Miscarriage Treatment

Recurrent miscarriage is the type of miscarriage accompanied by three or more early miscarriages. These miscarriages are not required to occur in parallel, and you may experience healthy pregnancies in between. One can have obvious signs like mild to severe abdominal pain and vaginal bleeding, and pregnancy symptoms start vanishing. However, hormone imbalances, uterine abnormalities, and autoimmune illness can cause recurrent miscarriage. A gynecologist may do several diagnostic tests, including genetic screening for chromosomal abnormalities and hormonal evaluations for hormonal imbalances influencing pregnancies lost. Therefore, at Algyna, our gynecologist, Dr. Sarah Asif, offers individualized care, recognizes the diversity of each couple’s circumstances, and tailors treatments accordingly.

A threatened miscarriage may happen because of mild vaginal bleeding with or without abdominal discomfort. Threatened miscarriages occur in the first half of pregnancy but most frequently in the first trimester. However, the risk factors include fetal abnormal chromosomes, miscarriage history, drug usage, overweight, age, placental issues, traumas, and infections. Our gynecologist will perform a pelvic examination, try to locate the cause of the bleeding, and see whether the amniotic sac has broken. Fetal development and heart rate will be tracked using ultrasonography. Regarding treatment for threatened miscarriage, consider rest, less physical activity, hydration, and lifestyle changes. Gynecologists may give progesterone supplements to sustain the pregnancy if the risk is high. When the cervix is incompetent, cerclage may strengthen and restrict it, reducing the chance of miscarriage.

This type of miscarriage may occur after a threatened miscarriage, or it may occur unexpectedly. Abdominal cramping and bleeding are both worse than they would be with a threatening miscarriage. A miscarriage is considered inevitable when the cervical canal has dilated, and the pregnancy cannot continue. During inevitable miscarriage, the cervix opens, and the body tries to expel the fetus. The two main treatment options are evacuating the uterus or waiting for the pregnancy leftovers to pass naturally with medicines. Excessive bleeding, infection, or the failure of the remains of conception to pass after around two weeks of pregnancy may lead to uterine evacuation.

When no remnants of the pregnancy remain in the uterus, it is considered a complete miscarriage. Continual vaginal bleeding is possible. The uterus contracts to empty, causing discomfort that is similar to labor cramps or severe period pain. The patient needs to visit a gynecologist as her priority to make sure the miscarriage is complete if it occurred at home or someplace else. Uterine evacuation is not commonly performed, even if a complete miscarriage is expected. Bleeding or severe abdominal cramps signals that the fetus or embryo may be retained, necessitating a uterine evacuation. Moreover, doctors may prescribe pain medications when needed.

An incomplete miscarriage is when a miscarriage begins on its own, but some pregnancy tissues do not expel out. The uterus may sometimes retain a small amount of pregnancy tissue. The uterus may attempt to empty itself, resulting in continued vaginal bleeding and cramps in the lower abdomen. To remove any residual pregnancy tissue, your gynecologist will need to determine whether a quick operation termed a “dilatation of the cervix and curettage of the uterus,” often known as a “D&C,” is required. It is a significant operation performed at a hospital.