Miscarriage - a spontaneous abortion up to 20 weeks. After 20 weeks the fetus can theoretically be viable, so the interruption of pregnancy is considered premature birth Premature birth - Recognize the signals of the body in time . If a woman has had several miscarriages, we speak of habitual abortion or miscarriage.

Why can begin miscarriage

The causes of miscarriage are many. Random miscarriage may occur against a background of stress, trauma, infection, heavy exercise and so on. Miscarriage is most often associated with more serious reasons: uterine pathology hereditary diseases, endocrine disorders (reduction of ovarian function, high concentrations of male sex hormones, diabetes Diabetes , Obesity, thyroid disease), immunological disorders (incompatibility of blood between mother and fetus of the group and Rh factor), severe internal diseases, intoxication (alcohol abuse, drugs, frequent smoking, industrial hazards, and so on).

A common cause of miscarriage is an infection: acute and chronic common infectious diseases, as well as infectious and inflammatory processes of female genital mutilation.

What happens in a woman's body when abortion

At any miscarriage of the reasons resulting in increased motor activity of smooth muscles of the uterus, which in turn promotes the separation of the ovum or embryo from the uterine wall and its expulsion from the uterus.

The I and the beginning of II trimester (up to complete formation of the placenta) fertilized egg is separated and recovered from the uterus without opening the membranes. At a later date, when the placenta has been formed, an abortion takes place according to the type of labor: the cervix opens, pour the amniotic fluid Amniotic fluid - how important they are to the health of women and children? Born fruit, and then the last.

Symptoms of miscarriage

Symptoms depend on miscarriage stage of development. There are five stages of miscarriage: a threatening miscarriage beginning miscarriage, abortion is "in vogue", complete and incomplete abortion.

Threatened miscarriage is weak aching abdominal pain associated with increased contractile activity of uterine smooth muscle. Fruit while fully preserves the connection with the uterus.

If the miscarriage continues to grow and moves to the next stage (which began miscarriage), uterine contractions lead to a partial detachment of the ovum from the uterine wall. Manifested this stage the appearance of minor bleeding from the vagina. Pain thus amplified and sometimes resemble the weak contractions.

Moving to the next stage of the process - abortion "in vogue" is accompanied by a complete separation of the ovum from the uterine wall. At the same time there are strong cramping abdominal pain and profuse bleeding.

If part of the ovum has moved beyond the uterus, and the uterus remains a small part, abortion is called incomplete. A sign of incomplete abortion is a strong ongoing bleeding, which can lead to shock.

At full abortion fertilized egg is rejected entirely in the uterus may be only part of the fetal membranes. Complete abortion is rare, usually at the end of the II trimester.

Treatment

Miscarriage Treatment depends on the stage of pregnancy and causes. Treatment should begin as early as possible, preferably at the stage of threatening miscarriage. Save pregnancy can also be at the stage of the initial abortion, even when the coupling of the ovum to the uterine wall. In the later stages of pregnancy can not be save.

Treatment is carried out only in a hospital. First of all, women with threatened miscarriage begun and should be provided with full rest, full, vitamin-rich diet. Appointed as drugs, relieves emotional stress (extracts of valerian, motherwort, anxiolytics - drugs that relieve anxiety and fear) and relaxing the smooth muscles of the uterus (papaverine, no-silos).

The I and the beginning of II trimester of pregnancy, women are prescribed progestogens - synthetic versions of the female sex hormone progesterone - they also inhibit smooth muscle of the uterus. If necessary (if the cause of miscarriage was raised blood levels of male sex hormones - androgens) prescribe drugs that suppress the secretion of these hormones.

If miscarriage is in late stage produce curettage removing residues ovum then bleeding usually stops.

Miscarriage may be complicated by heavy bleeding or infection accession. In the future, it may become habitual miscarriage.

Prevention of miscarriages - is timely treatment of all diseases, prevention of stress and the rejection of abortion.

Galina Romanenko

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