Pregnancy loss month

October 15th Pregnancy and Infant Loss Awareness Month NeverBeStill

October is Pregnancy & Infant Loss Awareness Month

If you or someone you care about has lost a child to stillbirth, miscarriage, SIDS, or any other cause at any point during pregnancy or infancy, please join us in raising awareness this October for Pregnancy and Infant Loss Awareness Month.

Tens of thousands of families across the United States are devastated each year by the death of their baby. But the grief of these families and the value of their babies’ lives are very rarely acknowledged. In 1988, US President Ronald Reagan declared October as a month to recognize the unique grief of bereaved parents in an effort to demonstrate support to the many families who have suffered such a tragic loss. Promoting awareness of pregnancy and infant loss not only increases the likelihood that grieving families will receive understanding and support, but also results in improved education and prevention efforts which may ultimately reduce the incidence of these tragedies. Learn more about why raising awareness is critical in Star Legacy Foundation Executive Director Lindsey Wimmer’s blog post here.

Star Legacy’s October #NeverBeStill campaign seeks to break the silence surrounding stillbirth and other pregnancy/infant losses by not only educating the public about ways to support bereaved families but also empowering expectant mothers to have a healthy pregnancy – because every pregnancy deserves a happy ending!

In October, and always, we honor all babies amongst the stars, including those memorialized on our website as Our Stars. Please help us remember these beloved babies by reading their stories.

Here are a few other ways you can help:

Obtain a proclamation from your city/state for Pregnancy & Infant Loss Awareness

While a Federal Proclamation was achieved in 1988, you can work with your city or state officials to obtain a local proclamation. Sometimes they can be permanent and other times they are for the one year only and need to be re-established each year. Be sure to check with your local officials offices. Click here to download a guide to obtaining a proclamation.

October 15th – World Pregnancy & Infant Loss Remembrance Day

On October 15th, participate in the International Wave of Light by lighting a candle at 7 pm local time to honor all babies gone too soon. Keep your candle lit for at least one hour to create a continuous “wave of light” across all time zones covering the entire globe!

Support Bereaved Parents

There are many ways to support the bereaved parents in your life/community, including:

Read our resources for How Friends & Family Can Help and order free brochures from Our Store
Invite parents of a stillborn baby to create a free Star or Memorial Page on our website
Ask your town to proclaim October 15th Pregnancy & Infant Loss Awareness Day – contact us for a sample proclamation and request letter
Make sure your local hospital/doctors (and anyone else in your community who interacts with expectant mothers!) are familiar with our resources for families and providers, Parenting in Pregnancy guide to healthy pregnancy, and free brochures about grief and after loss care available in English & Spanish
Perform an Act of Kindness in memory of baby gone too soon (full page printable cards here)
Send a letter to your elected officials urging them to support legislation and policies designed to prevent stillbirth and other poor outcomes and provide improved support for families –
contact us for a sample letter to get you started
Share our #NeverBeStill posts on social media (see below)

Change Your Social Media Profile Frame

Raise awareness with the click of a button by applying our Pregnancy and Infant Loss Awareness Month Facebook Profile Frame.

To Update Your Profile Image on Facebook:

Login to your Facebook account and navigate to https://www.facebook.com/profilepicframes (or open your own profile page, click on your profile image, and choose “Add Frame”)
At the top of the window, search for “NeverBeStill” or “Star Legacy”
Select the frame and reposition your profile photo as needed
At the bottom of the window, set how long you’d like your frame to stay active (recommended: through 10/31)
In the description box at the bottom, write a note about why you decided to change use this frame, for example:
- October is Pregnancy & Infant Loss Awareness Month. I’ll #NeverBeStill in honor of [baby’s name] and all babies gone too soon. If you or someone you care about has lost a baby at ANY stage of pregnancy or infancy, please join us in raising awareness by clicking the “Try It” button below!
Click “Use as Profile Picture” to complete
After submitting, your profile picture will be updated and a notification will go out the News Feed

Frame is also available for use on other platforms (Twitter, Instagram, Pinterest) through www. twibbon.com (search for “NeverBeStill”)

Social Media Graphics & Video

This is just a small selection of Pregnancy & Infant Loss Awareness Month graphics and videos that will be shared on Social Media as part of the #NeverBeStill campaign. To find more, login to your favorite platform and search #NeverBeStill!

Note: click the graphic/video to view full size in high-resolution and download/share.

NATIONAL PREGNANCY & INFANT LOSS AWARENESS MONTH - October

NATIONAL PREGNANCY & INFANT LOSS AWARENESS MONTH

National Pregnancy and Infant Loss Awareness Month occurs every October. During the entire month, we take time to honor and remember those who have lost a child during pregnancy or lost a child in infancy.

Dealing with death in the family is never easy. The death of a baby, either through miscarriage or during infancy, is no exception. There are no instructions on how to grieve the loss of a child. A number of feelings will be experienced. It’s important to make sure you allow yourself as much time necessary to recover from the grieving process. Healing time between family members will vary, but eventually, you will find peace again.

How to Move Forward

Support groups are important for those families grieving the loss of a child. There is comfort in knowing there are other people out there that are going through the same emotions as you. Many parents blame themselves when they lose a child. A good support group will guide you to come to terms with the loss and hopefully help you realize you are not to blame. You need to open up about what you are experiencing. Talking about your emotions with your partner, a friend, a counselor or spiritual leader will help you make sense of your loss. You don’t have to face this loss alone.

Taking care of yourself physically is just as important as taking care of yourself emotionally. Eat healthily. Take an extra nap. Get some fresh air. A healthy body often promotes a healthy mind and visa-versa, and healing means taking care of yourself and learning to refocus. Some parents might be afraid to heal for fear of forgetting their child. That will never happen. You will have their memory forever. Your child will always be in your heart.

HOW TO OBSERVE

The loss of a child is a difficult topic for everyone involved. For extended family members finding the right thing to say is probably the most difficult. Not underestimating the amount of grief is one way to help your family member. Make your family member feel as though the baby mattered to you too. Be supportive by helping the parent deal with life after the loss. Everyone grieves differently, so the loss should never be minimized.

Helping and family during the loss of their child may seem awkward. However, letting parents know you are sorry for their loss is important. Making yourself available to talk is important. When the time is right, you might want to consider suggesting a memorial for the baby. Parent’s are appreciative of any help they can get during the loss of a child. Be there and be a good friend.

For more information, visit nationalshare.org.

Use #Pregnancy&InfantLossAwarenessMonth

HISTORY

On October 25, 1988, President Reagan designated the entire month of October 1988 as Pregnancy and Infant Loss Awareness Month. On that day he said: “When a child loses his parent, they are called an orphan. When a spouse loses her or his partner, they are called a widow or widower. When parents lose their child, there isn’t a word to describe them. This month recognizes the loss so many parents experience across the United States and around the world. It is also meant to inform and provide resources for parents who have lost children due to miscarriage, ectopic pregnancy, molar pregnancy, stillbirths, birth defects, SIDS, and other causes. Now, therefore, I, Ronald Reagan, President of the United States of America, do hereby proclaim the month of October as Pregnancy and Infant Loss Awareness Month. I call upon the people of the United States to observe this month with appropriate programs, ceremonies, and activities.”

In 2002, Robyn Bear, Lisa Brown and Tammy Novak petitioned the federal government proclaim October 15 Pregnancy and Infant Loss Awareness Day. Today, all 50 states have a yearly proclamation in honor of those who have lost a child during pregnancy or during infancy.

Miscarriage: primary and habitual, why spontaneous abortion occurs

Miscarriage is a pathological condition that consists in the termination of (spontaneous) pregnancy for up to 37 weeks. If after the first miscarriage, appropriate treatment was not carried out, the risk of a second one increases. That is why it is important to consult a doctor in a timely manner. This will reduce the risks of recurrent miscarriage, eliminate existing pathologies and become pregnant.

It should be understood that there is nothing shameful in the diagnosis of "miscarriage", treatment should be carried out in a timely manner and by professionals!

Miscarriage is a problem that today has affected a huge number of women around the world. It negatively affects the birth rate and is important from the point of view of socio-economic development. Miscarriage, the causes of which are constantly being studied, depending on the time of occurrence, can be classified as spontaneous abortion (early: before 12 weeks, late: before 22 weeks) or preterm birth (early: from 22 to 28 weeks, late: from 28 to 37 weeks ).

Reasons

Miscarriage, the causes and treatment of which are being investigated by specialists, is a complex pathology.

Usually it is provoked by pathological conditions of the woman's body, immunological disorders in the "mother-placenta-fetus", chromosomal and gene disorders, socio-biological (physiological, chemical and other factors).

The causes of the pathological condition include:

Induced abortions
Metabolic disorders
Anomalies in the structure of internal organs (mainly uterus)
Immune system disorders
Inflammation of the pelvic organs: gonorrhea, trichomoniasis, etc.
Disturbance of blood flow in the uterus or placenta

Often, specialists diagnose not one, but several causes of miscarriage at once.

Early miscarriage

Early termination of pregnancy usually occurs due to pathologies of the endocrine system, genetic factors or inflammatory processes. Miscarriages in the second trimester are rare. If pathology occurs, it is usually under the influence of factors such as violations of blood clotting processes.

Provoke abortion in the early stages can and reasons such as:

Myoma
Anomalies in the structure of the uterus
Placenta previa

Important! The threat of miscarriage exists constantly, not only in the early stages. That is why you should be regularly examined in a antenatal clinic or a doctor in a large clinic. Only timely diagnosis will help to avoid a pathological condition and prevent miscarriage in the early or late stages. For any unusual sensations or signs, you should consult a doctor! So you can keep the pregnancy and bear a healthy baby, even if there is a predisposition to abortion.

Recurrent miscarriage

The diagnosis of "recurrent miscarriage" is made if the interruption occurred more than 2-3 times in a row. A woman needs not only the supervision of a doctor, but also a thorough examination. All therapy is based on the factors and causes of miscarriage. If necessary, the patient is observed not only by a gynecologist, but also by an endocrinologist, geneticist, and other specialists. Particular attention is paid to finding out the main and additional reasons that provoked a miscarriage.

Risk of miscarriage

Miscarriage is a pathological condition that can occur today in almost every woman.

This is due to the fact that it is provoked by factors such as:

Regular heavy physical activity
Night shift work
Exposure to stressors
Smoking and drinking
Abortion
Caesarean section and other pelvic surgeries
Genetics: miscarriage in mother or grandmother
Age: under 16 and over 35
Cardiovascular pathologies
Diabetes mellitus
Diseases of the kidneys
Obesity 2-3 degrees
Diseases of the thyroid gland
Increased blood clotting, etc.

The cause of abortion (especially in the early stages) in some cases is even a common viral infection.

Pathology diagnostics

Diagnosis of pathology is carried out in the presence of clinical signs of miscarriage (persistent miscarriages, fetal developmental arrest, stillbirths) and symptoms of a threatened abortion, which include bloody discharge from the genital tract and pulling pains in the lower abdomen at any stage of pregnancy.

For the diagnosis of pathology are carried out:

General examination of the patient

The doctor performs it comprehensively, paying attention to:

Body type
Height to weight ratio
Blood pressure readings
Presence of skin striae
Liver condition
Features of the cardiovascular system
Expression of secondary sexual characteristics

The increased risk of miscarriage may be indicated by such signs as:

Psycho-emotional instability of the patient
Excessive sweating
Paleness or blueness of the skin
Rapid pulse

Gynecological examination

It consists in:

Detection of scars on the cervix
Determination of the dimensions of the external os of the cervical canal
Neck fixings
Identification of hair type

During a gynecological examination, a specialist can detect the presence of genital warts and other formations, as well as tumor processes, determine the size of the ovaries, detect inflammation and malformations of internal organs.

Special examinations

Diagnostics is carried out in two stages. At the first, the general condition of the reproductive system of the couple is assessed, at the second, the causes of the pathological condition (if it is detected) are specified.

Hormonal studies

When diagnosing, the causes of hormonal imbalance in the body are determined. Thanks to this study, doctors are able to quickly select the necessary means of therapy.

Analyzes are aimed at studying hormones such as:

Progesterone
Testosterone
Thyroid-stimulating hormone, etc.

The full range of studies is voiced by a specialist.

Immunological testing

With such a diagnosis, indicators of immunoglobulins, growth hormone, thyroid hormones and other parameters are determined that determine the ability of a woman's body to bear a child.

Bacteriological tests

Such a diagnosis consists in the study:

Vaginal, cervical and uterine materials
Urine
Blood

Experts determine not only the causative agents of the infection, but also the presence of antibodies to them.

Genetic research

Diagnostics is carried out at:

Early termination of pregnancy
History of stillbirth
Couple over 35 years of age

The geneticist necessarily studies the pedigree of the couple, receives information that allows us to understand the regularity or randomness of the miscarriage factors.

Important! Diagnosis with suspicion of pathology is not only a woman, but also a man.

What tests and examinations are needed?

Women with suspicions of miscarriage and for an accurate diagnosis pass the following tests:

Clinical analysis of urine and blood
Biochemical blood test
Rh factor and blood group determination
Hormone profiling
Virological testing
Genetic diagnostics
Immunological study

A pelvic ultrasound is also performed to determine ovulation.

The man will:

Complete virological and genetic testing
Take a spermogram
Visit a urologist-andrologist for a comprehensive examination and consultation

Important! Only a comprehensive examination allows you to find out all the main and concomitant causes of miscarriage, after which you can develop an individual treatment plan, even with a combination of a number of factors that provoke miscarriages.

Examination: features of conducting

With such a pathology as miscarriage, tests are given by the patient and her partner all the time.

At the first visit to a pregnant gynecologist and registration, the following are carried out:

History taking
Gynecological examination
ultrasound
Laboratory tests (blood and urine tests)

When diagnosing thrombopholia (blood clotting disorders), the causes of the pathology are identified. Immediately after this, the necessary therapy is carried out. Be sure to study the indicator of TBG (marker of placental insufficiency). If the rate is reduced in the first trimester, the doctor may judge the risk of miscarriage.

At 15-20 weeks of pregnancy are carried out:

Cervical examination
ultrasound
Vaginal and cervical smears (for elevated leukocyte counts)
Specialized tests to rule out Down's disease and other genetic abnormalities

At the 24th week of pregnancies are performed:

Glucose tolerance tests
Transviganile ultrasound
Manual examination of the cervix
Cervical swabs
Doppler study to determine placental and uterine blood flow

At week 32, the following are evaluated:

Fetal activity
Absence of antibodies in the blood (with negative Rh)
Uterine contraction
Bacteriological status (presence of infections in the vagina)
Preterm labor markers

If necessary, the woman is hospitalized. It is aimed at the prevention of miscarriage and treatment in case of detection of pathological processes.

At 37 weeks:

Blood sugar test is taken
WBC and total protein are assessed
Determine the contractile function of the uterus
Fetal assessment
Smears being examined
Hepatitis, HIV and AIDS tests are taken

Preparation for pregnancy in case of miscarriage and treatment

Preparation for pregnancy with a diagnosis of "miscarriage" is always carried out according to an individual scheme, which is developed in accordance with the patient's condition and the results of the diagnosis.

Preparation may include:

Elimination of inflammatory processes
Restoration of immune status
Correction of comorbidities
Restoration of hormonal status
Elimination of metabolic disorders, etc.

It usually takes at least 2-3 months to prepare for pregnancy.

The psychological support of the woman becomes obligatory.

It is important for specialists:

Remove all psychological barriers
Teach a woman to talk about a problem
Set up the patient for a successful pregnancy

Preparation is impossible without the support of loved ones. In no case should you brush aside the problems of a woman who cannot bear a child. You should devote time to her problem, talk to her, tune in to a positive outcome of the upcoming pregnancy. Do not forget that one of the causes of the pathological condition is stress.

The treatment of miscarriage largely depends on the causes that provoked the difficulties.

Patients may be given:

Herbal sedatives
Antispasmodics
Hormonal preparations
Immunoglobulins

Treatment is possible with placental insufficiency, premature rupture of amniotic fluid, inflammatory and other negative and aggressive processes.

In some cases, partner treatment is also carried out.

Today, special attention is paid to the prevention of pathological conditions.

It is aimed at:

Determination of factors provoking miscarriage
Comprehensive couple examination
Preparing for a successful pregnancy
Mandatory control over the occurrence of complications during childbearing
Taking special drugs

Prevention in a condition such as miscarriage can reduce complications (risks of their occurrence) by several times.

With the right approach, you can:

Reduce the chances of miscarriage
Prevent purulent infections, heavy bleeding, spread of infection during miscarriage
Reduce the risk of preterm birth and neonatal death

Of course, in such a condition as miscarriage, rehabilitation after a miscarriage should be carried out only under the supervision of experienced professionals. A woman can undergo recovery both in a hospital and at home. The decision on hospitalization is made by the patient together with the doctor.

Factors such as:

Need for ongoing medical support
Psychological status of the patient
Presence of comorbidities

Benefits of treatment in MEDSI clinics

Help for patients with primary and recurrent miscarriage at various times. Support is provided by experienced professionals who improve their skills
Availability of facilities for comprehensive diagnostics of a woman and her partner. For examinations, modern installations of well-known manufacturers are used. Availability of own laboratory allows to carry out analyzes in the CITO mode (urgently)
Use in diagnosis, treatment, prevention and rehabilitation of classical and modern methods
Expert gynecological consultations providing a second opinion on your situation
Opportunities for conservative and surgical treatment using modern drugs and innovative techniques and equipment
Reproductive hemostasiologist appointment for bleeding disorders, which in some cases is the cause of miscarriage
Full service woman and her partner
Pre-pregnancy programs to reduce the risk of miscarriage
Comfortable conditions and pleasant psychological atmosphere in clinics
Opportunities for psychotherapeutic support
Involvement of several doctors in the work with a patient

Make an appointment by calling +7 (495) 7-800-500. We will help you become happy parents!

Do not delay treatment, see a doctor now:

Obstetrician-gynecologist appointment
Planning and management of pregnancy
ultrasound

Miscarriage

Miscarriage is a spontaneous premature termination of pregnancy for a period of less than 20 weeks, that is, during the period when the embryo or fetus cannot yet survive on its own outside the female body. This is the most common complication of the first trimester of pregnancy.

Approximately 10-20% of all pregnancies end in miscarriage. Most often, spontaneous abortion occurs in the first 12 weeks. In some cases, the pregnancy is terminated before the woman even knows about its existence.

The risk of miscarriage increases with age: in women younger than 35 years old it is 15%, from 35 to 45 years old - 20-35%, over 45 years old - more than 50%. Women who have had a miscarriage in the past have an increased risk of spontaneous abortion. However, if a woman is healthy and re-pregnancy occurs 2-3 months after a spontaneous abortion, then it most often ends safely.

If a woman experiences three or more spontaneous abortions, this condition is called recurrent miscarriage. It is diagnosed in approximately 1% of women who have had a spontaneous abortion. Identification of the immediate cause of recurrent miscarriage and appropriate treatment allows most patients to subsequently become pregnant and give birth to a healthy child.

Synonyms Russian

Spontaneous abortion, spontaneous abortion.

Synonyms English

Miscarriage, early miscarriage, recurrent miscarriage, spontaneous abortion.

Symptoms

Symptoms of miscarriage can be both almost imperceptible and pronounced. The duration of manifestations can also vary. In some cases, the main symptoms are preceded by a period of non-specific manifestations: there may be weight loss, weakness, back pain, bloody or mucous discharge from the genitals.

The main symptoms of miscarriage are:

bleeding from the genitals;
abdominal pain;
contractions.

Other complications of pregnancy, such as ectopic pregnancy, may have similar symptoms. Therefore, in case of any violations, it is necessary to consult a doctor as soon as possible to identify the cause of the pathology and timely treatment.

General information about the disease

Miscarriage occurs quite often, and in many cases it is impossible to determine the cause of this pathology. There are several groups of factors that can lead to spontaneous abortion.

Chromosomal disorders in embryonic cells. Chromosomes are cellular structures that contain genetic information. Chromosomal abnormalities incompatible with life cause spontaneous abortion in the early stages of pregnancy. More than half of the cases of miscarriage in the first trimester is associated with them. The risk of genetic abnormalities increases in proportion to the age of the mother.
Maternal pathology. Most often, maternal illness leads to miscarriage between the 12th and 20th week of pregnancy. Allocate:
Chronic maternal diseases: diabetes mellitus, thyroid disease, severe urinary and cardiovascular disorders, autoimmune diseases (antiphospholipid syndrome, systemic lupus erythematosus), blood clotting disorders (factor Leiden deficiency), as well as certain chromosomal abnormalities in the mother's body.
Acute illness of the mother: severe trauma, burns, infections, in particular cytomegalovirus infection, mycoplasma, as well as severe emotional stress.
Diseases and disorders of the structure of the female genital organs: pathology of the structure of the uterus, cervical insufficiency, uterine fibromyoma. This group also includes anomalies in the structure and position of the placenta, as well as multiple pregnancy, which also increases the risk of miscarriage.
Use of alcohol, psychoactive substances by a woman.

In the normal course of pregnancy in a healthy woman, moderate physical activity and sex cannot cause miscarriage. However, in some cases, in order to maintain pregnancy, the doctor may advise the patient to limit physical activity and stop sexual intercourse for a while.

The following types of miscarriage are distinguished:

Threatened spontaneous abortion. This term is used for any bleeding from the uterine cavity in the first half of pregnancy. At the same time, the external cervical os is closed and there are signs of the vital activity of the embryo.
Inevitable abortion. It is diagnosed if bleeding from the uterine cavity is accompanied by the opening of the cervix, but the fetus and placenta are still in the uterine cavity.
Incomplete abortion. A condition in which parts of the embryo or placenta are still in the uterine cavity.
Complete abortion. With a complete abortion, all components of the fetus, placenta, membranes are completely expelled from the uterine cavity.
Frozen pregnancy. A condition in which intrauterine fetal death occurs, but neither the fetus nor the placenta is expelled from the uterine cavity.

Who is at risk?

Women over 35
Women who have had a spontaneous abortion in the past
Women with chronic diseases
Women with acute infectious pathology, injuries, exhaustion, exposed to ionizing radiation
Women who smoke and use alcohol and/or drugs
Women with multiple pregnancies

Diagnosis

If a spontaneous abortion is suspected, the doctor first of all performs a gynecological examination and ultrasound examination of the pelvic organs, which allows assessing the condition of the uterus, its cervix, the presence of elements of the fetus and placenta in its cavity. Sometimes, to monitor the course of pregnancy, as well as to identify the causes of miscarriage, a number of additional laboratory and instrumental studies may be required.

Laboratory diagnostics

Complete blood count with leukocyte formula, erythrocyte sedimentation rate (ESR). These indicators allow you to assess the general condition of the patient, identify signs of anemia, infection and other diseases that affect the normal course of pregnancy.
Urinalysis with microscopy, serum creatinine, serum urea. These studies allow you to evaluate the functioning of the urinary system and identify kidney diseases that can cause spontaneous abortion.
Hemostasiology studies that assess the activity of the blood coagulation and anticoagulation system, identify diseases that increase the risk of miscarriage:
D-dimer
Activated partial thromboplastin time (APTT)
Coagulogram No. 1 (prothrombin (according to Quick), INR)
Fibrinogen
Examination of liver functions. Allows you to identify signs of acute or chronic liver pathology:
Alanine aminotransferase (ALT)
Aspartate aminotransferase (AST)
Total protein in serum
Bilirubin total
Bilirubin direct
Plasma glucose. An increase in blood glucose levels can be a sign of diabetes, one of the main risk factors for miscarriage.
Thyroid stimulating hormone (TSH). Allows you to evaluate the activity of the thyroid gland and signs of endocrine diseases that affect the course of pregnancy.
Diagnosis of infectious diseases. The level of various types of antibodies to certain infections is determined:
HIV 1, 2 Ag/Ab Combo (determination of antibodies to HIV types 1 and 2 and p24 antigen)
anti-HCV, antibodies, express, ultra sensitive
HBsAg, ultra sensitive
Treponema pallidum, antibodies, hypersensitive
Toxoplasma gondii, IgM
Toxoplasma gondii, IgG (quantitative)
Rubella Virus, IgM
Rubella Virus, IgG (quantitative)
Cytomegalovirus, IgM (quantitative)
Cytomegalovirus, IgG
Herpes Simplex Virus 1/2, IgM
Herpes Simplex Virus 1/2, IgG
Beta subunit of human chorionic gonadotropin (beta hCG). It is a glycoprotein synthesized by the placenta. A decrease in the level of beta-hCG, which does not correspond to the gestational age, makes it possible to suspect a pathology.
Diagnosis of antiphospholipid syndrome, which can cause miscarriage:
Antiphospholipid IgG
Antiphospholipid IgM
Genetic research. Allow to identify chromosomal abnormalities in the mother, which can cause abnormal gametogenesis and, as a result, genetic abnormalities of the fetus that are incompatible with life. It is also possible to identify a genetic predisposition to early habitual pregnancy loss.

Instrumental research methods

During visual examination of the pelvic organs, the state of the uterus is assessed, anomalies in its structure, pathologies of the reproductive system are revealed, the presence or absence of elements of the placenta and embryo in the uterine cavity is established.

Pelvic ultrasound
Hysteroscopy
Laparoscopy

Treatment

Treatment depends on the type of spontaneous abortion, the condition of the woman. With a complete spontaneous abortion, when there are no elements of the fetus and placenta in the uterus, additional intervention is usually not required. In case of incomplete abortion, it is necessary to remove all elements of the membranes, embryo and placenta from the uterine cavity. For this, curettage or, in some cases, drug treatment can be carried out.

If there is a threat of miscarriage and the preservation of signs of fetal vital activity, it is necessary to try to save the pregnancy. Depending on the severity of the condition, a woman may be admitted to a hospital or treated on an outpatient basis. The treatment regimen is selected by the doctor individually, depending on the cause of miscarriage, gestational age, the patient's condition and other factors.

Prevention

Prevention of miscarriage includes both parental care before conception and following certain recommendations after pregnancy. To reduce the risk of abortion, a pregnant woman should: