What does a missed miscarriage look like

What Does a Miscarriage Look Like? Bleeding, Duration, and More

A miscarriage is a spontaneous pregnancy loss before 20 weeks of gestation. Some 8 to 20 percent known pregnancies end in miscarriage, with the majority happening before the 12th week.

The signs and symptoms of miscarriage vary from person to person. Symptoms may also vary depending on how far along you are. For example, a fetus at 14 weeks will be much larger than a fetus at 5 weeks of gestation, so there may be more bleeding and tissue loss with a later miscarriage.

Miscarriage symptoms may include:

• spotting or bleeding from the vagina
• abdominal cramping or pain in the lower back
• passage of tissue, fluid, or other products from the vagina

Read on to learn more about identifying a miscarriage and what to do if you suspect you’re experiencing one.

Bleeding may start as light spotting, or it could be heavier and appear as a gush of blood. As the cervix dilates to empty, the bleeding becomes heavier.

The heaviest bleeding is generally over within three to five hours from the time heavy bleeding begins. Lighter bleeding may stop and start over one to two weeks before it completely ends.

The color of the blood can range from pink to red to brown. Red blood is fresh blood that leaves the body quickly. Brown blood, on the other hand, is blood that’s been in the uterus a while. You may see discharge the color of coffee grounds, or near black, during a miscarriage.

Exactly how much bleeding you’ll experience depends on a variety of circumstances, including how far along you are and whether or not your miscarriage is progressing naturally.

While you may see a lot of blood, let your doctor know if you fill more than two sanitary pads an hour for two or more hours in a row.

What does a missed miscarriage look like?

You may not experience bleeding or other symptoms with a miscarriage, at least at first.

A missed miscarriage, also referred to as a missed abortion, happens when the fetus has died but the products of conception remain in the uterus. This type of miscarriage is usually diagnosed via ultrasound.

Just as with the amount of blood you’ll see, the duration of a miscarriage will vary from person to person and even from pregnancy to pregnancy.

In many cases, a miscarriage will take around two weeks to pass naturally. Your doctor may prescribe the medication misoprostol (Cytotec) to help a miscarriage pass more quickly. Bleeding may start within two days of beginning the medication. For others, it may take up to two weeks.

Once the miscarriage has started, the tissue and heaviest bleeding should be passed in about three to five hours. After the fetus has passed, you may still experience spotting and mild tissue loss for one to two weeks.

It may be difficult to tell a very early miscarriage from a late period. In fact, many miscarriages happen before a person even knows they’re pregnant.

In general, a miscarriage will cause more intense symptoms than a menstrual period. For example:

• Your menstrual flow may be relatively similar from month to month with heavy days and light days. A miscarriage can also have heavy and light days, but bleeding may be especially heavy at times and last longer than you’re used to.
• Bleeding from a miscarriage may also contain large clots and tissue you don’t normally see during your period.
• Cramps can be a part of your normal monthly cycle, but with a miscarriage, they may be particularly painful as the cervix dilates.
• The color of blood during your period can range from pink to red to brown. If you see a color you’re not used to seeing, it may be a sign of miscarriage.

Always contact your doctor if you’re pregnant and experience bleeding. While a miscarriage can’t be stopped once it starts, you doctor can run tests to help determine if you’re experiencing the loss of your pregnancy or something else.

To diagnose a miscarriage, your doctor will likely perform an ultrasound to look for the baby’s heartbeat, if you’re far enough along to see a heartbeat. Your doctor may also order a blood test to check human chorionic gonadotropin (hcG) levels to see if they’re rising or falling.

If a miscarriage is confirmed, your doctor may suggest “expectant management” or waiting for the miscarriage to pass naturally. This generally happens within two weeks.

Incomplete miscarriage

The miscarriage may be incomplete if:

• your bleeding is particularly heavy
• you have a fever
• an ultrasound reveals there’s still tissue in your uterus

If this is the case, your doctor may suggest a dilation and curettage (D and C), which is a surgical procedure done to remove remaining tissue. The procedure is done under general or regional anesthesia, and is considered safe. D and C doesn’t usually lead to long-term complications.

Threatened miscarriage

It’s important to report any bleeding or pain you experience in your pregnancy to your doctor. In some cases, you may have what’s called a threatened miscarriage, and there may be certain treatments that can help. These include:

• hormone supplements if the bleeding is caused by low progesterone
• a cerclage (stitch in the cervix) if the issue is with the cervix opening prematurely

Speak with your healthcare provider if you’re looking to get pregnant again after a miscarriage. While it may be safe to start trying after your first normal period, you may want to schedule a checkup depending on the cause or the number of miscarriages you’ve had.

The reason for loss isn’t always known, but around half of miscarriages are caused by issues with the baby’s chromosomes.

Other possible causes include:

• uterine issues
• hormonal imbalances
• other health conditions, such as diabetes, autoimmune disorders, or polycystic ovary syndrome

After a miscarriage, you may have hcG in your blood for one to two months, which could lead to a false positive pregnancy test. In most cases, your period will return within four to six weeks, though you may start ovulating almost immediately following a miscarriage.

Speak with your doctor about birth control options if you don’t wish to become pregnant after a miscarriage.

Will I miscarry again?

Having one miscarriage doesn’t necessarily increases your chances of having another. The risk remains around 20 percent.

Two or more miscarriages is referred to as recurrent pregnancy loss (RPL). The risk of miscarriage after two losses is 28 percent. After three consecutive losses, it increases to 43 percent.

Only 1 percent of people experience three or more miscarriages. About 65 percent of those with unexplained RPL go on to have successful pregnancies.

Activities like exercise, work, morning sickness, and sex don’t cause miscarriages. Even things like smoking or drinking alcohol or caffeine, which can lead to other complications, are also unlikely to lead to early pregnancy loss.

A miscarriage can be physically painful, and it may also cause a variety of emotions. While your body may recover in a few weeks, be sure to take time to process your feelings, grieve, and reach out for help when you need it.

Missed Abortion: Symptoms, Causes, Treatment, Outlook

A missed abortion is also known as a missed miscarriage or spontaneous abortion. It’s a miscarriage in which the fetus didn’t form or is no longer developing, but the placenta and embryonic tissues are still in your uterus.

A missed abortion is not an elective abortion. Medical professionals use the term “spontaneous abortion” to refer to miscarriage.

A missed abortion gets its name because this type of miscarriage doesn’t cause symptoms of bleeding and cramps that occur in other types of miscarriages. It’s common to have no symptoms during a missed abortion. This can make it difficult for you to know that the loss has occurred.

In this article, we’ll cover the causes of missed abortion, as well as how its diagnosed, treated, and more.

On June 24, 2022, the Supreme Court of the United States overturned Roe v. Wade, the landmark 1973 ruling that secured a person’s constitutional right to an abortion.

This means that individual states are now able to decide their own abortion laws. As a result, many states will ban or severely restrict abortion access.

The information in this article was accurate and up to date at the time of publication, but the facts may have changed since. Anyone looking to learn more about their legal rights can message the Repro Legal Helpline via a secure online form or call 844-868-2812.

It’s common to have no symptoms with a missed miscarriage. You may also notice:

• brownish discharge
• lessening or disappearing early pregnancy symptoms like nausea and breast soreness

This is different from a typical miscarriage, which can cause:

• vaginal bleeding
• abdominal cramps or pain
• discharge of fluid or tissue
• lack of pregnancy symptoms

The causes of missed abortion are not fully known. About 50% of miscarriages happen because the embryo has the wrong number of chromosomes.

Sometimes, miscarriage may be caused by a uterine problem like scarring.

You may be at higher risk for missed miscarriage if you have an endocrine or an autoimmune disorder, or are a heavy smoker. Physical trauma can cause a missed miscarriage as well.

If you have a missed miscarriage, your doctor likely won’t be able to pinpoint a reason. In a missed miscarriage, the embryo stops developing, and there’s usually no clear explanation.

Stress, exercise, sex, and travel do not cause miscarriage, so it’s important not to blame yourself.

You should always see a doctor if you suspect any kind of miscarriage. Call your doctor if you have any miscarriage symptoms, including:

• vaginal bleeding
• abdominal cramps or pain
• discharge of fluid or tissue

With a missed miscarriage, a lack of pregnancy symptoms may be the only sign.

For example, if you were feeling very nauseated or fatigued and you suddenly don’t, call the doctor. Most people likely won’t be aware of a missed miscarriage until their doctor detects it during an ultrasound.

A missed miscarriage is most often diagnosed by ultrasound before 20 weeks of gestation. Usually, the doctor diagnoses it when they can’t detect a heartbeat at a prenatal checkup.

Sometimes, it’s simply too early in the pregnancy to see a heartbeat. If you’re less than 10 weeks pregnant, your doctor may monitor the level of the pregnancy hormone hCG in your blood over a couple of days. If the hCG level doesn’t rise at a typical rate, it’s a sign the pregnancy has ended.

They may also order a follow-up ultrasound a week later to see if they can detect the heartbeat then.

There are several different ways to treat a missed miscarriage. You may be able to choose, or your doctor may recommend a treatment they feel is best for you.

Expectant management

This is a wait-and-see approach. Usually, if a missed miscarriage is left untreated, the embryonic tissue will pass and you’ll miscarry naturally. This is successful in more than 65% of women experiencing a missed miscarriage.

If it’s not successful, you may need medication or surgery to pass the embryonic tissue and placenta.

Medical management

Your healthcare professional may prescribe a medication called misoprostol. This medication helps trigger your body to pass the remaining tissue to complete the miscarriage. This means it will cause cramping, bleeding, and possibly blood clots.

You’ll take the medication at the doctor’s office or hospital and then return home to complete the miscarriage. It usually takes about 4-5 hours for most people to pass the remaining pregnancy tissue.

Surgical management

Dilation and curettage (D&C) surgery may be necessary to remove the remaining tissue from the uterus.

Your doctor may recommend a D&C immediately following your diagnosis of a missed miscarriage. They could also recommend it later if the tissue doesn’t pass on its own or with the use of medication.

Physical recovery time after a miscarriage can vary from a few weeks to a month, sometimes longer. Your period will most likely return in 3 to 6 weeks.

Emotional recovery can take longer. Grief can be expressed in a variety of ways. Some people choose to perform religious or cultural memorial traditions, for example. Talking with a counselor may help as well.

Talking with other people who’ve experienced pregnancy loss is important. You can find a support group near you through Share Pregnancy & Infant Loss Support at NationalShare.org.

If your partner, friend, or family member has a miscarriage, understand that they may be going through a tough time. Give them time and space if they say they need it, but always be there for them as they grieve.

Try to listen. Understand that being around babies and other pregnant people might be difficult for them. Everyone grieves differently and at their own pace.

Having one missed miscarriage doesn’t increase your odds of having a future miscarriage.

If this is your first miscarriage, the rate of having a second miscarriage is between 14-21%, which is about the same as the overall miscarriage rate. But having multiple miscarriages in a row increases your risk for a subsequent miscarriage.

If you’ve had two miscarriages in a row, your doctor might order follow-up testing to see if there’s an underlying cause. Some conditions that cause repeated miscarriages can be treated.

In many cases, you may be able to try to get pregnant again after you’ve had a regular period. Some doctors recommend waiting at least 3 months after the miscarriage before trying to conceive again.

But one 2017 study suggests that trying again before 3 months may give you the same or even increased odds of having a full-term pregnancy. If you’re ready to try to become pregnant again, ask your doctor how long you should wait.

In addition to being physically ready to carry another pregnancy, you’ll also want to make sure that you feel mentally and emotionally ready to try again. Take more time if you feel you need it.

Miscarriage due to missed pregnancy | Articles by EMC doctors about diseases, diagnosis and treatment

What is a miscarriage?

According to medical statistics, miscarriage is the most common complication during pregnancy. About 10-20% of all recorded pregnancies end in miscarriage. Miscarriage is a sporadic, sudden, termination of pregnancy, which is accompanied by complete or partial emptying of the uterus. nine0005

Missed pregnancy loss (MP) can be seen on ultrasound. It consists in confirming the non-viability of the fetus without bleeding. The ST can end in a miscarriage, when the body gets rid of the dead fetus on its own, or in a medical abortion, when medical or surgical manipulations are used to clean the uterine cavity.

Causes of miscarriage and miscarriage

80% of miscarriages occur in the first trimester before 12 weeks. In 50% of cases, this occurs due to genetic defects in the fetus. The threat of miscarriage due to chromosomal abnormalities decreases with the course of pregnancy: by 20 weeks it is 10-20% versus 41-50% in the first trimester. The main cause of genetically determined early miscarriages are autonomous trisomies - when three homologous chromosomes are present in the cells instead of two. Such defects occur at the time of conception and are not subject to correction. They lead to miscarriage or to the development of severe genetic diseases. In addition to genetics, immunological, endocrine and infectious causes are distinguished. nine0005

In the second trimester, various diseases and disorders in the mother's body become the main cause of miscarriage.

There is a list of factors that can trigger early pregnancy loss:

• woman's age. At the age of 20-30 years, the risk of spontaneous miscarriage is 9-17%, at 35-40 years old - 20%, at 40-45 - 40%;

• alcohol abuse;

  nine0020

• abuse of caffeine;

• smoking;

• drug use;

• chronic diseases of the mother;

• maternal infections;

• use of medications incompatible with pregnancy;

• nine0004 history of spontaneous abortion. The risk of subsequent pregnancy loss in women with one miscarriage in history is 18-20%, with two - 30%, with three - 43%.

Symptoms and signs of miscarriage

You can suspect a miscarriage by sudden spotting and sharp pain in the lower abdomen. If these symptoms appear, seek immediate medical attention. The doctor must conduct an ultrasound diagnosis. Transvaginal scanning (TVS) is considered the gold standard for diagnostics - when the sensor is inserted into the uterus through the vagina. If TVS is not available, a transabdominal scan can be applied - through the anterior abdominal wall. nine0005

Missed pregnancy may be asymptomatic and not manifest until the next scheduled ultrasound.

How does a miscarriage occur?

The miscarriage process has four stages. This does not happen overnight and lasts from several hours to several days.

The first stage - the threat of miscarriage. Among the symptoms: pulling pains in the lower abdomen, scanty blood discharge, increased uterine tone. The process of detachment of the placenta from the place of attachment in the uterus begins. The internal os is closed. The main thing is to seek help in time, then with proper therapy if there is a chance to stop the miscarriage and save the pregnancy. nine0005

The second stage - the beginning of a miscarriage. Strong discharge, the cervical canal is ajar, the doctor diagnoses the final detachment of the placenta.

The third stage is a miscarriage in progress. You can feel the regular contractions of the uterus, the outcome of the fetus, placenta and uterine contents, profuse blood discharge has begun.

The last fourth stage is a complete miscarriage. The pregnancy is interrupted, the uterine cavity does not contain the fetus and products of conception.

It should be remembered that a miscarriage can be diagnosed only during an ultrasound examination. Home tests will not give reliable results. Ultrasound will show the presence or absence of a heartbeat in the fetus.

Treatment of miscarriage and miscarriage

Due to the fact that the vast majority of spontaneously terminated pregnancies are due to genetic abnormalities (non-viability) of the fetus, then, speaking about the treatment of miscarriage, it is worth talking about ensuring complete and safe cleansing of the uterus, preventing infection and preventing bruising. With the help of an ultrasound examination, the doctor will check whether the uterus has completely cleared. If yes, then no additional treatment is required. In the event of an incomplete miscarriage or STD, the patient will be indicated for surgical or medical cleaning. If the miscarriage is only in a state of threat, the treatment tactics will be aimed at blocking uterine contractions and stopping the development of a miscarriage. If you need treatment for a missed pregnancy in Moscow, contact our specialists. nine0005

signs, symptoms and causes. How to determine a frozen pregnancy. Clinic Ak. Grishchenko

03/15/2021

Not always long-awaited and such a desired pregnancy ends with the birth of a baby. Sometimes women find out that the pregnancy has stopped. Unfortunately, this problem is not rare. According to statistics, in about 15% of cases, the planned babies "freeze" in the womb for one reason or another.

CONTENT:

• What is it? nine0020
• Dangerous timing: when can it happen?
• Why is this happening?
• How do doctors determine missed pregnancy?
• Signs and symptoms
• How to recover from a missed pregnancy?
• What tests to pass after?
• Answers from experts on whether ST cleanup is required.
• Frequently asked questions for which go to the forum.

What is it?

A dead pregnancy is a pregnancy that initially met all medical standards, but suddenly stopped developing in a certain period. The cessation of progress in the development of the fetus leads to its death, but it remains in the uterine cavity. For this reason, such a pathology is called a failed miscarriage. nine0005

In fact, at the very beginning, everything happens, as in a normal pregnancy - the egg is fertilized, enters the uterus and is implanted for further development, but it stops at one moment. This pathology also includes the syndrome of "empty fetal egg". It is the development of fetal membranes in which there is no embryo. With this syndrome, a pregnancy test is positive, as well as an analysis for hCG.

Dangerous timing: when can it happen?

The development of the fetus can stop at any time up to 28 weeks (in rare cases, the cessation of development can occur later), but the greatest likelihood of such a pathology occurs in the first trimester. There are also several periods with the highest risk of miscarriage, these include the following periods:

• 3-4 weeks;
• 8-10 weeks;
• 16-18 weeks.

It is these terms that most often become critical for pregnancy. nine0005

Causes of miscarriage?

Even doctors are not always able to find out exactly why a miscarriage happened. In modern medicine, there are a number of reasons that can cause such a pathology. All of them are divided into several large groups:

• Genetic pathologies . It is these reasons that most often provoke a halt in fetal development. Pathological genes or the presence of an extra chromosome in the embryo can cause the development of many defects that are incompatible with life, leading to termination of pregnancy. Often, genetic pathologies cause a stop in the development of pregnancy in the eighth to tenth week. nine0020
• Infections . A missed pregnancy can also often happen due to the presence of infectious diseases, since during the period of bearing a child, a woman experiences a rather serious decline in immune defenses. Especially dangerous for this period are TORCH infections, which include rubella, cytomegalovirus, herpes and toxoplasmosis. The greatest danger to the fetus is the first "meeting" of the mother with the infection in an already pregnant state. Therefore, when registering, pregnant women are strongly recommended to be screened for these types of infections. Even seemingly simple and familiar diseases such as influenza or SARS can cause pathology, especially in the early stages, when vital organs are formed in the fetus. The infection can affect the fetus directly, causing various types of anomalies, or on the membranes, resulting in a significant lack of oxygen or nutrients to the fetus. nine0020
• Hormonal disorders . Hormonal balance is extremely important for the normal bearing of a child. Therefore, with a lack of progesterone or an excess of male hormones (androgens), the likelihood of miscarriage significantly increases. Any hormonal disruptions are recommended to be treated before pregnancy.
• Antiphospholipid syndrome . Because of them, the formation of placental vessels or their blockage may also decrease, which leads to a violation of the fetus receiving the necessary nutrition. nine0020
• Teratozoospermia . This cause of a missed pregnancy is associated with pathologies in the seminal fluid of a man. With teratozoospermia, spermatozoa have an irregular structure, so fertilization with such a cell leads to abnormalities in the development of the embryo.
• Lifestyle . The presence of bad habits, as well as lifestyle during childbearing (and the planning period) can also adversely affect the development of the embryo, causing it to freeze. The use of alcoholic beverages, smoking, stress, occupational hazards, daily routine, sedentary lifestyle, unbalanced diet - all this is considered negative factors for pregnancy. nine0020
• Other factors. Pregnancy fading can also occur due to a sharp change in climate, a history of abortions (especially if there were several).

In some cases, several causes can be found at once, which could lead to a pregnancy fading.

How do doctors determine missed pregnancy?

At each examination of a pregnant woman, the gynecologist determines the size of the uterus, so if they do not correspond to the current period, the specialist may suspect the fetal fading. But such a diagnosis is made only after an ultrasound examination. In rare cases, ultrasound is not performed - if the woman turned to the doctor late and intoxication of the body has already occurred due to the death of the fetus. nine0005

Signs and symptoms

The symptoms of miscarriage in any trimester are the same. The main signs that may indicate such a pathology are:

• vaginal discharge with blood impurities;
• general weakness, chills, fever;
• drawing pains in the lower part of the abdomen;
• cessation of swelling and soreness of the mammary glands;
• abrupt disappearance of manifestations of toxicosis;
• absence of fetal movements (with pathology in the second trimester). nine0020

Despite the presence of characteristic symptoms of pathology, often the cessation of fetal development goes unnoticed, since the basal temperature can remain within 37 degrees, and the hCG level remains high for several more weeks. In this case, the woman learns about the problem only at the next appointment with the doctor or a planned ultrasound.

How to recover from a missed pregnancy?

If such a pathology occurs, it is imperative to remove the dead embryo from the uterine cavity, if this did not happen naturally. For this, a cleaning is carried out, with the help of which all particles of the fetal membranes are removed from the uterus. Both scraping and vacuum can be used. If the fading occurred at a very early date, doctors may suggest a medical abortion, which is somewhat more gentle for the woman, including psychologically. nine0005

Doctors recommend to refrain from the next pregnancy for six months (according to the recommendation of the World Health Organization). This time is enough for the body to recover after what happened. Therefore, during this time, women are advised to take oral contraceptives, which minimize the likelihood of conception, and also allow you to normalize hormonal levels.

During recovery, it is also recommended to lead the most healthy and active lifestyle, take care of a balanced diet and take vitamin complexes. A woman definitely needs psychological support, and if she endured the incident especially hard, she may need the help of specialists - a psychologist or psychiatrist. This will help you get back to normal and prepare for your next pregnancy. nine0005

What tests to take after?

Before becoming pregnant after a missed pregnancy, it is necessary to exclude the possibility of a recurrence of what happened. Treatment should be appropriate to the problem that caused the pathology. Therefore, it is extremely important to undergo a complete examination, which will help determine the cause of the fetal development fading. According to the results of the examination, doctors prescribe treatment in accordance with the detected diseases.

It is recommended to undergo an examination after the restoration of the woman's menstrual cycle (usually takes about 30 days after cleansing). But both spouses should be tested. The full examination includes:

• genetic testing of spouses;
• tests for TORCH infections;
• study of hormonal levels;
• blood coagulogram;
• Gynecological ultrasound;
• spermogram;
• immunogram.

This examination is usually sufficient to determine the causes of miscarriage, both early and late. The attending physician may prescribe additional studies if necessary. All these examinations can be done at the IVF and infertility treatment clinic of Academician V.I. Grishchenko. nine0005

Missed pregnancy is not a verdict - in 90% of cases, after the occurrence of such a pathology, spouses become happy parents of healthy babies in the near future. The main thing is to undergo a complete examination and eliminate the cause of the pathology. And if necessary, you can go through the procedure of artificial insemination (IVF).

Answers from specialists in the field of reproduction, fertility, women's health about whether cleaning is mandatory during a missed pregnancy.

On the Internet, the question is often asked: “Is it necessary to do curettage during a missed pregnancy (ZB)?” nine0005

We asked this question to our doctors:

Parashchuk Valentin Yuryevich

Head Physician of Academician Grishchenko Clinic, obstetrician-gynecologist, reproductologist.

Good afternoon. If the pregnancy froze at an early stage and there are no signs that it is going to resolve itself, that is, there is no bleeding, then it is advisable to evacuate the contents of the uterine cavity, that is, to do curettage. If the pregnancy seeks to resolve itself, then it can come out on its own. nine0088 And then curettage is not required, you can just look at the ultrasound as soon as the discharge ends, that there are no inclusions in the uterine cavity, that there are no elements of the fetal egg in the uterine cavity.

Hello. Today I will try to answer the most frequently asked questions regarding non-developing pregnancy. Perhaps I’ll start with such a rink: “Is it necessary to do vacuum aspiration of the contents of the uterine cavity, that is, the evacuation of a missed pregnancy, if a non-developing pregnancy is diagnosed?” And so let's deal with the concept. nine0087 A non-developing pregnancy is a pathological condition in which pregnancy fades, but spontaneous expulsion from the uterine cavity does not occur. At the same time, the woman herself does not immediately understand what happened to her. The first signs of a missed pregnancy can appear 2-3 weeks after the incident. The fetal egg, which is located in the uterine cavity, undergoes various pathological changes, adversely affecting the endometrium, thereby causing an inflammatory process called "endometritis". nine0005

If a woman decides to wait for the spontaneous expulsion of a missed pregnancy from the uterine cavity, what happens? The endometrium tries to reject the frozen fetal egg, but the inflammatory processes taking place in this endometrium slow down this process, and the process can last from several days to several weeks. Which absolutely negatively affects the endometrium and contributes to the development of the inflammatory process further. There is an act that the fetal egg from the uterine cavity, as it were, came out, but not completely. There is a part of him left. From this part, often, a placental polyp is formed. The presence of a placental polyp in the uterine cavity contributes to the prevention of a subsequent pregnancy. Before the onset, planning a subsequent pregnancy, such a pali must be removed. In addition, the presence of a fetal egg in the uterine cavity for four weeks or more significantly increases the risk of bleeding. Therefore, the best solution to such an issue, in the presence of a missed pregnancy in a patient, is vacuum aspiration of the contents of the uterine cavity with the appointment of subsequent anti-inflammatory therapy. nine0005

The second issue is the errors in the diagnosis of non-developing pregnancy. For example, at 5-6 weeks, an ultrasound examination, in order to avoid such errors, is carried out by at least two specialists. If there are no clear criteria for non-developing pregnancy, it is recommended for the patient to repeat this study after 3-7 days. Again, to avoid mistakes. In addition, in parallel, the task of such an analysis as an analysis of human chorionic gonadotropin in the blood is mandatory. If the pregnancy develops, the hCG will increase accordingly, if the pregnancy is still frozen, then the hCG will either fall or not grow at all. If the gestational age is 7-8 weeks, then according to the ultrasound examination, the heart rate of the embryo will be absent. In addition, there will be a discrepancy between the size of the fetal egg and the gestational age. At gestational age 9-12 weeks, in addition to the lack of heart rate and the discrepancy between the gestational age and the size of the fetal egg, there will also be no movement of the embryo. It should always be remembered that every woman has the right to take a closer look at the ultrasound in a few days for an accurate diagnosis, to control the human chorionic gonadotropin, in fact, in order to avoid errors in the diagnosis of "non-developing pregnancy".

Answers to frequently asked and discussed questions on the forums:

✅ Can an ultrasound erroneously show a miscarriage?

The misdiagnosis of non-developing pregnancy occurs in the early stages. In our clinic, in order to avoid such errors, ultrasound at 5-6 weeks is performed by at least two specialists. If there are no clear criteria for non-developing pregnancy, then the patient is recommended to do a second study after 3-7 days. And on re-examination, it may turn out that the frozen pregnancy turned out to be normal.

✅ With a missed pregnancy, is it possible to do without cleaning?

If, however, a frozen pregnancy seeks to resolve itself, then it can come out on its own, and then curettage (cleansing) is not required. As soon as the discharge ends, it is necessary to check on an ultrasound scan that there are no elements of the ovum left in the uterine cavity. If the pregnancy froze at an early stage and there are no signs that it is going to resolve itself, that is, there is no bleeding, then it is advisable to do a curettage. nine0005

✅ Frozen pregnancy - cleaning or pills?

Medical termination of pregnancy is indicated for women who have had pregnancies in the past and had natural childbirth. But it is more correct to do a scraping, or a vacuum, if the time permits. Because, sometimes, after medical abortions, you also have to do scraping, but already in fact of complications. Because the contents of the uterine cavity do not always come out completely, and inflammation is added, and this is a big trauma for the uterus and it is better not to allow this. Therefore, it is better to do a moderate, without severe injury and without complications, curettage on time than to do it as a necessary measure. And most importantly, scraping products can be sent for genetic testing to identify the causes of fetal development fading. nine0005

✅ Can there be a miscarriage without symptoms?

It happens that the pregnancy stops, and the patient knows absolutely nothing about it, and this is discovered at a later date, when she is told that the fetal egg does not correspond in size, that the pregnancy stopped earlier, but this, unfortunately, it is impossible to suspect in advance. The first signs of a non-developing pregnancy can appear 2-3 weeks after the incident.

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