In some cases, start a normal pregnancy suddenly freezes, then, as a rule, there is a miscarriage. But sometimes missed first trimester the fetus can be in the woman's body a few weeks and she does not even know about it. Why is this happening and how to determine that the pregnancy stopped?

Why and how the pregnancy dies

Fading pregnancy - a fetal death at a particular stage of pregnancy, provided that the first pregnancy developed normally. Usually, fading develops in the first trimester, but may be the second, and even late in pregnancy. Most threatened is considered the eighth week of pregnancy. Sometimes pregnancy occurs, i.e. oocyte introduced into the uterine wall and the fetus does not develop in it, in such a case one speaks of an empty ovum.

The reasons are many fade pregnancy. This hereditary disorders (mostly missed abortion has family roots), the anatomical features of the structure of the uterus, hormonal disorders Hormonal disorders: causes and the most frequent disease Various infections (such as rubella), infectious and pelvic inflammatory disease, injury (abortion, obstructed labor), infections, sexually transmitted infections (chlamydia, mycoplasmosis), intoxication (smoking, alcohol, drugs), increased blood clots in violation of circulation Blood in the uterus and placenta and so on.

Signs of missed abortion

The woman is not always able to grasp the signs of missed abortion, especially if it occurred in the first trimester (ie in the first 12 weeks). Sometimes women are missing the signs of pregnancy such as nausea, salivation, hypersensitivity and breast engorgement. But this is not always the case: sometimes with missed abortion all the signs of this condition remain. It happens the other way around: the signs of intoxication are suddenly while the pregnancy is developing normally. An indication of missed abortion may be bleeding and pain in the abdomen - the first signs of miscarriage Miscarriage - is more common than you think But they are not always.

After 16-20 weeks if the fetus has already started stirring, no perturbation can be fairly reliable sign of missed abortion. Sometimes missed abortion may increase the body temperature, violated the general condition of the woman. Basal body temperature (measured in the rectum in the morning without getting out of bed), on the other hand, is reduced, but it is not a reliable symptom of missed abortion.

Therefore, if you suspect a missed abortion Missed abortion - can you do something?   you need to see a gynecologist. He or soothe a woman to convince her that the pregnancy is developing normally, or will take the necessary measures if the diagnosis is missed abortion confirmed.

Based on what the diagnosis

The gynecologist, first of all, will examine and compare the size of the uterus with pregnancy. If the period is large enough, you will hear the fetal heartbeat.

After that, the woman sent for ultrasound (US). On the first US doctor also compares the size of the fetus with gestation and records presence or absence of heartbeat of the fetus. Ultrasound is the most informative method of investigation in the missed abortion.

Work is also a blood test for HCG (human chorionic gonadotropin) - a hormone released in the body only during pregnancy. But this analysis is not always indicative, since even if the number of missed abortion in the blood can not be changed.

Health care

What steps to take when it detects a woman has missed abortion, the doctor decides. With up to six weeks, you can conduct a mini-abortion (vacuum abortion), with up to eight weeks held medical (using a tablet) abortion. Sometimes, if the state of health of the woman is not suffering, it does not have a temperature, with the removal of the fetus can wait, perhaps, there will be a miscarriage. But this is a dangerous tactic, because it can start an inflammatory process. Furthermore, the decomposition products are absorbed in fetal tissues woman's blood, causing toxicity.

If a miscarriage occurs, carry the instrumental abortion, which is properly called curettage.

After one - two weeks after the miscarriage whether abortion uterine condition is checked using ultrasound. Take also the general blood analysis to verify the absence of inflammation.

Very difficult for women to find missed abortion. But if she is regularly seen in the antenatal clinic, missed abortion is required to detect the doctor and take all necessary measures.

Galina Romanenko

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