If the fetus freezes, there are no options - you need to get rid of pregnancy, and the sooner the better.

At a gestational age of up to 7 weeks, medical termination of a frozen pregnancy is possible. The drugs are the same as for a regular medical abortion. With a frozen pregnancy, the uterus is freed from the dead embryo in the same way as with a normal one, after 2 weeks an ultrasound scan is done to monitor the state of the uterus, whether the remains of the ovum linger there. Often, medical abortion with a frozen pregnancy is complemented by antibiotic therapy.

Removing a frozen pregnancy at a later date requires surgery.

Scraping during a frozen pregnancy (in common parlance, cleaning), is carried out under short-term anesthesia or using local anesthesia, if a frozen pregnancy occurs for more than 7 weeks, the operation is performed in the conditions of the gynecological department. Curettage after a frozen pregnancy requires mandatory antibiotic therapy in the postoperative period.

After scraping a frozen pregnancy, the discharge is in the nature of a bloody, and continues for several days.

The uterus gets rid of the remnants of the endometrium, and the restoration of its mucous membrane begins. Profuse bleeding after a frozen pregnancy is not the norm and requires a doctor's consultation. Discharge is usually quick, but it will take a few days for you to feel well. Discharge after cleansing a frozen pregnancy resembles menstrual discharge, but it should be less abundant and stop rather quickly. You will need a course of antibiotics without fail, but the treatment will not end there.

How to treat a frozen pregnancy after scraping, doctors decide in each case. Of course, it is necessary to conduct a survey to identify the causes of the incident.

Menstruation after a frozen pregnancy is restored after 1 - 1.5 months, while it proceeds as usual. Sexual life after a frozen pregnancy is possible after the first menstruation.

What to do in case of a frozen pregnancy after its termination?

It all depends on the reasons. Histology after a frozen pregnancy usually makes it possible to find out why the pregnancy was terminated and the embryo died. Whether it was an infection or gross developmental disorders of the child, a study of the remote during the operation will show this. Sometimes the reason remains unclear.

You cannot get pregnant again for at least six months, therefore, OK are always prescribed after a frozen pregnancy. Oral contraceptives not only prevent the onset of a new pregnancy before the body recovers, but also normalize the menstrual cycle. Birth control pills, for example, Regulon, after a frozen pregnancy are not the only treatment. Vitamins are necessarily prescribed, recovery takes time and the most attentive attitude to oneself.

If, as a result of the examination, a woman is diagnosed with a disease that led to the death of the embryo, it is treated. How to be treated after the dead is determined by the pathology that was identified. Subsequent pregnancy after dead should be planned. It is possible that the body will need help to prevent this from happening again. Hormones for antiphospholipid syndrome, duphaston or morning, if low progesterone is detected, allow a healthy child to be carried.

However, physical problems are not the only difficulty for women, a missed pregnancy, especially in the later stages, is a serious psychological trauma. Life after a frozen pregnancy turns into a fight against depression, a change of scenery, help from loved ones, and a psychotherapist help to cope with it.

Rehabilitation after a frozen pregnancy is not only the restoration of one's physical health and fertility, but also adaptation to what has happened. If you feel guilty or regret a lost child, don't torture yourself to find an answer to why this happened. This happens to many women, and it is not your fault that this happened.

What are the consequences and complications of a frozen pregnancy?

Still, most often the pregnancy freezes for a random reason, which means that it is highly likely that the second time you will succeed, the next pregnancy after the frozen one will end happily.

Untimely diagnosis of a frozen pregnancy is dangerous. It is possible for a pregnant woman to pass a week or a month after the death of a child; in the later stages, a large interval before delivery is dangerous. The ability of the mother's blood to clot is affected, and this can cause bleeding. Infection of the contents of the uterus at any time causes its inflammation - endometritis.

It is important to be monitored by a gynecologist on time and contact in a timely manner when complaints appear.

The fear of a frozen pregnancy is especially strong in those women who have already suffered it. The best prevention of a missed pregnancy is planning.

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Most often, it is difficult to establish the exact cause that led to the development of this ailment (each case is studied and considered individually), although doctors name several of the most common points. Among them:

• uncontrolled intake of various medicines, which include dietary supplements and vitamins consumed by expectant mothers without consulting a specialist;
• viral diseases (influenza, acute respiratory infections, acute respiratory viral infections, etc.);
• smoking;
• drinking alcoholic beverages during pregnancy;
• taking illegal drugs, etc.

Non-developing pregnancy, medical termination of it - this is the number 1 choice in modern gynecology. It has now been proven that curettage during a frozen pregnancy is not the best, but even dangerous, way of emptying the uterine cavity. Therefore, according to current recommendations, it is necessary to use alternative options that do not lead to damage to the endometrium. In subsequent pregnancies, this will be associated with a lower risk of complications than with surgical curettage.

Alternative options for traditional curettage of the uterine cavity are:

• The medication method (medication interruption), which in Russia is allowed only up to 6 weeks, and in world practice it is used up to 12 weeks. At present, an increase in terms is being revised in Russia, but this process is long. In this case, other dosage regimens of pharmacological preparations are required.
• Vacuum aspiration, used for up to 12 weeks with a frozen pregnancy. If drug interruption is not possible, it is the preferred technique.

Medical termination of a frozen pregnancy should completely displace curettage, which is not acceptable for this option of miscarriage.

Risks of surgical curettage in non-developing pregnancies

Unfortunately, until now, the traditional practice among obstetricians-gynecologists with an undeveloped (frozen) pregnancy is emptying the uterus using surgical curettage. This means that the cervical canal is forcibly expanded with special instruments, and then with a curette, scraping and removal of the remnants of the ovum is performed.

Such manipulation is always accompanied by negative consequences for the female body - both early and distant. The main risks are associated with the following factors:

• Injury of the cervix, which leads to isthmicocervical insufficiency, which is subsequently accompanied by an increased frequency of miscarriages and premature birth;
• Intense pain after curettage of an undeveloped pregnancy (drug interruption is not accompanied by them). Over time, in some patients, they can develop into chronic pelvic pain syndrome, i.e. when pain occurs periodically over the past 6 months;
• Structural and functional inferiority of the endometrium, especially pronounced at the site of subsequent implantation (attachment) of the ovum. This leads to a high incidence of miscarriages and repeated non-developing pregnancies (drug abortion is devoid of these disadvantages).

Also, doctors should refuse (and patients should inform doctors in advance about their desire) from surgical curettage in case of an abortion that has already taken place, if the ultrasound does not reveal the remains of the ovum. Thus, in case of profuse bleeding during pregnancy, ultrasound scanning is the first priority. If there is no fertilized egg in the uterine cavity, then scraping is not necessary.

Important! Traditional scraping of the uterine cavity with a frozen pregnancy is always a sign of equality between this manipulation and chronic endometritis. Such inflammation of the mucous membrane aggravates the subsequent reproductive health of a woman, when her chances of becoming pregnant naturally and having a normal baby are significantly reduced.

Non-developing pregnancy. Medication interruption, technique

Medical termination of a frozen pregnancy implies a phased intake of 2 drugs. The first is Mifepristone and the second is Misoprostol. They have a different mechanism of action.

Mifepristone leads to detachment of the ovum due to blockage of progesterone receptors. Misoprostol in a frozen pregnancy increases the contractile activity of the uterus, facilitating the expulsion of the detached ovum. At the same time, there is a gradual pharmacological opening of the cervical canal without injury.

Currently, following a major Cochrane review (i.e., studies with the highest evidence of the evidence), the minimum effective dose of drugs recommended for use has been established. Therefore, in classical (uncomplicated) cases, Mifepristone with a frozen pregnancy is prescribed at a dose of 200 mg orally, and Misoprostol - 400 mcg after 24-48 hours. However, it is forbidden to use this as a guide to action without consulting a doctor - an assessment of contraindications, clarification of the obstetric term and characteristics of the female body is required.

Contraindications

Medical termination of an undeveloped pregnancy should not be used if:

• an ectopic pregnancy was diagnosed;
• there is an indication of an allergic reaction to the drugs used (Mifepristone or Misoprostol);
• chronic failure of the kidneys or liver, which are involved in the metabolism of the drugs used and their excretion in the urine from the body;
• porphyria is a hereditary disorder of porphyrin metabolism with the deposition of these substances in the liver, intestines, skin, etc.

Ectopic pregnancy requires surgery. Preference should be given to minimally invasive (laparoscopic) techniques. With all other contraindications, the only way out is vacuum aspiration. If, for technical reasons, it cannot be produced, then, unfortunately, they resort to curettage (scraping) of the uterine cavity. It should be done very carefully, without injuring the inflamed mucous membrane (endometrium).

Non-developing pregnancy. Medication interruption - recommendations after it

The American Society of Obstetricians and Gynecologists formulated clear recommendations for the safe and effective management of the post-abortion period, when there was a non-developing pregnancy, which was interrupted by medication. These are 2 basic rules:

1. Mandatory intake of analgesics. However, it should be said that the pain after surgical curettage is much more intense than after taking Mifepristone in combination with Misoprostol. It is recommended to use non-steroidal drugs (Indomethacin, Diclofenac and others) as analgesics.
2. Mandatory control of sanitary napkins. If you need to change 2 pads with maximum absorbency in an hour, then this is regarded as bleeding after a frozen pregnancy. Be sure to urgently contact your gynecologist.

Non-developing pregnancy, medical interruption is a mandatory control of pads and taking painkillers for better tolerance of the procedure.

After a medical "curettage" of the uterus with a frozen pregnancy, a control ultrasound scan should be carried out no earlier than 10-14 days from the moment of evacuation of the ovum. Early ultrasound threatens with overdiagnosis of placental (chorionic) remnants, which is naturally accompanied by an increase in the number of unjustified surgical curettage. In cases where it is not possible to perform an ultrasound scan, then it is necessary to determine the level of hCG in the blood, which, with successful emptying, should be less than 1000 mIU / L.

Non-developing pregnancy, its medical interruption is regarded as successful if ultrasound on the 10-14th day (not earlier!) After the release of the ovum does not reveal any residues, or if hCG is less than 1000 mIU / L.

After drug "curettage" due to a frozen pregnancy, the routine use of antibiotics is not indicated. The issue is resolved individually by a specialist, depending on the degree of infectious risk that a woman has.

After establishing the final diagnosis of a frozen pregnancy, the fetus from the uterine cavity must be removed. If the woman's condition allows, sometimes doctors take a wait-and-see attitude, that is, they expect the body to get rid of the dead fetus by itself through spontaneous miscarriage or premature birth.

But today, experts are still trying to remove the contents of the uterus surgically, without waiting for complications. The choice usually depends on whether the woman has vaginal bleeding or not. The presence of brownish discharge or bleeding indicates that a miscarriage will occur, but sometimes this can take several days or even weeks. In most cases, the doctor recommends surgery after no more than a few days to reduce the likelihood of infection of the uterine cavity. It may be better from the point of view of the emotional state of a woman - it is psychologically very difficult to know that there is a dead fetus in the uterus.

The termination of a frozen pregnancy, depending on its duration, can be done with a medication, using vacuum extraction (mini-abortion), curettage or stimulation of labor.

Medical termination of a frozen pregnancy

Medical abortion for a frozen pregnancy is given for a period of not more than 42 days from the day of the last menstruation in a hospital setting. A woman takes a pill in the presence of a doctor (usually mifepristone), after which, after a few hours, she has bloody discharge. Usually, within two days, the dead embryo completely leaves the uterine cavity, which should be confirmed by ultrasound.

To enhance the contractility of the uterus, some women are prescribed additional prostaglandins. A second ultrasound scan, in order to make sure that the ovum is completely removed, is performed one to two weeks later. At the same time, a second determination of hCG in the blood is carried out. If an incomplete abortion has occurred, curettage is performed uterine cavity.

The operation is performed for up to 12 weeks or in case of incomplete abortion caused by other methods. Curettage after a frozen pregnancy is performed under general anesthesia. In this case, at first, the cervical canal expands, then a spoon on a long handle (curette) is inserted into it, with the help of which the entire surface layer of the mucous membrane of the wall is scraped out and the ovum is removed with it.

Cleaning with a frozen pregnancy is a full-fledged operation, therefore, it can have complications.

In the context of specialized departments, such complications are usually successfully dealt with. For the prevention of infection, antibiotics are prescribed, and to stop bleeding - modern drugs that contribute to the rapid contraction of the muscles of the uterus (while the vessels are squeezed) and increase the blood clotting ability.

Artificial childbirth with a frozen pregnancy

This type of termination of pregnancy is carried out in the second half, for a period of more than 22 weeks and only in a hospital. A woman is prescribed drugs that stimulate the contractile activity of the muscles of the uterus. This triggers the birth mechanism, and the frozen fetus is removed from the uterine cavity. After artificial childbirth ultrasound control is carried out.

How to survive a frozen pregnancy for a woman? Often a missed pregnancy, especially if it happened in the second half, is accompanied by persistent depression ... In some cases, a woman even needs the help of a psychiatrist. But more often relatives help to cope with depression - it is their sensitive attitude that allows you to overcome psychological difficulties.

Unfortunately for women, not every bearing of a baby ends in childbirth. It also happens that the fetus stops in its own development and dies in the womb. Immediately after this, many questions arise - how to live on, whether there will be a possibility of having a child, what to do after a frozen pregnancy. The answers to these questions can be given by the attending physician, who will conduct a general examination.

The fetus stops developing most often for up to 14 weeks, this is exactly the period when the placental protection is not yet too great and the connection between the woman and the fetus is not sufficient. The causes of a frozen early pregnancy can be of a different nature. Sometimes they are quite difficult to identify, even for doctors. For this, the couple must undergo an unscheduled examination, and the material after curettage will be subjected to such a procedure as the histology of a frozen pregnancy.

Fetal death in the womb can occur both early and late in pregnancy. That is why it is quite difficult to survive the termination of a frozen pregnancy. At such moments, psychological support from loved ones is especially important. The main thing is to cross this line and understand why you need to go further.

Interruption methods

There are several methods to help remove the fetus from the uterine cavity. Whether it is the first pregnancy frozen or any subsequent fetus may not come out on its own. In this case, the gynecologist should do this using various techniques.

­ Curettage with a frozen pregnancy is a very popular procedure for removing an embryo. Many women, not knowing about this intervention in detail, always expect pain from her. But cleaning after a frozen pregnancy does not carry any danger. This procedure takes place more often under general anesthesia or, if it is impossible, under local anesthesia. It resembles an abortion during a frozen pregnancy. The uterus and cervix are injected with anesthetic, then the outer parts of the genitals are treated with iodine solution. Inside, the genitals are covered with a special solution of alcohol. The next stage of the physician is to insert an instrument into the vagina, which will expand the cervix. The fertilized egg is removed with a curette, which clears the mucous membrane. This whole operation lasts about 20 minutes, then the woman is transferred to the ward and taken out of anesthesia. Psychological support is very important in this situation so that pregnancy after curettage of a dead pregnancy becomes a reality.

Medical termination of a frozen pregnancy. If this happens in the early stages, the doctor may prescribe drugs that will cause an artificial miscarriage. Thus, the fetus spontaneously leaves the womb, and no additional intervention is performed. After such a situation, a woman needs to undergo an ultrasound examination and tests after a frozen pregnancy. This is necessary in order to control the situation after stopping development and undergo a special course of treatment for further fertilization and bearing a healthy child.

­ Vacuum aspiration. A very popular procedure among women with missed pregnancies. This procedure takes place under general or local anesthesia, according to the doctor's recommendation and the woman's request. The cervical dilator is not used, but a disposable catheter is inserted into the uterine cavity and the embryo is removed as an aspirator. Modern medicine has not learned to answer in all cases the question of why there is a frozen pregnancy, but it can be done in 5 minutes to carry out an operation to remove such a problem. After this procedure, the patient is prescribed an ultrasound scan to confirm that everything has been completely removed. The fetus that has been removed is usually subjected to a procedure such as histology after a frozen pregnancy to determine the cause of the developmental arrest.

After such a big shock, the female body should rest for at least 6 months before the next pregnancy. That is why it is advisable for this time to choose the correct and reliable contraceptive for partners. And the main goal of every woman who has survived this will not understand why pregnancy freezes, and a positive attitude and expectation of a miracle in the form of a small child.

Consider the optimal timing for fertilization after medical termination of pregnancy, when you can get pregnant with the maximum benefit for yourself and the health of the unborn baby.

Features of the interrupt process

Pregnancy is a wonderful mystery of nature that brings the joy of motherhood to a woman's life when she is expected. But sometimes unpleasant events or diseases such as rubella, tuberculosis, cancer and others occur in life, when this process has to be interrupted with the help of abortion.

Then the least traumatic for a woman's health is a drug effect on the uterus, which causes rejection of the fetus and leads to an artificially induced spontaneous miscarriage. However, any abortion carries the risk of preserving fertility in the future, so the possibility of getting pregnant after medical abortion worries many.

In order to understand this issue, let's take a closer look at this procedure and its effect on the woman's body. It is carried out at 5-7 weeks, but no more than 8, that is, up to 49 days, after an ultrasound scan, in order to exclude the likelihood of an ectopic pregnancy and only in a hospital under the supervision of a doctor. Since bleeding is a very common complication, if it cannot be stopped with medication, a surgical method (curettage) is used.

Drug for medical termination of pregnancy

Doctors use the drug Mifepristone or its analogues. It comes in tablets and is taken strictly as prescribed by the doctor and under his supervision. This remedy inhibits the production of progesterone, due to which the ovum, without receiving its support, is rejected from the endometrium. After taking these tablets, bleeding begins after 1-3 days and the pregnancy is terminated.

An ultrasound scan is necessarily shown on day 8-15 to confirm a miscarriage.... In some cases, when the action of the medicine did not bring the desired result, vacuum removal of the ovum is done.

These pills have side effects:

• bleeding is possible;
• exacerbation of inflammatory diseases of the female genital area;
• headache;
• lower abdominal pain;
• nausea.

Women who smoke after 35 years should not take pills. Contraindications are also called:

• hypersensitivity to the drug;
• severe kidney and liver disease;
• heart rhythm disturbance and hypertension;
• ectopic pregnancy.

Is it possible to get pregnant after medical termination of pregnancy

After the manipulation carried out, women are concerned about the question of whether it is possible to become pregnant immediately after medical termination of pregnancy, what consequences are relevant for them and how long the recovery period lasts.

Experts say that this method differs from the surgical one with a sparing effect on the uterine mucosa. Therefore, the next ovulation can occur immediately, since the ovary, perceiving this intervention as a new cycle, begins to grow the next follicle and conception can happen already in the first cycle.

Recovery time

However, any impact on the reproductive system injures the entire body. It will take a certain period of time to bring the full function of the genitals back to normal. According to the study, a woman's reproductive system comes to a healthy state within 6 months after such a stressful situation. That is how many doctors recommend to refrain from conceiving, using contraceptives during this time period.

Then you need to visit your gynecologist, undergo a preliminary examination. Do an ultrasound if necessary. It is imperative to donate blood for hormones to make sure that their balance is restored and not disturbed.

An analysis for urogenital infections will also not be superfluous, since after an abortion a favorable environment is created for the growth and development of microbes that cause them and have a bad effect on the developing embryo.

Is it possible to get pregnant after medical termination of pregnancy before 6 months without worrying about the consequences, it is difficult to answer. Each organism is individual, therefore, the normalization of the hormonal background occurs in everyone in their own way. For some, hormones take on their natural meaning already in the first cycle. Others take months before their equilibrium is established. It all depends on the ability of the female genital organs to recover, having survived this artificial introduction into their usual working rhythm.

They are conventionally divided into early, which occur in every fifth woman, and late, abnormal. Moreover, the earlier the pregnancy froze, the easier it is for the body to recover. Let us figure out in what cases medical interruption of a pregnancy that has stopped developing is carried out, and why such an option is considered less traumatic for a woman.

That does not develop is carried out by several methods. As a rule, the choice of one or another option is determined by the duration of the established pregnancy.

So, if the embryo or ovum has stopped developing before then we can talk about drug interruption. If a frozen pregnancy is found on, then the doctor will choose a more reliable option, curettage.

Medical interruption is the stopping of the pregnancy and the evacuation of the embryo in the amniotic fluid with the help of special spasmodic medications.

Medical abortion

Termination of pregnancy, regardless of its type (difficult, life-threatening or abnormal), is always stress for the body. Medical termination of pregnancy is considered the least traumatic option for a woman who is forced to agree to such a procedure.

Fading in the development of the fetus or ovum is determined by ultrasound. The doctor conducts a control study, and if the test results indicate a decrease in the level of hCG in the blood, then he prescribes an interruption with a medical or surgical method.

How is it going

Drug cleansing - termination of pregnancy with medicines when the fetus stops developing in the early stages. This procedure is mandatory: without cleansing, it is impossible to talk about a full recovery of the body, and a woman runs the risk of remaining sterile.

It is carried out in a hospital. After the examination and gynecological examination, the woman drinks the first pill under the supervision of a doctor. Detachment of tissue remains inside the uterus occurs. The patient is then given another pill for the spasmodic effect of the uterine body. After some time, cramping tolerable pain occurs, as a result of which the ovum is completely evacuated from the body of the uterus.

After the onset of bloody discharge, a woman undergoes a control ultrasound study, which shows the uterine cavity and its condition.

After the doctor makes sure that the woman is feeling fine and that her condition is not a cause for concern, she is allowed to go home. The maximum time spent in the department of gynecology is 8-12 hours. Additionally, they can appoint a visit to the gynecologist the next day to monitor the condition and contraction of the uterus.

Advantages:

• efficiency - 99%;
• there is no contact with the tissues of the uterus, which reduces the risk of developing inflammation;
• the procedure for evacuating the fetus is psychologically uncomplicated for a woman, because the whole process resembles menstruation rather than abortion;
• performed without anesthesia, anesthesia.

Drugs

A drug for terminating pregnancy (including a frozen pregnancy) is not issued for home use. Its use occurs only under the supervision of a doctor in the department of gynecology. Two drugs are used:

1. Mifepristone (200 mg) - for exfoliation of tissues inside the uterus;
2. Misoprostol (400 mg) - for the formation of cramping pain to remove the remnants of the ovum from the uterus with the help of blood.

If an arbitrary miscarriage has not occurred (the body independently gets rid of an improper pregnancy), then a decision is made on drug interruption.

Miscarriage with a frozen pregnancy

According to statistics, almost every woman at least once (with regular sex life) suffered a miscarriage arbitrarily. The process of fertilization of the egg takes place, which develops abnormally. The body reacts to such features instantly, forming uterine contractions as during menstruation. With blood, the defective zygote is evacuated, while the woman herself can simply assume that she has had a delay of 5-10 days.

How often does it happen

The freezing of the development of the egg or embryo at a certain stage is justified by multiple factors:

• genetic mutations;
• malnourished placenta abnormalities;
• autoimmune reaction of the mother (rejection);
• thick blood (when a blood clot forms, the fetus dies of exhaustion);
• infectious diseases, viruses that have led to a stop or mutations.

A woman's body at the genetic level is "programmed" for healthy full-fledged offspring, and therefore all conventionally designated "marriage" is brought out, a miscarriage or freezing occurs. The frequency of such situations, according to statistics, is 10-12%.

At what time can it happen

A miscarriage occurs both in the first months of pregnancy (1-3) and later, after 14-16 weeks. The complexity of the process is due to the size of the ovum or an already formed embryo. If in the early stages the fetus can come out on its own, along with blood, then in the later stages more radical and dangerous methods of evacuation, the vacuum method and curettage are used.

At the legislative level in the Russian Federation, the use of medical abortion is allowed up to 7 weeks of pregnancy, while in European countries - up to 11 weeks.

However, as practice shows, miscarriages occur in 90% in the early stages, up to 12 weeks. This period is necessary for the full formation of the embryo at the genetic level, if there are abnormalities in development, then an arbitrary miscarriage occurs. After this period, the child is already formed, and the abnormal development of the fetus will rather be influenced by the mother's improper lifestyle, infections, viral diseases.

How does a natural miscarriage occur?

An involuntary abortion or miscarriage is a natural stopping of pregnancy on. The body rejects the child, the uterus contracts as in the process of childbirth, the fertilized egg or zygote goes outside along with the blood.

There are no consequences for the body and health of the mother if the gestational age is less than 7 weeks, less often the 8th. Also, there should be no such symptoms:

• soreness in the lumbar region, lower abdomen;
• profuse bloody discharge with a lot of mucus;
• the formation of an unpleasant characteristic putrid odor of discharge at any stage of the miscarriage;
• dizziness, change in perception of reality;
• vomiting, severe nausea, accompanied by abdominal cramps.

All these signs should be attributed to rare side effects that are extremely rare (3%). In most cases, a spontaneous natural miscarriage goes unnoticed by a woman and resembles a simple menstruation with a slight aching pain.

What is the difference between a miscarriage and a frozen pregnancy

Non-developing pregnancy or other complicated pregnancy options for a woman who dreams of giving birth are scary, but similar concepts. At the same time, freezing and miscarriage are radically different processes. So how are such concepts different?

Fading pregnancy is a stop in the development of a defective fetus or embryo, which, under the influence of any reason, has ceased to grow, to correspond to the term. A fertile empty egg can develop, or it can completely dissolve with all its contents, removing the remains along with the blood. After freezing, either medical abortion or scraping is necessary.

Medical termination of a frozen pregnancy is the safest procedure without pain and complications.

Miscarriage is an arbitrary abortion of the ovum or embryo. A spasm occurs, labor begins without characteristic intense contractions (since the uterus is small enough). Miscarriage and freezing occur at different stages of pregnancy, and the longer this period, the more difficult the procedure for evacuation and further recovery.

Freezing of the fetus is one of the reasons for not carrying a pregnancy in women, regardless of their socio-economic level and lifestyle. The danger is that it manifests itself only after the death of the ovum.

The sudden spontaneous interruption of the development of pregnancy is stressful for the body, psychological trauma for the woman and her family members. Hope for the future - planning a new conception, the success of which determines quality treatment andrehabilitation after a frozen pregnancy.

It is impossible to reanimate a dead fertilized egg. It gradually decomposes, over time, an infection begins to develop in it, which causes intoxication and can end in sepsis.

Therefore, treatment is aimed at removing the fetus from the uterine cavity without residue, and restoring the woman's body after that. The choice of the technique depends on its state of health, duration and development of pregnancy until the moment of fading.

The following removal methods are used:

1. Spontaneous miscarriage.
2. Vacuum aspiration (mini abortion).
3. Medical (tableted, pharmaceutical) abortion.
4. Scraping (cleaning) of the uterine cavity.

Most often, the method of tableted abortion, curettage, mini abortion is prescribed, less often - miscarriage. When the fetus freezes at a later date, artificial childbirth is performed.

Use of spontaneous miscarriage and vacuum aspiration

The fading of pregnancy is accompanied by a decrease in the concentration of a specific hormone in a woman's body - chorionic gonadotropin. The uterus reacts to this by contractions, rejection of the dead fetus and pushing it out through the slightly open cervix. The method is prescribed in the absence of symptoms of inflammation in a woman.

A complete miscarriage without complications is confirmed by an ultrasound study. If the remains of the fetus are found in the uterus, a vacuum or curettage is performed.

The first week after a spontaneous miscarriage may be accompanied by mild pain in the lower abdomen and discharge with a small amount of blood. After a few weeks, the woman's body is restored, after a month, menstruation begins. The method is used in the absence of signs of inflammation and intoxication in a woman's body.

If the fetus is frozen for a period of 5-6 weeks, vacuum aspiration of the contents from the uterine cavity using an inserted catheter is prescribed. In this case, only the upper layer of the mucous membrane is removed and the embryo is removed. Control ultrasound is performed.

Found fetal remnants in the uterus are sucked off by vacuum again, or mechanical scraping is performed. 2 weeks after the mini-abortion, the woman's body is restored, menstruation appears on the 35th - 40th day.

The tableted removal of a frozen fetus is performed during the period of embryonic development - no later than 7 weeks of pregnancy.

A woman in two stages according to the scheme takes drugs that block the action of progesterone - Mifepristone, Mifegin. Their properties are enhanced by Misoprostol. Under the influence of drugs, the uterus actively contracts, rejects and pushes the embryo with bleeding. After its release, the release of blood gradually stops, but for several more weeks it smears.

On the first day, a woman feels pain in the lower abdomen, which is relieved with the help of an antispasmodic - No-shpy. Pain medications are only taken as directed by a doctor. The uncontrolled use of such drugs significantly weakens the immune system.

The menstrual cycle is counted from the onset of bleeding after taking the pills. Within 2 - 3 months, it returns to normal. The first period lasts up to 2 weeks.

2 weeks after the abortion, ultrasound examines the remains of the fetus in the uterine cavity. During this time, she should be completely cleansed. If this does not happen, vacuum aspiration or scraping is performed.

Rehabilitation after medical termination of pregnancycomes down to the implementation of a number of doctor's recommendations that contribute to the restoration of the woman's body. He revises the patient's diet, helps to balance it, to include vegetables and fruits in the menu.

To strengthen the immune system, the doctor prescribes a vitamin complex. He also recommends following simple rules:

• avoid psycho-emotional stress, learn to manage them;
• exclude any physical activity;
• include rest, walks in the fresh air in the daily routine;
• give up smoking, alcohol, strong coffee;
• exclude the use of water procedures in baths, saunas, bathrooms, swimming in pools, reservoirs;
• monitor the recovery of the menstrual cycle, the nature of vaginal discharge after an abortion;
• to begin sexual activity after the end of the first menstruation;
• it is necessary to protect against pregnancy for the first 6 months, contraceptives must be agreed with the attending physician.

Every woman after an abortion thinks abouthow to recover quicklyand conceive a child again. This should not be allowed until the body is fully rehabilitated. This can negatively affect the carrying of a pregnancy.

The pharmaceutical method is the simplest and most accessible, it is easily tolerated by women. But it should be used only as directed by a doctor and under his supervision.

Mechanical cleaning, restoration

Curettage of the uterine cavity is prescribed in cases of fetal death at 7 to 8 weeks of pregnancy and later. Before the operation, the woman is examined, and special training is carried out. Cleaning is performed in a hospital, under anesthesia (general or local), with the expansion of the cervix.

Scrap out with a special tool (curette). The upper layer of the mucous membrane is cleaned and removed along with all the contents of the uterine cavity. Cleaning materials are sent for histological examination to determine the cause of fetal death.

Treatment after a frozen pregnancy and curettagethey begin during the operation - drugs are injected for the rapid contraction of the uterus (Oxytocin, Pituitrin).

Rehabilitation after scraping a frozen pregnancy

The complex of therapeutic and restorative measures after the operative removal of the frozen fetus includes:

• antibacterial drugs that prevent the development of infection in the uterine cavity (Ceftriaxone, Metronidazole, Gentamicin);
• contraceptive hormonal drugs that protect against pregnancy and restore hormonal levels in a woman's body (Regulon, Marvelon);
• vitamin complexes to support immunity;
• proper nutrition with the inclusion of meat, vegetables, fruits, lactic acid products, juices in the menu;
• conducting a control ultrasound to identify the remains of the fetus in the uterine cavity.

Incomplete scraping is an indication for re-cleaning. If you experience severe pain after surgery, your doctor may prescribe pain relievers.

Your period begins 2 to 8 weeks after surgery. If the menstrual cycle is not restored, hormonal drugs are prescribed - progesterone analogues (Duphaston, Utrozhestan).

The next pregnancy can be planned no earlier than 6 months from the day of the curettage. The favorable period is 9 - 12 months after the operation. During this timerecovery after scraping a frozen pregnancycompleted, its reasons established.

At the first freezing of pregnancy, the doctor, most often, finds them in the woman's health problems in the first trimester. Additional research is not carried out.

The histology of the curettage materials gives an answer about the reasons for the repeated freezing of the fetus. In some cases, the doctor prescribes a comprehensive examination of both spouses. Thereafter, if necessary, treatment is performed.

Psychological recovery of a woman

A suddenly frozen pregnancy is a psychological trauma for a woman and develops into depression. She blames herself for the death of the fetus. Therefore, each patient is referred by the gynecologist to a psychologist to receive professional help.

It is important for the family, especially the husband, to surround her with care and attention, to be patient. The woman is depressed, loses interest in life, is indifferent to everything, cries. She needs to be convinced that there will be motherhood, but for this she needs to be restored.

It is more correct to talk about this topic, and not to feel sorry for the woman. During this period, it is better to protect her from contact with small children and pregnant women.

Communication with family and friends, practicing favorite hobbies, meditation, walks will help to find peace of mind and confidence in future motherhood. This takes 1 - 2 months. Prolonged depression can last up to 6 months.

In this case, to restore women, a psychiatrist is involved, who prescribes drug treatment with the use of antidepressants, tranquilizers. The pain subsides, life goes on, and the family plans a pregnancy again.

The success of repeated conception depends on the fulfillment of all the appointments and recommendations of the attending physician, compliance with the deadlinesrecovery after cleaning... A healthy lifestyle, a good family climate, harmony of family relationships and observation by a gynecologist will help to safely endure the next pregnancy.