Can the Baby Still Be in You After a Miscarriage
Key POINTS
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Miscarriage is when a infant dies in the womb before 20 weeks of pregnancy. Some women have a miscarriage before they know they're pregnant.
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We don't know all the causes of miscarriage, just bug with chromosomes in genes cause virtually.
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It tin can take a few weeks to a month or more for your body to recover from a miscarriage. It may take longer to recover emotionally.
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Talk to your health care provider near having medical tests before you lot try to get pregnant once again.
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Well-nigh women who expel go on to have a good for you pregnancy afterward.
What is miscarriage?
Miscarriage (besides called early pregnancy loss) is when a baby dies in the womb (uterus) before twenty weeks of pregnancy. For women who know they're pregnant, about 10 to 15 in 100 pregnancies (10 to 15 percent) end in miscarriage. Well-nigh miscarriages happen in the first trimester before the 12th week of pregnancy. Miscarriage in the second trimester (betwixt 13 and xix weeks) happens in ane to 5 in 100 (1 to v percentage) pregnancies.
As many as half of all pregnancies may end in miscarriage. We don't know the verbal number because a miscarriage may happen before a woman knows she'southward meaning. Almost women who expel go on to accept a healthy pregnancy later.
What are echo miscarriages?
If y'all have repeat miscarriages (besides chosen recurrent pregnancy loss), you have 2 or more miscarriages in a row. Nigh 1 in 100 women (1 percent) accept repeat miscarriages. Most women who have repeat miscarriages (50 to 75 in 100 or 75 percent) have an unknown cause. And almost women with repeat miscarriages with an unknown cause (65 in 100 women or 65 per centum) go on to have a successful pregnancy.
What causes miscarriage and echo miscarriages?
We don't know what causes every miscarriage. But some miscarriages and echo miscarriages tin exist caused by:
Problems with chromosomes
About half of all miscarriages are caused when an embryo (fertilized egg) gets the wrong number of chromosomes. This usually happens by chance and not from a problem passed from parent to child through genes. Chromosomes are the structures in cells that holds genes. Each person has 23 pairs of chromosomes, or 46 in all. For each pair, you get i chromosome from your mother and one from your father. Examples of chromosome problems that can crusade miscarriage include:
- Fated ovum. This is when an embryo implants in the uterus just doesn't develop into a infant. If yous take a blighted ovum, you may have dark-brown bleeding from the vagina early in pregnancy. If y'all've had signs or symptoms of pregnancy, like sore breasts or nausea (feeling sick to your stomach), you lot may stop having them.
- Intrauterine fetal demise. This is when an embryo stops developing and dies.
- Molar pregnancy. This is when tissue in the uterus forms into a tumor at the beginning of pregnancy.
- Translocation. This is when part of a chromosome moves to another chromosome. Translocation causes a modest number of repeat miscarriages.
Problems with the uterus or cervix.
The cervix is the opening to the uterus that sits at the elevation of the vagina. Problems with the uterus and neck that can cause miscarriage include:
- Septate uterus. This is when a band of muscle or tissue (chosen a septum) divides the uterus in two sections. If you take a septate uterus, your provider may recommend surgery before you effort to get pregnant to repair the uterus to assist reduce your gamble of miscarriage. Septate uterus the well-nigh common kind of congenital uterine abnormality. This ways it's a condition that you're born with that affects the size, shape or construction of the uterus. Septate uterus is a common cause of repeat miscarriages.
- Asherman syndrome. If yous accept this status, you take scars or scar tissue in the uterus that tin harm the endometrium (the lining of the uterus). Before you get pregnant, your provider may use a process called hysteroscopy to find and remove scar tissue. Asherman syndrome may oft crusade echo miscarriages that happen before yous know you're significant.
- Fibroids (growths) in the uterus or scars from surgery on the uterus. Fibroids and scars tin limit space for your baby or interfere with your baby'southward claret supply. Before you try to become pregnant, you may need a surgery called myomectomy to remove them.
- Cervical insufficiency (also called incompetent neck). This is when your cervix opens (dilates) too early during pregnancy, usually without hurting or contractions. Contractions are when the muscles of your uterus get tight and then relax to help push button your babe out during labor and birth. Cervical insufficiency may lead to miscarriage, usually in the second trimester. To assistance prevent this, your provider may recommend cerclage. This is a stitch your provider puts in your cervix to help keep it airtight.
Infections
Infections, like sexually transmitted infections (also chosen STIs) and listeriosis, can crusade miscarriage. An STI, like genital herpes and syphilis, is an infection yous can get from having sex activity with someone who is infected. If you think yous may take an STI, tell your health care provider right away. Early testing and handling can help protect you and your infant. Listeriosis is a kind of food poisoning. If you lot remember you have listeriosis, call your provider right away. Your provider may treat yous with antibiotics to help proceed yous and your baby prophylactic. Having certain infections may cause miscarriage, simply they're not likely to crusade repeat miscarriages.
Are y'all at risk for a miscarriage?
Some things may brand y'all more probable than other adult female to have a miscarriage. These are chosen risk factors. Gamble factors for miscarriage include:
- Having two or more previous miscarriages
- Being 35 or older. Every bit you get older, your hazard of having a miscarriage increases.
- Smoking, drinking alcohol or using harmful drugs. If you lot're pregnant or thinking well-nigh getting significant and need help to quit, tell your provider.
- Being exposed to harmful chemicals. You or your partner having contact with harmful chemicals, like solvents, may increase your risk of miscarriage. A solvent is a chemical that dissolves other substances, like paint thinner. Talk to your provider about what you can do to protect yourself and your baby.
Some wellness conditions may increase your chance for miscarriage. Treatment of these conditions earlier and during pregnancy can sometimes aid prevent miscarriage and repeat miscarriages. If you have any of these health weather condition, tell your health care provider before you get pregnant or as soon as you know you're meaning:
- Autoimmune disorders. These are wellness conditions that happen when antibodies (cells in the torso that fight off infections) set on healthy tissue by mistake. Autoimmune disorders that may increase your hazard of miscarriage include antiphospholipid syndrome (also called APS) and lupus (also called systemic lupus erythematosus or SLE). If you have APS, your body makes antibodies that assault certain fats that line the blood vessels; this tin sometimes cause blood clots. If you have APS and have had repeat miscarriages, your provider may give you depression-dose aspirin and a medicine chosen heparin during pregnancy and for a few weeks later on yous give birth to help preclude another miscarriage. Lupus can cause swelling, pain and sometimes organ damage. It can bear on your joints, skin, kidneys, lungs and blood vessels. If you have lupus, your provider may treat you with depression-dose aspirin and heparin during pregnancy.
- Obesity. This means you have as well much body fatty and your torso mass alphabetize (also called BMI) is 30 or higher. BMI is a measure of body fatty based on your tiptop and weight. If you're obese, your chances of having a miscarriage may increase. To find out your BMI, get to cdc.gov/bmi.
- Hormone bug, like polycystic ovary syndrome (as well chosen PCOS) and luteal phase defect. Hormones are chemicals made by the torso. PCOS happens when you accept hormone problems and cysts on the ovaries. A cyst is a airtight pocket of that contains air, fluid or semi-solid substances. If you're trying to get pregnant, your provider may requite you medicine to assistance you ovulate (release an egg from your ovary into the fallopian tubes). Luteal stage defect can cause echo miscarriages. It'due south when you have low levels of progesterone over several menstrual cycles. Progesterone is a hormone that helps regulate your periods and gets your body ready for pregnancy. If you have luteal phase defect, your provider may recommend handling with progesterone before and during pregnancy to help forestall repeat miscarriages.
- Preexisting diabetes (likewise called type 1 or blazon ii diabetes). Diabetes is when you lot accept too much saccharide (also chosen glucose) in your blood. Preexisting diabetes means yous accept diabetes before you become pregnant.
- Thyroid issues, including hypothyroidism and hyperthyroidism. They thyroid is a butterfly-shaped gland in your neck. Hypothyroidism is when the thyroid gland doesn't brand enough thyroid hormones. Hyperthyroidism is when the thyroid gland makes too many thyroid hormones.
- Having sure prenatal tests, similar amniocentesis and chorionic villus sampling. These tests accept a slight risk of miscarriage. Your provider may recommend them if your baby is at risk for certain genetic conditions, like Down syndrome.
Having an injury to your belly, like from falling downward or getting hit, isn't a high risk for miscarriage. Your torso does a good job of protecting your baby in the early weeks of pregnancy.
Y'all may have heard that getting too much caffeine during pregnancy can increment your risk for miscarriage. Caffeine is a drug found in foods, drinks, chocolate and some medicine. It'southward a stimulant, which means it tin can help go on you lot awake. Some studies say caffeine may crusade miscarriage, and some say it doesn't. Until we know more most how caffeine tin can affect pregnancy, it's best to limit the amount you get to 200 milligrams each mean solar day. This is what'southward in well-nigh one 12-ounce cup of coffee.
What are the signs and symptoms of miscarriage?
Signs of a condition are things someone else tin can come across or know about you, like you lot have a rash or y'all're coughing. Symptoms are things you feel yourself that others can't run into, similar having a sore throat or feeling dizzy.
Signs and symptoms of miscarriage include:
- Bleeding from the vagina or spotting
- Cramps similar you lot experience with your period
- Astringent belly hurting
If you have any of these signs or symptoms, call your provider. Your provider may want to do some tests to make sure everything'due south OK. These tests can include blood tests, a pelvic exam and an ultrasound. An ultrasound is a test that uses sound waves and a reckoner screen to testify a movie of your baby inside the womb.
Many women have these signs and symptoms in early pregnancy and don't miscarry.
What treatment do you become afterwards a miscarriage or repeat miscarriages?
If you've had a miscarriage, your provider may recommend:
- Dilation and curettage (also called D&C). This is a process to remove whatever remaining tissue from the uterus. Your provider dilates (widens) your cervix and removes the tissue with suction or with an instrument called a curette.
- Medicine. Your provider may recommend medicine that tin can help your body pass tissue that's still in the uterus.
Do you lot need whatever medical tests after a miscarriage or repeat miscarriages?
If you lot miscarry in your offset trimester, you probably don't need any medical tests. Because we don't often know what causes a miscarriage in the kickoff trimester, tests may not be helpful in trying to discover out a cause.
If you take repeat miscarriages in the first trimester, or if yous take a miscarriage in the second trimester, your provider ordinarily recommends tests to assistance find out the cause. Tests can include:
- Chromosome tests. You and your partner tin have blood tests, like karyotyping, to bank check for chromosome bug. Karyotyping tin count how many chromosomes at that place are and cheque to encounter if any chromosomes have changed. If tissue from the miscarriage is bachelor, your provider tin test information technology for chromosomal conditions.
- Hormone tests. You may have your blood tested to check for problems with hormones. Or yous may have a procedure called endometrial biopsy that removes a small slice of the lining of the uterus to cheque for hormones.
- Blood tests to check your immune organisation. Your provider may test you for autoimmune disorders like, APS and lupus.
- Looking at the uterus. You lot may take an ultrasound, a hysteroscopy (when your provider inserts a special scope through the cervix to come across your uterus) or a hysterosalpingography (an X-ray of the uterus).
How long does it take to recover from a miscarriage?
Information technology can accept a few weeks to a month or more for your body to recover from a miscarriage. Depending on how long you were significant, y'all may have pregnancy hormones in your blood for i to 2 months after you miscarry. Nigh women get their period once again iv to vi weeks afterwards a miscarriage.
Information technology may accept longer to recover emotionally from a miscarriage. You may take potent feelings of grief about the death of your infant. Grief is all the feelings you have when someone close to you dies. Grief tin brand yous feel sad, aroused, confused or alone. Information technology'south OK to take fourth dimension to grieve after a miscarriage. Ask your friends and family for support, and find special means to retrieve your baby. For example, if you already have baby things, like wearing apparel and blankets, you may desire to go on them in a special place. Or you lot may have religious or cultural traditions that you'd like to do for your baby. Do what'southward right for y'all.
Certain things, like hearing names you were thinking of for your babe or seeing other babies, tin can exist painful reminders of your loss. Y'all may need assistance learning how to deal with these situations and the feelings they create. Tell your provider if you need aid to bargain with your grief. And visit Share Your Story, the March of Dimes online community where you tin talk with other parents who have had a miscarriage. We also offering the free booklet From hurt to healing that has data and resources for grieving parents.
If you miscarry, when tin yous effort to get pregnant once more?
This is a decision for yous to brand with your partner and your provider. It'due south probably OK to get pregnant again later on you've had at least one normal flow. If you're having medical tests to try to find out more than most why yous miscarried, you lot may demand to wait until after you've had these tests to effort to become pregnant over again.
You may not be emotionally set up to endeavor again so presently. Miscarriage tin be hard to handle, and yous may need time to grieve. Information technology'south OK if you lot want to wait a while before trying to get pregnant again.
More than data
- From injure to healing (free booklet from the March of Dimes for grieving parents)
- Share Your Story (March of Dimes online community for families to share experiences with prematurity, nativity defects or loss)
- Centering Corporation (grief information and resources)
- Compassionate Friends (resources for families after the death of a child)
- Journey Program of Seattle Children's Hospital (resources for families after the decease of a kid)
- Lupus Enquiry Brotherhood: Pregnancy and family planning
- Share Pregnancy & Baby Loss Support (resource for families with pregnancy or babe loss)
Concluding reviewed: November, 2017
Source: https://www.marchofdimes.org/complications/miscarriage.aspx
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