Miscarriage/Recurrent Miscarriage

What is Miscarriage?

The spontaneous termination of pregnancy prior to the 20th week is a miscarriage. It occurs in about 10–20% of known pregnancies, and it is a normal phenomenon. While other reasons, such as mother health complications, infections, or lifestyle choices, may be involved, the majority of losses are due to genetic abnormalities in the developing foetus. Amongst the symptoms may be tissue passing, cramps, and vaginal bleeding. Though a miscarriage may be mentally challenging, support from physicians, counsellors, and care of oneself will aid in recuperation. Familiarity with the causes and risk factors will allow expecting women to adopt the necessary care for an improved pregnancy. 

Types of Miscarriage

There are various ways that miscarriages may occur, so the type may inform one to look for appropriate medical care and counselling. Typical types are demonstrated below:

• Threatened Miscarriage: If early pregnancy is followed by vaginal bleeding but with the cervix remaining closed, threatened miscarriage occurs. Although most pregnancies are uneventful, a medical assessment needs to assess the risk.
• Inevitable Miscarriage: With an open cervix, inevitable miscarriage involves severe cramps and heavy bleeding. The pregnancy cannot be sustained so medical assistance may be required.
• Incomplete Miscarriage: Some pregnancy tissue remains in the uterus and leads to prolonged cramps and bleeding. Natural expulsion, medication, or a medical procedure to have the tissue removed are some of the options available.
• Complete miscarriage: The uterine tissue exits the uterus completely. Typically, the symptoms of cramping and bleeding resolve on their own, and nothing further is needed.
• Missed Miscarriage: The embryo stops growing but remains in the uterus without obvious signs initially. Typically detected by ultrasound, treatment options range from natural ejection to medications or surgery.

Symptoms of Miscarriage in Early Pregnancy 

Understanding the signs of a miscarriage in early pregnancy will enable one to seek quick medical attention. Some frequent early indicators are:

• Vaginal bleeding or spotting, light to heavy flow
• Severe lower back discomfort or stomach cramps
• Loss of pregnancy symptoms, including breast soreness and nausea.
• Tissue or clots passing from the vagina.
• Abrupt drop in pregnancy-related suffering

See a healthcare professional at Apollo Spectra Hospitals if you have any of these symptoms to rule out complications and get suitable medical advice.

Reasons for Recurrent Miscarriage

Two or more consecutive miscarriages define recurrent miscarriage, sometimes known as recurrent pregnancy loss (RPL). It influences roughly one per cent of women seeking pregnancy. Knowing the fundamental causes will enable one to identify workable remedies. Some likely reasons are:

• Genetic Factors: 50–60% of miscarriages in the embryo are brought on by chromosomal abnormalities. An unviable pregnancy could arise from faulty sperm or egg cells causing these problems.
• Hormonal Issues: Pregnancy loss can result from low progesterone, thyroid malfunction, or polycystic ovarian syndrome (PCOS). Furthermore, raising the chance of miscarriage is uncontrolled diabetes.
• Uterine Abnormalities: Structural issues such as fibroids, a septate uterus, or an incompetent cervix can make a pregnancy difficult.
• Autoimmune Diseases: Antiphospholipid Syndrome (APS) can cause recurrent miscarriages and compromise foetal development by influencing blood clot formation.
• Sexually Transmitted Infection: Pregnancy can be hampered by sexually transmitted infections, bacterial vaginosis, lupus and hypertension, among other chronic diseases.
• Lifestyle Choices: The probability of miscarriage can be raised by lifestyle choices, including smoking, alcohol, too much coffee, drug use, and environmental pollutants.

What are the Ways to Naturally Prevent Miscarriage?

Although some factors of miscarriage are inevitable, changing a lifestyle might significantly lower risks. Natural preventative strategies consist of the following:

• Maintaining a Balanced Diet: To boost foetal development, eat foods high in folic acid, iron, and vital minerals. Add dairy goods, lean proteins, almonds, and leafy greens.
• Exercising: Frequent exercise helps circulation and lowers stress. Moderate exercises include prenatal yoga, swimming, or walking.
• Managing Stress: Deep breathing, meditation, and enough sleep will help pregnancy be healthy generally. High stress could affect hormone production, therefore raising the risk of miscarriage.
• Monitoring Ovulation and Hormones: This will help women with erratic periods maximise conception through hormone testing and ovulation tracking.

What are the Best Treatments for Recurrent Miscarriage?

Should recurrent pregnancy loss be discovered, several medical procedures can assist in increasing the success rates of pregnancy:

• Progesterone pills boost early pregnancy and enhance the success of implantation.
• For clotting conditions like APS, aspirin or heparin is advised to stop blood clots in the placenta.
• Correcting uterine abnormalities, including a septate uterus or fibroids surgically, will help to enhance pregnancy results.
• Lifestyle changes, such as weight control, smoking cessation, and nutritional modification, are critical to improving fertility and pregnancy success.
• Couples who have a history of miscarriage might go through genetic counselling to find possible hazards and investigate choices, including preimplantation genetic testing (PGT).
• IVF, along with genetic testing, lets one choose healthy embryos to lower the miscarriage risk.

When To See A Doctor After A Miscarriage?

Physical and mental well-being depend on getting medical help following a miscarriage. See a doctor in case:

• Excessive Bleeding: Seek medical attention if the bleeding has not stopped after two weeks or seems to be getting worse.
• Pain Not Easing: If cramping and pain have not subsided after a few days or continue to worsen, medical attention may be required.
• Signs of Infection: These are characterised by fever, chills, and bad-smelling discharge.
• No Period After a Few Weeks: If menstruation does not return after four to six weeks, there could be one very important underlying issue that a medical professional should address.
• Emotional Distress: If emotional distress becomes overwhelming or the individual has symptoms of depression or anxiety, it is very important to seek help. 

At Apollo Spectra Hospitals, we are aware that a miscarriage can be a deep emotional and physical turmoil. It has a team of empathetic specialists ready to lend you support with every phase of your recovery. Whether it's medical care for physical healing, mental counselling, or support for your next pregnancy, care is catered to so that healing periods are faster. We believe in providing a safe and caring space for you to bear open concerns and thus ensure that overall health is prioritised. Book an appointment today and begin your healing with the desired expert for consultation.