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  • Dr.Niraj Mahajan
  • Dr.Niraj Mahajan
  • Dr.Niraj Mahajan
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    Miscarriage

    By AdminPosted On 05-Oct-2016

    What is Miscarriage?

    Miscarriage is the premature loss of a fetus up to 23 weeks of pregnancy and weighing up to 500 g.

    Miscarriage, also known as spontaneous abortion and pregnancy loss, is the natural death of an embryo or fetus before it is able to survive independently. Some use the cutoff of 20 weeks of gestation after which fetal death is known as a stillbirth. The most common symptoms of a miscarriage is vaginal bleeding. This may occur with or without pain. Tissue or clot like material may also come out the vagina.

    What are my chances of Miscarriage?

    It should be noted that advances in neonatal care have resulted in a small number of babies surviving birth before 24 weeks of gestation. Overall, about 12–15% of clinically recognized pregnancies end in miscarriage, with the frequency increasing with rising maternal age.

    Recurrent miscarriage

    Recurrent miscarriage, defined as the loss of three or more consecutive pregnancies,affects 1% of couples trying to conceive. It has been estimated that 1–2% of second-trimester pregnancies miscarry before 24 weeks of gestation.

    Symptoms of Miscarriage

    The most common symptom of a miscarriage is vaginal bleeding. This can vary from light spotting or brownish discharge to heavy bleeding and bright red blood. The bleeding may come and go over several days. However, light vaginal bleeding is relatively common during the first trimester of pregnancy (the first 12 weeks) and does not necessarily indicate a miscarriage.

    It is estimated about half of early miscarriages will be fully expelled naturally. Several medical options exist for managing documented nonviable pregnancies that have not been expelled naturally, such as medicinal treatment or a dilation and curettage (D&C) procedure. An evacuation of retained products of conception, may be performed to remove the remains of a pregnancy and the placental tissue from the uterus.

    Miscarriage are also caused by many factors. Most of the miscarriages that occur in the first trimester of pregnancy are caused by chromosomal abnormalities in Miscarriage, also known as spontaneous abortion and pregnancy loss, is the natural death of an embryo or fetus before it is able to survive independently. Some use the cutoff of 20 weeks of gestation after which fetal death is known as a stillbirth. The most common symptoms of a miscarriage is vaginal bleeding. This may occur with or without pain. Tissue or clot like material may also come out the vagina.the baby.

    Common Causes of Miscarriage are

    • Genetic
    • Infection
    • Antiphospholipid syndrome
    • Hormonal problems
    • Uterine abnormalities – Incompetent cervix
    • Disorders of the immune system
    • Uncontrolled Diabetes
    • Thyroid disease
    • Smoking, Alcohol, or using illegal drugs

    Diagnosis of Missed Abortion

    Miscarriage may be detected during an ultrasound exam, or through serial human chorionic gonadotropin (HCG) testing. Women pregnant from assisted reproductive technology methods, and women with a history of miscarriage, may be monitored closely and so detection is sooner than women without such monitoring.

    Treatment of Missed Abortion

    It is estimated about half of early miscarriages will be fully expelled naturally. Several medical options exist for managing documented nonviable pregnancies that have not been expelled naturally, such as medicinal treatment or a dilation and curettage (D&C) procedure. An evacuation of retained products of conception, may be performed to remove the remains of a pregnancy and the placental tissue from the uterus.

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    Dr. Niraj Mahajan

    MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.

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