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Miscarriage is the miscarriage of the fetus before the 20th week of pregnancy. If the abortion occurs after this week of gestation, it is called premature delivery. Natural abortion usually occurs in the first trimester of pregnancy, especially between weeks 6 and 8 of pregnancy and can cause great frustration and sadness in women who have experienced it.
The most widespread sign of abortion is vaginal bleeding It is necessary to distinguish between the small spotting that is produced by the implantation of the embryo at the beginning of the pregnancy, and the bleeding that can lead to a natural abortion. This bleeding is more abundant and is usually accompanied by cramps similar to those produced by menstruation.
In most abortions there is a chromosomal abnormality in the fetus that makes the development of the baby unviable, they are accidental abortions and there does not have to be a genetic problem in the father or mother.
In other cases they may be due to:
- Incompetent cervix
- Hormonal problems
- Abuse of alcohol, drugs or smoking
- Alterations in the uterus such as fibroids
- Diseases of the mother such as diabetes, hypertension, heart disease or thyroid
- Fever higher than 38º
If there are small signs that indicate that an abortion could occur, the specialists will perform an ultrasound to verify that the embryo is developing correctly and that there is a heartbeat.
There are several types of abortion depending on whether the abortion has begun, the termination of the pregnancy has already occurred or it took place weeks ago but there was no signal at that time. The treatment to be followed will also depend on this, the intensity of the bleeding and the week of gestation. If the abortion occurred before the 7th week of pregnancy, medication is usually effective in preventing a surgical intervention and cause all the remains of the pregnancy to come out. Otherwise, it is necessary to perform a curettage in which a plastic tube is inserted through the uterus and the remains are removed by suction.
Having an abortion is not an impediment to getting pregnant again, nor does it have to happen again. Most women get pregnant again without problems, in any case, doctors recommend waiting one to three months. In the event of 3 consecutive abortions, the cause and possible solution should be analyzed with the specialist.
Abortions at the end of pregnancy or premature births are less frequent and their causes are different from those that occur in the first trimester of pregnancy.
The body usually recovers quickly from an abortion, however, it is a strong shock for parents and the psychological pain is so intense in some people that it is difficult for them to recover from the blow. The support of the partner and family is important to overcome it.
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