Spontaneous abortion that occurs before the third trimester is called a miscarriage. For spouses who are already preparing to become parents, this is always a difficult test. The gynecologist M.A. Tereshchenko will help us to understand why miscarriages happen and what needs to be done to prevent them.
Mikhail Anatolyevich, please tell me, what are the most common causes of miscarriage?
The reasons for termination of pregnancy are directly dependent on its term, trimester. For example, in the first trimester, among the main causes of spontaneous abortion is sexually transmitted infections and genetic abnormalities of the fetus. In the second trimester, the main cause of miscarriage is ivstviko-cervical insufficiency. Miscarriage is classified as a preterm birth in the third trimester of pregnancy.
What is the threat of miscarriage?
The diagnosis of "threat of miscarriage" is made during ultrasound and actually means the presence of an increased tone of the uterus, deformed fruit egg, or its detachment."Risk of miscarriage"is the first stage of abortion.
The second stage of the interruption process is classified as"Began an abortion"and is accompanied by bloody smear or bloody discharge, as well as pain in the lower abdomen.
In the third stage, called"Abortion in progress"there is an irreversible process of rejection of the fruit egg.
Fourth stage -"Incomplete / Complete Abortion."
Signs of miscarriage: when to go to the hospital?
In varying degrees, pronounced nagging pain in the lower abdomen, spotting or bleeding, which appear both simultaneously and separately, are the main signs of abortion. In women with a high pain sensitivity threshold, signs of interruption can be detected during a routine ultrasound examination.
In any case, routine ultrasound examination is the only objective method that allows timely diagnosis of anomalies.
How often and among which categories of women do miscarriages occur?
It should be noted that over the past decade, cases of spontaneous abortion have become more frequent, as has the number of cases of “missed pregnancy”. The main reason is the increase in the age threshold of primiparous.
In addition, many sociological studies confirm the great influence of the social status of women on the course of pregnancy. Cohabitation of several families on the same living space, inadequate and poor quality nutrition, professional and chronic diseases, heavy physical exertion during pregnancy do not have the best effect on the health of women and their ability to bear fruit.
How to avoid miscarriage?
It’s easy to avoid unwanted termination of pregnancy. A pregnant woman should:
· Regularly visit the doctor and listen to his advice;
· To undergo planned ultrasound diagnostics in a timely manner;
· Lead a correct lifestyle;
· Listen to your own body.