Miscarriage
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- Dr Ashfaq Khan
- Ms Scharazed A Rouabhi
- Mr Oudai Ali
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Miscarriage is defined as the spontaneous loss of pregnancy until 24 weeks of gestation.
There are two types of miscarriage: sporadic (random) and recurrent.
About 10% to 20% of known pregnancies end in miscarriage. But the actual number is likely higher. This is because many miscarriages happen early on, before people realize they're pregnant.
Miscarriage can be a difficult short physical but a long psychological journey Understand what can cause a miscarriage, what raises the risk and what medical care might be needed.
Risk Factors of miscarriage:
- Age. If you're older than age 35, you have a higher risk of miscarriage. At age 35, you have about a 20% risk. At age 40, the risk is about 33% to 40%. And at age 45, it ranges from 57% to 80%.
- Past miscarriages. If you've had 1 or more prior miscarriages before, you're at higher risk of pregnancy loss.
- Long-term conditions. If you have an ongoing health condition, such as uncontrolled diabetes, you have a higher risk of miscarriage.
- Uterine or cervical problems. Certain uterine conditions or weak cervical tissues, also called incompetent cervix, might raise the chances of a miscarriage.
- Smoking, alcohol, caffeine and illegal drugs.
- Weight. Being underweight or being overweight has been linked with a higher risk of miscarriage.
- Genetic conditions. Sometimes, one of the partners may be healthy but carry a genetic problem that raises the risk of a miscarriage.
- Most miscarriages happen during the first trimester of pregnancy, which is about the first 12 weeks.
Symptoms
- Bleeding from the vagina with or without pain, including light bleeding called spotting.
- Pain or cramping in the pelvic area or lower back.
- Fluid or tissue passing from the vagina.
- Fast heartbeat.
If you have passed tissue from your vagina, place it in a clean container. A lab can examine the tissue to check for signs of a miscarriage.
Complications from Miscarriage
Sometimes, pregnancy tissue that stays in the uterus after a miscarriage can lead to a uterine infection – usual symptoms of such infection are Fever, Chills, Pain in the lower stomach area, foul-smelling discharge from the vagina, vaginal bleeding.
Heavy bleeding from the vagina (immediately attend A&E of your nearest NHS hospital).
To prevent miscarriages:
Often, there's nothing you can do to prevent a miscarriage. Instead, focus on taking good care of yourself and your unborn baby:
- Get regular prenatal care while you're pregnant and right after you give birth.
- Stay away from miscarriage risk factors — such as smoking, drinking alcohol and illegal drug use.
- Take a daily multivitamin.
- If you've had one or more prior miscarriages, ask our consultants who can advise you to have some investigations to identify any cause of Miscarriage which can be managed better next time.
- Limit caffeine.
If you have a long-term health condition, work with your health care team to keep it under control.
Diagnosis
Your health care team might do a variety of tests:
- Blood tests
- Pelvic exam
- Ultrasound
- Tissue tests
- Chromosomal tests
For more information on any condition, contact our private gynaecologists in London by calling 0208 050 6063 now.