Never in her wildest dreams, a pregnant woman would think of miscarriage. The baby is a piece of the mother’s heart that she always keeps close to her. From keeping in the womb to nine long months to taking care 24*7 after the birth, a mother does it all to ensure the baby is safe. But in some cases, women lose their baby to threatened miscarriage or threatened abortion. What is it; how it is caused; it is preventable? We contacted Dr. Manisha Arora, Senior Consultant, Obstetrics and Gynaecology, Max Hospital, Gurgaon to know more about this condition.
What Is Threatened Miscarriage?
Threatened miscarriage is referred to as vaginal bleeding that mostly occurs in the first 20 weeks of pregnancy. In some cases, the bleeding is accompanied by abdominal cramps. These symptoms indicate that miscarriage is a possibility, and if proper care is not taken, then the result would be an abortion. Though most commonly complete abortion occurs usually in an abnormal fetus, so abortion that occurs in the first trimester is mostly unavoidable but there are some other causes like maternal nutritional deficiency usually of micronutrients and folic acid, consuming foods that are harmful for a pregnant woman, immunological rejection of the baby, physical and mental stress of mother. Sometimes there can be associated ultrasound findings like shortening of cervical length, subchorionic collection, dilatation of os, etc.
Symptoms of Threatened Abortion
As per Dr. Arora, “the mother always has to be aware of the symptoms of threatened abortion. If there is cramping or pain lower abdomen with or without blood-stained mucoid discharge or feeling of pressure in the lower abdomen, then she should report immediately to the hospital. The mother has to be aware of symptoms of threatened abortion and once they develop these, it is important to be fearless, and positive but aware of the consequences of neglecting the symptoms.”
Here are commonly experienced symptoms during threatened miscarriage:
- Vaginal bleeding
- A blood clot coming from the vagina
- Abdominal cramping
- Sharp pain in the lower back
Causes of Threatened Abortion
Here are some possible causes of threatened miscarriage:
- Fibroids in the uterus
- Cervix is unable to hold the baby
- Presence of anomalies in the chromosomes of the embryo
- Inflammation in the uterus
- Physical, emotional or mental stress
- Multiple pregnancies
There are many causes that may lead to threatened miscarriage. Women should be careful with the diet during pregnancy. If a pregnant woman sees any of the symptoms mentioned above, she should immediately consult her doctor to prevent a threatened miscarriage.
How Can Threatened Miscarriage Be Reversed?
The treatment is mainly supportive with bed rest, progesterone support and tocolytics. Another therapy is empirical which included low dose ecosprin and heparin and injection HCG.
Good nutrition including essential vitamins and folic acid and being positive about Pregnancy outcome is the key to a successful outcome. Usually, as the placenta takes charge of the Pregnancy beyond 12 weeks chances of threatened abortion progressing to complete abortion are less. Adequate rest helps resolve the ultrasound findings if present. The outcome is monitored by symptomatic relief and sonographic changes. So usually it is a reversible condition with good treatment, nutrition and rest.
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