we will let you know Miscarriage in the First Trimester: Spontaneous Abortions Period While Pregnant
An estimated 15 to 20 percent of known pregnancies end in miscarriage, the loss of a pregnancy before the 20th week. The actual number is likely higher, because many miscarriages occur very early on, before a woman knows she is pregnant, and may simply seem to be a heavy period on or near schedule.
Most clinically recognized miscarriages occur between the seventh and 12th week after a woman's last menstrual period. The chances of miscarriage decrease significantly once a heartbeat has been detected on ultrasound or by Doppler stethoscope.
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Miscarriage in the First Trimester: Spontaneous Abortions
The vast majority of miscarriages (also called spontaneous abortions) cannot be prevented; they are random events that are not likely to recur. Up to 70 percent of first-trimester miscarriages, and 20 percent of second-trimester miscarriages, are caused by chromosomal anomalies.
Other known causes include infection, abnormalities of the uterus or cervix, smoking, substance abuse, exposure to environmental or industrial toxins, diabetes, thyroid disease, and autoimmune disease.
Older women are more likely to miscarry than younger women are. Serious physical trauma can also cause a miscarriage. In rare cases, women miscarry after diagnostic tests, such as chorionic villus sampling (CVS) or amniocentesis. Most of the time, a specific cause for miscarriage is not identified.
Many women learn about a miscarriage at a routine prenatal visit before experiencing any physical symptoms. Sometimes no embryo is seen on ultrasound, or the embryo may be much smaller than expected, or without a heartbeat. The first symptoms of miscarriage are usually spotting or bleeding, followed by cramps in your lower back or abdomen. Other signs include fluid or tissue passing from the vagina.
About 1 in 4 women Spontaneous Abortions experience some vaginal bleeding or spotting during their first trimester. If the bleeding is light and lasts only one to two days, it isn't associated with a greater risk of miscarriage. However, heavy bleeding is associated with miscarriage; about 1 in 4 women who experience heavy bleeding will go on to miscarry. If you have any vaginal bleeding during pregnancy, your health care provider can help determine if the bleeding is likely to result in miscarriage.
If a blood test or sonogram indicates that you are having a miscarriage, you may have a few options. Some women choose to allow the miscarriage to occur and complete itself naturally. Others find that scheduling a procedure to empty the uterus provides a sense of control and closure; it also decreases the risk of infection and excessive bleeding.
There are several different treatments to complete the miscarriage. In early pregnancy you can take a drug, such as misoprostol, that causes uterine contractions and miscarriage. Or a minor surgical procedure (suction curettage, also known as dilation and curettage, or D&C) uses an aspiration technique to remove any remaining tissue. Both of these are outpatient procedures. Aspiration may be performed on an outpatient basis in a clinic, obstetrical office, hospital, or emergency room, with or without anesthesia.
If you do not know your blood type, you should have a blood test. If your blood type is Rh-negative, you will need a shot within 72 hours of the miscarriage. (If you are Rh-negative and you were carrying an Rh-positive fetus, there is a small chance that you have been exposed to Rh-positive blood cells from the fetal tissue during the miscarriage. A shot of RhoGAM prevents your body from producing antibodies to Rh-positive blood that could harm a fetus during a future pregnancy.)
If you miscarry naturally or with medication, you will probably complete the miscarriage at home. The process may be over quickly or may take several days. If you are less than eight weeks pregnant when the miscarriage occurs, the expelled tissue will look no different from heavy menstrual bleeding. The further along you are in pregnancy, the heavier the bleeding and more severe the cramps. You may see the fetus and placenta. period while pregnant