For 280 happy and hard days and nights, we are happy to nurture life, and slightly hard to bear it. The greatness of motherhood lies in creation and loss. Every moment we spend together is worthy of happiness and touching, while the risks ahead need to be taken bravely. Today, I want to talk to you about miscarriage, so that we can take a psychological insurance together.
Why do you have a miscarriage?
There must be a reason for a natural miscarriage, and there are various causes and effects: 1.
1. genetic defects: most of the embryos with abnormal chromosome structure or number will miscarry in early pregnancy, and most of the spontaneous miscarriage history is the result of natural elimination.
2, environmental threats: chemical substances (arsenic, lead, benzene, formaldehyde, chloroprene, ethylene oxide, etc.), physical factors (radiation, noise, high temperature, etc.).
3. maternal diseases: systemic diseases (high fever, severe anemia, heart failure, severe chronic nephritis or hypertension, bacterial toxins or viral infections), endocrine disorders (hypothyroidism, severe diabetes, luteal insufficiency, etc.), diseases of the reproductive organs (uterine malformations, pelvic tumors, relaxed endocervical opening, etc.), trauma (performing abdominal surgery, trauma, etc.)
4, immune factors: autoimmune diseases such as antiphospholipid antibody syndrome of the mother, maternal rejection of the embryo.
5, mother’s bad behavior: smoking, alcoholism, drug abuse, extreme depression, anxiety, etc.
Second, what happens in miscarriage?
The main symptoms of miscarriage are abdominal pain and vaginal bleeding. The names of miscarriages occurring at different times are different.
1.Early miscarriage (miscarriage before 12 weeks of pregnancy)
The bleeding starts as soon as the chorion separates from the meconium and there is vaginal bleeding throughout. Later, the uterus is stimulated by the bleeding and contracts in order to stop the bleeding, and menstrual cramps-like lower abdominal pain occurs.
2. Late miscarriage (miscarriage between 12 and 28 weeks of pregnancy)
Because the placenta has formed, the uterus often contracts first in order to expel the fetus, so the abdominal pain precedes the bleeding, and the placenta is expelled after the fetus, usually with less bleeding. At the end of miscarriage, there is often a large blood clot discharged from the vagina, which is the fetus and its appendages. If it is discharged at home, it must be preserved and brought to the hospital, where the doctor needs to judge the integrity of the discharge, and also needs to send the specimen for pathological examination and chromosome examination to make the next treatment plan.
Third, miscarriage does not necessarily keep!
Miscarriage is a process that goes through three stages as follows.
Pre-eclampsia miscarriage.
[What is it] The vaginal bleeding is small, and after rest and treatment the bleeding stops and the abdominal pain disappears.
The actual fact is that you can find a lot of people who have been in the business for a long time.
What to do】You need to be calm (the embryo may still be alive) → Consult the hospital → Perform gynecological examination, ultrasound examination and β-HCG measurement → Determine the cause of bleeding and the development of the embryo → Observe, use medicine if necessary, and terminate the pregnancy if the embryo is aborted.
Inevitable miscarriage.
[What is it] Increased vaginal bleeding and increased abdominal pain after preterm miscarriage.
Why】At this time, the cervical opening is dilated, the embryonic tissue has separated, and miscarriage is inevitable.
What to do】Please accept (miscarriage has been unavoidable) → scraping and aspiration to clear out embryonic tissue → embryonic tissue sent for pathological examination → hospital review and follow-up.
Incomplete miscarriage.
【What is it】Embryo and appendages are incompletely expelled, bleeding is more, and even shock can be caused.
【What to do】To cooperate (embryonic tissue residue is dangerous) → Scraping, forceps scraping → If bleeding is more may be transfusion, rehydration, anti-infection.
If all the pregnancy products have been expelled, it is a complete abortion, after which vaginal bleeding will gradually stop and abdominal pain will gradually disappear, at which time no special treatment is generally needed if there is no infection.
A few suggestions to prevent miscarriage.
The conception of life requires your love and wisdom. And you can’t protect your baby by lying in bed every day and not going anywhere.
1. Live peacefully for the sake of your baby
Not overly sad, all the sadness can be cured by the conception of life; not easily angry, all the anger can be forgiven by the conception of life; don’t always be nervous, which is a great mother can not resist the pressure; do not smoke or drink, for you is a matter of health, for the baby is the ruling of life and death.
2.Meet him at the best time
Age-appropriate childbirth, too young or too old is prone to miscarriage. The best age for women to have children is 23-30 years old, please try to conceive the most beautiful life in the best life.
3.Beware of “disease from the mouth”
Pay attention to the diet during pregnancy, especially pay attention to dietary safety, do not eat food of unknown origin, no safety guarantee, less processed food, high sugar, high fat and high salt food, pay special attention to the food processing, storage process, raw and cooked separately, refrigerated food should be fully heated, listeria infection is a cause of miscarriage, fetal death in the womb, and pay attention to a balanced diet, moderate energy intake.
4, early activity should be moderate
Early pregnancy should not be strenuous exercise or heavy physical labor, can be carried out general intensity work and daily household chores, physical labor should also pay attention to the combination of work and rest, but also under the guidance of professionals moderate pregnancy exercise.
Tips: Natural miscarriage is a sad thing for every mother. But “the survival of the fittest”, we need to recognize that most spontaneous miscarriages are the result of abnormal embryo development or the mother’s body is not suitable for further pregnancy. The baby has a reason from God to go, and the mother has a realistic reason for not being able to stay, so I hope we can have the best life in the best time.
What is the best inter-pregnancy interval between the first and second child?
The inter-pregnancy interval (IPI) refers to the time interval between the last delivery and the next pregnancy. The current recommendation is an IPI greater than 2 years and less than 5 years after a full-term live birth. For women older than 35 years, a shorter IPI of 12 months may be considered. For elective cesarean delivery after cesarean delivery as before, if a vaginal trial of labor is planned after cesarean delivery, an interval of 18-24 months between the last delivery and the next delivery is recommended. For women with a history of preeclampsia, IPI for at least 12 months. For women with a history of preterm labor, an IPI of at least 12 months is also recommended.