A Few Facts | ||||||||||
It is estimated that about 15% of all pregnancies end in a miscarriage. Althought that numer could actually be much higher, since many times a miscarriage occurs before a woman even knows she is pregnant. Although the exact cause of a miscarriage is often not known it is often thought to be related to genetic abnormalites that are not compatible with life. Other cause can be hormone imblances, chronic illnesses, untreated infections, and cord accidents. The chances of a recurrent miscarriage are no higher after 1 miscarriage than if a person has never had a miscarriage. The chances increase only slightly after a second and third. Many women have had recurrent losses and still gone on to complete a pregancy and have the child they long for. Before 20 weeks a miscarriage is called a spontaneous abortion (a term I hate). After 20 weeks a baby is considered stillborn. ---------------------------------------------------------------- Blighted Ovum - when an embryo fails to develop beyond a given point. Thought to be genetically caused. Ectopic - When an embryo implants into an area that is not capable of sustaining a full term pregnancy. Often a fallopian tube. Molar - This is when the pregnancy fails to develop into a "normal" embryo. The cells develop in an abnormal mass. The cells that develop into the chronic cilla do not develop properly and can not support the growth of a embryo.This is usually a chromosome problem.. There are two types partial or complete. Partial molar is an embryo is partially formed and in a complete molar the embryo was never able to develop. This kind of pregnancy needs close medical follow up. In some instance the cells if not completely remvoed can develop into a malignant tumor. Though the cure rate is close to 100% if followed close by a medical professional. It is advised to not become pregnant for atleast 1 year following a molar pregnancy. Cord Accidents - Include's several types. A true knot in the cord can cut off the blood and oxygen supply (this is what happened to my son). Nuchal cord (cord wrapped around baby's neck) also affecting blood and oxygen supply to baby's body. The cord may develop abnormally, again affecting blood and oxygen supply. These often affect the baby in later pregnancy, but not always. My docotor assured me cord accidents are just that accidents and have no genetic bearing, therefore the chances of it recurring are very low. Placenta Abruptio - Where the placenta partially or completely seperates from the uterine wall, affecting the blood flow from the uterus to the baby through the umbilical cord. ---------------------------------------------------------------- Threatened - this is often diagnosed when a women has bleeding and/or cramping. This does not mean a women will miscarry. Bedrest is often suggested. Inevitable - Once a embryo or fetus has died or ceased development a miscarriage is not preventable. Missed - An embryo or fetus has died or ceased development but not been expelled by the body. It is often considered safe to carry the baby for up to four weeks before medical intervention is necessary to prevent infection. ---------------------------------------------------------------- D&C - This is usually done as a outpatient procedure. Most often under general anesthetic, although some doctors will use a local anesthetic and you will be awake. The cervix is dilated either with medication or a surgical instrument. The uterus is cleaned out using a surgical instrument to "scrape" out the contents. You are usually advised to rest for 24-48 hours and resume normal activity as tolerated. You will probaly be give an antibiotic. Intercourse can usually be resumed after all discharge has stopped. D&E - This is usually used for a pregnancy that has progressed into the second trimester but not beyond 20 weeks. It is also usually done outpatient, either under general anesthetic or with a local. The cervix is dilated and a vacum type device is used to remove the contents of the uterus. You are usually given an antibiotic and adviced to rest for 24 -48 hours. Resuming activity as tolerated. Intercourse can be resumed after all discharge has stopped or as directed by you doctor. Induction - Labor can be induced using synthetic hormones. This is usually considered with later losses and losses after 20 weeks. Pain medication or epidurals are available. Natural - This is when you wait for your body to expel the contents of the uterus on its own. Usually cramping and bleeding are present. This can be done at home or in the hospital. You will be given an antibiotic and possibly a medication to help the uterus contract afterwards. The information here is just to give you a general idea. It does not replace the information and/or advice from your doctor. |
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