What an early miscarriage looks like. Early miscarriage condition. Symptoms of an early miscarriage. Abnormal development of the embryo

11.09.2019

Desired pregnancy is joy, the meaning of life. But not all pregnancies end positively. In some situations, it happens that the body rejects a new life, usually this happens in the first weeks of pregnancy, that is, an interruption occurs in the early stages.

If you look at the statistics, then a miscarriage occurs in about 20% of women, some of them do not even suspect that they are pregnant. From a medical point of view, a miscarriage is a natural termination of pregnancy that occurs no later than 22 weeks.

According to the dynamics, there are early and late:

started abortion;
complete or incomplete;
threatening;
undeveloped pregnancy.

There are critical periods during pregnancy when gestation is at risk. The most vulnerable is the first trimester , because the fetus is still developing:

How interruption occurs

As mentioned above, many women do not even assume that they are pregnant, and nothing bothers them at all. Expecting the onset of menstruation, the girl simply notices that she has a delay, and after that menstruation begins, but they go more abundantly and with pain.

In some cases, a miscarriage is characterized only by pain in the lower abdomen, as well as profuse bleeding, but the woman does not consult a specialist if it ends quickly.

If, with a delay, menstruation nevertheless comes, then they pass very painfully, and one day a blood clot comes out ... In this case, we can already say for sure that there was a miscarriage. If you look at the clot, it will look like a bursting bubble. This phenomenon scares many women. After its release, you need to consult a gynecologist, because you may need cleaning. After that, it is better not to become pregnant for a while, it will also be useful to know how to survive an early miscarriage.

Sometimes a woman faces this problem several times in a row (two or more). Doctors call this recurrent miscarriage. The main reasons include the following factors:

Medical causes or health problems of a woman:

Early signs of miscarriage

There are several main points when abortion does not happen all at once. In some cases, it can be stopped. How to prevent the threat of early miscarriage will be described below.

So, the first symptoms of an interruption can be any pain that is accompanied by red or brown discharge. That is why you should not miss scheduled visits to the doctor and tests.

The main stages of miscarriage:

The risk of spontaneous termination of pregnancy - this can happen at any time, which is why very often women have to lie in preservation. It is characterized by pain in the abdomen and back, as well as bleeding.
The second stage is the most serious - the onset of miscarriage. At this time, the ovum exfoliates from the walls of the uterus. Doctors believe that at this stage it is possible to save the pregnancy with surgery.
If the miscarriage is already on the move, then there is no way to save the fetus. The fertilized egg immediately dies, and the cervix is open - this is called incomplete miscarriage. Cleaning is imperative.
A spontaneous abortion is the last stage, and nothing can be done. The contraction of the uterus causes a miscarriage.

Follow-up treatment

In order to avoid any consequences, it is very important to comply with the doctor's requirements:

carefully observe the discharge from the genital tract, in case of changes, urgently go for a consultation;
measure body temperature: if it rises, this may mean inflammation in the body;
wash the genitals with antiseptic solutions twice a day.

To adjust the hormonal background, a specialist can prescribe medications: COC (Lindinet, Logest). The contraceptive pill is used to prevent re-pregnancy. And also doctors can prescribe Tsifran as an anti-inflammatory agent.

Attention, only TODAY!

Pregnancy is a period of joyful anticipation, which, unfortunately, is often cut short by such a terrible phenomenon as a miscarriage. According to statistics, about 1/5 of all pregnancies end in miscarriage. Although we note that most of them happen at a very early stage, that is, at a time when many still do not even know about their pregnancy.

Note! If a miscarriage occurs before two weeks, then no symptoms of this are often observed.

But sometimes tragedy happens to those who have already managed to sincerely love the baby, and the only ray of light for them is the realization that they can soon try to get pregnant again. But in order for a miscarriage to never happen again, you need to know about the main factors provoking it. So, today we will talk about early miscarriage (no later than the 12th week).

It is worth noting that this happens extremely rarely in later periods.

The most common and symptoms are aching pain in the lower abdomen and bleeding (of any intensity). Pain (it has a wavy character) is sometimes transmitted to the lower back. Discharge may also indicate a threat of miscarriage, and if it is brown or red, then you should definitely go to the hospital.

Note! With heavy bleeding, the chances of keeping the child are much less than with small ones. But if the discharge contains pieces of flesh, then the miscarriage has already happened.

Less commonly, the symptom is uterine tone, accompanied by pain and discomfort. And if the tone is not accompanied by anything, then in such cases, doctors advise to reduce the number of stressful situations and reduce physical activity. Sometimes, even in the presence of all of the above signs, pregnancy proceeds normally, but, of course, exclusively under medical supervision.

If at least one of the symptoms was noticed, then you should immediately go to the hospital.

Main reasons

Genetic abnormalities are the cause of miscarriage in ¾ cases. But there is no need to panic, since these violations are usually accidental and occur due to radiation, various kinds of viral infections, and so on. Such miscarriages can be considered one of the forms of natural selection, when nature gets rid of sick or non-viable offspring.
Hormonal disturbances can also trigger interruption. Progesterone deficiency often leads to this, although with timely diagnosis and treatment, the child can be saved (a course of hormonal drugs is prescribed). Another disorder is an increased concentration of the male hormone, which interferes with the production of estrogen and progesterone.
Sometimes there is a Rh-conflict, that is, when the mother and the fetus have different Rh factors. As a result, the mother's body sees something foreign in the embryo and, therefore, rejects it.
Sexually transmitted infections also cause abortion. These include chlamydia, gonorrhea, syphilis, etc. In addition, there is also cytomegalovirus with herpes, which provoke miscarriage in about 1/5 of cases. It must be remembered that most infections occur without any symptoms, therefore, it is recommended to do tests for STIs before conception and, if necessary, undergo treatment, otherwise the pathogenic virus infects the fetus and provokes a miscarriage.
Previous abortions. If the woman has had an abortion before, it can lead to miscarriage or, in the worst case, infertility.
Wrong way of life. Even at the planning stage, you should give up bad habits.
At an early stage, taking any medications is undesirable, otherwise defects in the development of the embryo may occur.
Severe stress, tension, grief - all this can have a negative impact on the development of a new life. In such cases, it is permissible to use some sedatives, but only as directed by a doctor.
Rarely, too frequent hot baths lead to spontaneous miscarriages. Of course, no one forbids pregnant women to swim, but you shouldn't forget about safety. So, too high a water temperature is not allowed, and the duration of the procedure should not exceed 15 minutes.
Excessive exercise or accidental falls can lead to miscarriage, but only if one of the above reasons is present.

Note! Usually, the fetus dies before hatching begins.

Classification of miscarriages

Note! The most effective way to diagnose a miscarriage is an ultrasound scan done by an experienced doctor.

If the embryo has come out completely (in this case, it looks like a round gray bubble), and the uterus has cleared itself of fetal fragments on its own, then the woman does not need further therapy. Cleansing usually lasts 2-3 weeks after the miscarriage and manifests itself in bloody discharge (sometimes with white particles). But if the fetus came out in parts or a frozen pregnancy occurred and it continues to be in the uterus, then gynecological cleaning of the uterine cavity will be required (the procedure is also called curettage or scraping).

Note! Many consider cleaning to be an excessive precaution. If a miscarriage occurs at home, then after the embryo is rejected, women often do not resort to medical care, believing that they no longer need it. But in reality this is not the case.

Not in all cases the fetus is completely excreted from the body. If you do not clean it, the residues will begin to decompose, which will lead to the spread of pathogenic microorganisms and, as a result, inflammation. Therefore, if the termination of pregnancy occurred outside the hospital, you must immediately consult a doctor, because only a qualified specialist will be able to assess the state of the body and determine whether cleaning is required. And if the doctor strongly recommends scraping, then you cannot refuse the operation! Otherwise, the consequences will be most dire.

How is cleaning done? Under normal conditions, this should be carried out two to three days before the onset of menstruation (so the rehabilitation of the uterus will happen faster), although after a miscarriage, of course, this is not always possible. Cleaning is carried out on a gynecological chair. First, an injection of a drug is made that immerses a woman to sleep, then a special dilator is inserted into the vagina, which allows you to visually observe the cervix. Next, a probe is inserted into the uterus for hysteroscopy - examination of the uterine cavity using a portable video camera. This examination allows you to maximize the safety of the operation, since the surgeon can see how the cleaning is carried out.

For the scraping itself, a curette is used - a surgical instrument resembling a spoon. The doctor carefully scrapes off the surface layer of the walls of the uterus, and the extracted material is further used in histological examination. Roughly speaking, the operation takes about half an hour.

Curettage, like any other surgical procedure, can lead to complications. Uterine bleeding is most common in women with hemophilia. Oxytocin injections are given to prevent bleeding. If the discharge is too strong, the woman is obliged to immediately inform the attending physician about it.

Another possible consequence is the accumulation of blood clots in the uterine cavity (hematometer), which can cause inflammation. This is a consequence of cervical spasms at the end of the procedure. To prevent hematomas before starting the operation, you need to take antispasmodics (for example, no-shpu), which help the uterus to relax.

Finally, after cleaning, the lining of the uterus may become inflamed, and therefore antibiotics are prescribed at the end of the procedure. It is imperative that all doctor's recommendations are followed. The main symptoms of inflammation are abdominal pain and high fever.

Note! As you can see, it is very important to know about the possible consequences of curettage and warn the doctor in time if weakness, abdominal pain, fever, etc. appear.

Serious problems are rare. Complications can be if a miscarriage is triggered by folk / medicinal means or, for example, if after that, parts of the embryo remain in the uterine cavity (although the latter usually happens at a later date). And to prevent this, an ultrasound scan is needed after a miscarriage.

In addition, you need to go to the hospital even when the next menstruation is "wrong" (too abundant discharge, pain).

What conclusions can be drawn? Curettage after a miscarriage is not always required (the exception is a frozen pregnancy, in which it is mandatory), but in any case, you need to undergo an appropriate examination.

	Research
In time of miscarriage (if detected frozen pregnancy)	1) ultrasound of the small pelvis with a transvaginal sensor (for congenital anomalies of genital boundaries, myomatous nodes). 2) During curettage with a frozen pregnancy and incomplete miscarriage, histological analysis of the contents of the uterine cavity. 3) Cytogenetic analysis of the fetus for genetic abnormalities.
After miscarriage / ZB / (immediately)	1) Delivery of tests for latent infections (TORCH-complex), namely, sowing for ureaplasma, mycoplasma; antibodies to chlamydia, herpes virus, human papilloma virus, cytomegalovirus. 2) Genetic research For woman: --- Study of the karyotype and determination of the frequency of spontaneous chromosomal aberrations (and many other studies) For a man: --- Study of the karyotype and determination of the frequency of spontaneous chromosomal aberrations --- Study of AZF locus microdeletions in the Y chromosome --- Investigation of the most common mutations in the cystic fibrosis gene (and many other studies) 3) Spermogram
After miscarriage / ZB / (after 1-3 months)	1) Delivery of tests for latent infections (TORCH-complex), namely, sowing for ureaplasma, mycoplasma; antibodies to chlamydia, herpes virus, human papilloma virus, cytomegalovirus 2) A smear from the vagina for gonococcus and flora (cleanliness of the vagina). Bacterial culture for group B streptococci 3) Determination of the level of hormones / etradiol, progesterone, FSH, LH, 17-OP, testosterone, dehydroepiandrosterone (DHEA), 17-ketosteroids, prolactin, thyroid hormones / -at the beginning of the cycle 5-6 days -in the middle of the cycle -at the end of the cycle 21-25 days More information about when what hormones to take, you can find out HERE 4) Tests for the diagnosis of antiphospholipid syndrome (APS) --- Study of venous blood for lupus anticoagulant (VA) --- Blood test for antiphospholipid antibodies 5) Determination of the titer of autoantibodies to cardiolipin, DNA, thyroid gland, nerve growth factor 6) Immunogram 7) Coagulogram and hemostasiogram (blood clotting control) 8) Typing for Tissue Compatibility Class II (HLA) antigens for both spouses 9) Determination of blood homocysteine levels (indicates an increase in the frequency of genetic failures)
Front planned pregnancy (prevention repeated miscarriages and ST)	1) Thorough refurbishment infections; translation of chronic infections in the phase of remission. 2) Exclusion of male sperm cells / sperm fractionation into X and Y fractions followed by insemination with the X fraction, which excludes the birth of a boy / if miscarriage (ST) is associated with fetal pathology linked to X chromosome / boys in the family in such a situation either die in utero or are born sick /. 3) Progesterone with it insufficient content in blood plasma. 4) Rh0- (aHTH-D) -Ig (anti-rhesus immunoglobulin) immediately after curettage or miscarriage if the woman's blood is Rh-negative. 5) Drugs that reduce hypercoagulability of blood. Treatment antiphospholipid syndrome. 6) Treatment of isthmic cervical insufficiency by suturing the cervix circular suture for a period of 14-18 weeks. Treatment of abnormalities and fibroids operative by.

Video - Miscarriage, 12 weeks

The doctor will most likely do an ultrasound scan so that the presence of a fetus in the uterus can be seen. If you are pregnant, the ultrasound will also allow your doctor to see if the fetus is developing properly. In addition, the doctor can check the fetal heartbeat for longer periods.
The obstetrician-gynecologist will examine the vagina so that he can see if the cervix has opened.
The blood test results will allow the doctor to assess your hormonal levels.
If you have brought tissue with you in an airtight container that you think may be fetal tissue, your doctor will do the necessary tests to confirm or refute your concerns.

Find out about the possible diagnoses your doctor might give you. These include:

Risk of miscarriage. This diagnosis can be made if symptoms of a possible miscarriage are present. But do not worry ahead of time, because the threat of miscarriage does not always lead directly to miscarriage. If you are having seizures or bleeding but your cervix is closed, your doctor may diagnose you at risk of miscarriage.
If it is impossible to prevent a miscarriage, then, unfortunately, the doctor will diagnose you with a miscarriage. The doctor will make this diagnosis if the uterus contracts and the cervix is dilated. In this case, a miscarriage is inevitable.
A complete miscarriage is characterized by the complete release of all tissues of the fetus and ovum from the uterus.
An incomplete miscarriage occurs when the tissue has come out, but some parts of the fetus or placenta have not yet exited the vagina.
A frozen pregnancy occurs when the fetus dies for any reason.

Follow your doctor's recommendations if you have been diagnosed with threatened miscarriage. The threat of miscarriage does not always lead directly to miscarriage. However, in some situations, a miscarriage is inevitable. However, often, your doctor may recommend the following to prevent miscarriage:

rest until symptoms have subsided;
do not exercise;
refrain from intimacy;
refuse to travel to places where you will not be able to provide fast and high-quality medical care, if necessary.

If a miscarriage occurs, but not all tissues of the ovum have come out, follow the recommendations of the obstetrician-gynecologist. However, your doctor will take your opinion into account when prescribing treatment.

You can wait for the remaining tissue to be torn away. In this case, it will take about one month.
You may be taking medications that will reject any remaining tissue. This usually happens during the day. The drugs can be taken orally or used as suppositories inserted into the vagina.
If you show signs of infection, the doctor will remove the remaining tissue.

Take enough time to physically recover from your miscarriage. You will most likely only need a few days to feel healthy again.

Be prepared for your period to resume as early as next month. This means you can get pregnant again. If you don't want to, use contraception.
For two weeks, do not have sex or use tampons, as this can interfere with the repair of tissue in the vaginal walls.

Take time to restore your mental health. Research shows that a woman can experience intense sadness no matter how long she has lost her baby. So don't beat yourself up for your feelings, but rather surround yourself with people who can help you cope with your grief.

Get the support of trusted friends and family members.
Find a support group.
Most women who have miscarried in the past have been able to bear and give birth to a healthy baby. A miscarriage does not mean that you will not be able to have a baby in the future.

In this article:

Pregnancy, if desired, is wonderful. But not all pregnancies end as planned. Sometimes the body of the expectant mother independently decides to reject a new life, and usually this happens in the first weeks after conception, that is, an early miscarriage occurs.

According to statistics, this is observed in 20% of women, while many of them did not even know that they were in a position. From a medical point of view, this is a spontaneous termination of pregnancy before the onset of 22 weeks. After this period, we are no longer talking about miscarriage, but about, since starting from 22 weeks the child has a high chance of being born viable.

Probability of miscarriage by week

There are critical periods of pregnancy when further gestation is threatened. And the most vulnerable in this regard is the first trimester.

2-3 weeks

At this time, the embryo is implanted, and factors such as fibroids, a scar or trauma on the mucous membrane (after an abortion), anomalies in the structure of the uterus, as well as a severe psycho-emotional state of a woman can interfere with this.

A miscarriage in early pregnancy occurs if the ovum fails to attach. It looks like heavy periods. In this case, the woman does not even know that there was a pregnancy, mistaking the bleeding for the next menstruation.

4-6 weeks

At this time, the fetus is most vulnerable, right now all developmental defects (heart defect, cleft lip) are formed, which may be incompatible with life.

8-12 weeks

At this stage, active development affects, and it is possible that anomalies of its structure or localization may occur. Also at this time, a miscarriage can occur due to hormonal disorders in the woman's body, in particular, progesterone deficiency.

Causes

Let's consider the main causes of early miscarriage.

Genetic disorders in the fetus

According to statistics, 73% of early miscarriages occur for this reason. In most cases, we are not talking about a hereditary problem, but about single gene mutations that have arisen by chance as a result of the influence of negative factors such as infections, alcohol.

That is, the pregnancy was initially pathological, and the body itself abandoned it - so-called natural selection took place. A miscarriage so early does not require cleansing and occurs on the days when menstruation should begin, or with a slight delay.

A woman may note that the discharge this month was more abundant and painful. Less often, the pregnancy is terminated later, and then the genetic abnormalities of the fetus are diagnosed using histological examination after curettage of the uterus.

Hormonal Disorders

The imbalance of hormones in the body increases the likelihood of early miscarriage. As a rule, pregnancy is terminated due to a lack of progesterone. If the problem is detected in advance, you can save the pregnancy with conservative therapy.

Immunological causes

This is most often observed with. If the mother's blood is Rh-negative, and the fetus inherits an Rh-positive protein from the father, the mother's body will reject the fetal tissue at the immune level.

To prevent the immunological causes of miscarriage in Rh-conflict, specific therapy is used, including progesterone drugs, which can protect the fetus.

Sexual infections

These diseases are also an explanation why an early miscarriage occurs. Chlamydia, toxoplasmosis, gonorrhea, and other STDs often cause abortion in the first trimester. The pathogenic flora causes damage to the membranes, infects the fetus itself, as a result of which a miscarriage begins.

To exclude this, it is important, even at the stage of pregnancy planning, to identify and treat any infectious pathologies of the genital area.

Common infections

Any diseases occurring with signs of intoxication of the body, for example, with an increase in body temperature above 38 ° C, can be the causes of miscarriage in early pregnancy. The leading positions in the list of these infections are given to influenza, rubella, chickenpox and viral hepatitis. Even ordinary angina often causes fetal death before 10 weeks of gestation, the situation looks worse with pneumonia, appendicitis and pyelonephritis.

Therefore, when planning a pregnancy, you need to remember about a preliminary medical examination, which will help to detect the foci of infection in the body.

Abortion

A large number of women at various stages of their lives have resorted to this procedure for one reason or another. To many failed mothers, an abortion seems to be an uncomplicated manipulation, during which the doctor simply removes the contents of the uterus along with the unwanted fetus. But in reality, everything is much more complicated.

Abortion is always a deep stress for a woman's body, which can further cause dysfunctional disorders of the reproductive system, problems with the adrenal glands and ovaries, inflammation in the pelvic organs, resulting in adhesions and subsequent infertility.

Because of the negative consequences that abortion causes, a woman may experience recurrent miscarriage, which explains why early miscarriages occur.

Medicines and herbal preparations

In the first 12 weeks of pregnancy, it is best not to take any medications or herbs at all. Most of them, especially with uncontrolled use, can terminate a pregnancy or provoke the development of defects in an unborn child.

The most dangerous are antibiotics, hormonal drugs, some analgesics and an overwhelming number of plants, even harmless chamomile and parsley are not indicated for internal use in the first trimester.

Many medicinal plants are used in folk recipes that advise women who do not want to stay pregnant how to have an early miscarriage.

Stress, nervous shock

Deep nervous shock, prolonged stress, sudden mental shock are dangerous during pregnancy. So that the situation does not end with a miscarriage, the expectant mother needs to pull herself together and discuss with the doctor the possibility of using sedatives.

Unhealthy Lifestyle

Habits such as smoking, alcohol and drug use, uncontrolled coffee addiction, diet and fasting, as well as simply poor nutrition - can lead to the development of symptoms of miscarriage in early pregnancy.

It is recommended to engage in correcting your usual lifestyle at the stage of pregnancy planning.

Carrying heavy weights, falling, having a violent sex life

These factors, although very rare, can cause spontaneous abortion. To prevent this from happening, it is important to take care of yourself from the first days, as it became known about pregnancy.

Symptoms

Most often, a woman is told about a threatening or incipient miscarriage by pain localized in the abdomen and vaginal bleeding. Painful sensations can radiate to the lower back. Bloody discharge from the genital tract is of different shades and intensity, but their appearance in any form should be a mandatory reason for urgent consultation with a doctor.

Minor discharge often means that the pregnancy can still be maintained. Abundant bleeding, especially with clots and pieces of tissue, indicates that the pregnancy has already been terminated. Usually, these symptoms of early miscarriage are accompanied by an increased tone of the uterus, which causes discomfort and pain in the woman.

Sometimes the above symptoms occur in the first trimester, but the pregnancy is not interrupted, and the woman continues to carry it further under the close supervision of a gynecologist and a note in the outpatient card "threat of miscarriage".

Regardless of the gestational age - both at the fifth and at the twentieth week, the signs of abortion are similar. Therefore, you need to know how they manifest themselves in order to take measures in time.

Stages

Spontaneous abortion occurs in several stages.

Stage one - threatened miscarriage

Early signs of miscarriage are characterized by aching pain in the lower back and lower abdomen. Sometimes there is a slight spotting from the genital tract.

These symptoms require immediate treatment, since pregnancy can almost always be maintained in the first stage.

Second stage - incipient miscarriage

Pain sensations become more intense, take on a cramping character, localized in the region of the sacrum and abdomen. Bloody discharge increases, especially with a woman's physical activity. There is a feeling of weakness, dizziness.

Third stage - miscarriage in progress

Pain in the abdomen and lower back becomes severe. The blood loss is significant. The fetus is already dead at this stage, the pregnancy cannot be saved. The fertilized egg can partially leave the uterus along with bleeding (in this case, they speak of incomplete miscarriage) or come out completely.

Stage four - miscarriage

At the fourth stage, the fetus is completely expelled from the uterine cavity. The organ shrinks, its size returns to normal. Bleeding after an early miscarriage stops. It is necessary with the help of an ultrasound scan to find out if there are any remnants of the fetus and membranes left in the uterus.

What happens after a miscarriage

If there is a suspicion of spontaneous abortion, a woman should contact a medical institution. Only a specialist can say with certainty whether a miscarriage has occurred or not. Usually, for this purpose, an ultrasound scan and a blood test for hCG, the hormone of pregnancy, are performed.

If there is no ovum in the uterus, and the results of hCG are unsatisfactory, then there is no pregnancy. A woman should consult a gynecologist. The doctor will help you find out the cause of the miscarriage and give recommendations for further action.

Complications

Most women who have had a miscarriage feel well. But in 10% of cases, there may be complications such as abdominal pain and bleeding of varying intensity.

You urgently need to see a doctor if after miscarriage in early pregnancy the following symptoms have occurred:

massive bleeding;
sharp abdominal pain;
convulsions, high fever;
fast heartbeat;
nausea, vomiting.

Curettage of the uterine cavity

Cleaning, or curettage of the uterus is carried out in order to remove the remnants of the membranes and the fetus. It is a surgical procedure performed under general or local anesthesia. During the cleaning, the woman is on the gynecological chair. Her external genitals are treated with 5% iodine solution. The doctor inserts the vaginal speculum, exposing and fixing the cervix, and then, using a curette, which looks like a spoon, performs the scraping itself.

After the end of the cleaning, the extracted biological material is sent to the laboratory for further research. A histology of a miscarriage must be performed in order to find out the cause of the problem and in the future to prevent it.

Is cleaning always necessary?

Many women are sure that they know how a miscarriage occurs in the early stages, and are in no hurry to seek medical help or refuse to cleanse, considering it an unnecessary manipulation. But this is not the case. The fetus and membranes are extremely rarely expelled in full. And if they are not removed from the uterus in time, they will decompose and cause inflammation in the female body.

That is why after a miscarriage, regardless of the conditions in which it occurred, you should contact a medical institution, where the doctor will determine for sure whether you need cleaning or not. If scraping is necessary, you should not abandon it, as complications can be more serious.

Treatment after miscarriage

To avoid the consequences, it is important to comply with the doctor's requirements:

monitor the discharge from the genital tract, if it changes, contact your doctor;
control body temperature - its growth can mean inflammation in the body;
monitor the cleanliness of the genitals by washing them at least twice a day with antiseptic solutions.

To normalize hormonal levels, the doctor may prescribe COCs (Logest, Lindinet 20). Contraceptive pills after an early miscarriage are also prevention of early re-pregnancy, which is undesirable in the first 6 months after curettage. Antibiotics (Tsifran) are also prescribed to prevent infection of the genital area after the intervention.

How to restore health after a miscarriage

The earliest repeated conception of a child as a way to survive an early miscarriage is seen by many women as the only way out for themselves. This is a normal mental reaction.

But before planning a new pregnancy, doctors advise you to pay attention to your own health with the following recommendations:

You should not become pregnant within 6 months in order to give the body time to rehabilitate the reproductive system and prevent new failure. This will require reliable contraception in the form of COCs or condoms.
It is important to prepare the body for a second pregnancy. Prevention of miscarriage should be discussed with your doctor.

Currently, there are not only antenatal clinics, but also family reproduction centers, where doctors specializing in issues of conception and gestation are working. The help of these centers should not be neglected.

Specialists will be able to draw up an individual work plan based on the health and reproductive capabilities of partners, which will help ensure a successful conception and pregnancy in the future.

Psychological rehabilitation

After a miscarriage occurs in early pregnancy, the female body physically recovers in 4-6 weeks, and psychological rehabilitation can take years. If the pregnancy was desired and planned, then coping with the burden of loss is difficult.

In this case, it is recommended not to close in yourself, not to look for the guilty, and even more so not to blame yourself for the failure. In 73% of cases, spontaneous abortion occurs due to mutations, chromosomal problems, which means that the fetus was not healthy. You need to tune in to the fact that after some time there will be a new pregnancy, for which you need to prepare better than the last time.

After the bleeding after an early miscarriage has passed, you should not sit back, but consult a doctor, undergo an examination, be tested for possible infections, and an ultrasound scan. All these actions should distract a woman who wants to get pregnant again from the development of depression. While waiting for the doctor's verdict, you can consult with a psychologist in order to smooth out the acute moments of fears and worries.

Even if the pregnancy does not come on the first try, there is no need to panic. Most likely, the "striped" test will not keep you waiting long, and you can start this path again anew - from conception to the logical completion of pregnancy, that is, the birth of a child. Everything will work out!