimester: treatment

If you find out about the presence of this pathology, then it must be eliminated as soon as possible. In most cases, gynecological curettage is performed. For short periods, it is possible to use other methods of cleansing the uterus, for example, medical abortion or In some situations, when an abortion (bleeding) has begun, doctors choose expectant tactics. If a complete cleansing of the uterus does not occur within a few days, then the patient is offered cleaning. What are the consequences of a frozen pregnancy in the first trimester?

In most cases, the pathology does not affect the future life and fertility of the patient. Only in especially severe cases can we talk about acquired infertility. Usually, a representative of the weaker sex is capable of a new pregnancy already 3-6 months after the incident. Often, after the manipulation, medications are prescribed to a woman to correct the condition. These can be antibiotics, immunomodulators, agents for restoring microflora, and so on.

Instead of concluding an article, or a short summary

You have learned what causes a frozen pregnancy in the first trimester. This is a very unfortunate occurrence. It is especially hard for those women who want to give birth to a baby for a long time, but they do not succeed. If the situation with a frozen pregnancy is repeated more than twice, then the representative of the weaker sex, like her partner, is shown a consultation with a hematologist and genetics. In such situations, it is worth starting a full examination and finding the reason why conception occurs, but at some stage the embryo simply stops developing. Good health and success to you!