The threat of miscarriage - how to prevent spontaneous abortion

The threat of miscarriage - how to prevent spontaneous abortion
Treatment

risk of miscarriage The most common complication of pregnancy is considered to be spontaneous interruption. If assess the prevalence of complications among all established pregnancies, the rate will reach 20%. When termination of pregnancy for a period which is diagnosed only on the basis of the result of hormonal examination, this percentage exceeds 30%. Threatened abortion can occur with different clinical manifestations depending on what term complications develop.

Influence of risk factors on the incidence of spontaneous abortion

Pregnancy may be complicated by the threat of interruption at any stage. The first critical period considered the first eight weeks of pregnancy. At this early stage of almost every third pregnancy interrupted by type anembrionii, which is a consequence of genetic disorders. Unfavorable course of pregnancy, the development of the phenomena threatening abortion contribute to:

age indicators. With increasing age of women increases the risk of miscarriage. Pregnancy in women in the age group older than 40 years of spontaneously aborted at 40%
availability of abortion in the previous pregnancy. If a woman were to present pregnancy physiological childbirth, then the risk of miscarriage in the future will be minimal (about 5%). The number of previous miscarriages naturally a negative impact on the course of the present pregnancy
use of medication directly into the period before conception Conception - as the emerging life . This primarily refers to a group of non-steroidal inflammatory drugs (NSAIDs). The increased frequency of miscarriages with their use due to the suppression of prostaglandin synthesis
consumption of alcohol and smoking more than ten cigarettes a day. It may also include a negative impact of caffeine (if women drink more than five cups of coffee a day)
the impact of the traumatic factor. It can be physical injury, or the impact of invasive prenatal diagnosis, which take place in the first trimester. In this regard, should be approached strictly justified the appointment of the types of research that can be a risk factor for miscarriage

It may contribute to risk of miscarriage suffered by colds, which flows with a temperature above 37, 7C-38C. The most serious consequences develop if a woman became ill at the earliest timing. The negative impact on the development of the ovum has a temperature reaction, as well as exposure to infectious agents and toxic products generated during the life of the causative agent.

There is no specific prevention methods threatening miscarriage. Knowledge of the presence of certain risk factors to minimize the percentage of cases of loss of pregnancy. The only drug prevention is considered to be taking folic acid. It is proved that the deficit in pregnant women folic acid predisposes to spontaneous abortion due to the formation of defective fetal karyotype. Pathology at the level of a violation of the karyotype leads to the fact that in the early stage of pregnancy is terminated. Has a value of serum folate at a certain level did not decrease to a value lower than 4, 9 nmol / l. Every pregnant woman should take as a prophylactic folic acid, and the dose is adjusted individually based on the existing comorbidities and complications of pregnancy.

Clinical manifestations of threatened miscarriage

There are certain symptoms, which confirms the presence of complications during pregnancy. The threat of interruption occurs with pain symptoms, with complaints of bleeding from the vagina. These complaints come from women in the background the next delay menstruation. Clinically, there are several stages in the development of premature termination of pregnancy: threatening, began the abortion, abortion in progress and developing pregnancy. It's a stage of the pathological process, which differ from the characteristic complex of symptoms.

At the stage of threatening abortion in pregnant there are complaints of pain in the abdomen pulling character, that may radiate to the lumbar region. Bleeding can occur, but it is not a reliable diagnostic criterion threat. In many cases no separation of pathological character, with bright develops clinical picture pregnancy complications. It has the value of these vaginal examination. There are no changes in the cervix, it is of normal length, the inner jaws closed. During the study, the tone of the uterus The tone of the uterus - the most important indicator for pregnant women It will be increased.

If the step is not threatening miscarriage medical assistance, the disease process will progress. Pain and bleeding become more intense. When Getting an abortion is possible to determine significant signs of structural changes in the cervix during vaginal examination. Inspection procedure on a gynecological chair conduct all pregnant women with complaints of bleeding from the genital tract. The results of the study are reliable for the diagnosis of stage threatening miscarriage.

The next stage of clinical symptoms of threatened abortion is abortion in progress when the ovum is expelled from the uterus. If there is a delay element of the ovum in the uterus, the abortion is incomplete. Most often, this complication develops after the first trimester, so abortion is clinically manifested amniorrhea Amniotic fluid - how important they are to the health of women and children? . Pregnant noted that she appeared watery, later joined by pain and cramping in nature spotting from the vagina. Located in the uterine cavity residues must be removed, so held shortens therapy and curettage cavity. If you decide to pursue a conservative therapy, it is important to monitor the status of women, in time to prevent the development of infectious complications.

Authentically confirm the presence of ovum in the uterus or its residues can be based on the results of an ultrasound scan. Remains of the ovum, or placental tissue visualized during the examination, the doctor can give an opinion about the nature of abortion. Ultrasound examination is recommended for pregnant women with threatened miscarriage to diagnose the stage of development of pathological process. There are no reliable data on the negative impact of the survey on pregnancy, so pregnant women should not be afraid that ultrasound can cause miscarriage. The most important rule to be followed is to conduct a survey on the testimony during those periods when there is a need.