Posted on March 15, 2010.
Miscarriage-Diseases What doctors call this condition?
Miscarriage
What is this condition?
An error refers to the spontaneous expulsion of the fetus from the uterus before the fetus can survive alone. Up to 15% of all pregnancies and approximately 30% of first pregnancies end in miscarriage. At least 75% of miscarriages occur during the first quarter.
What are the causes?
Miscarriage can result from fetal, placental, or maternal factors. Petal factors that usually cause a miscarriage, 9 to 12 weeks of gestation, including the development of the embryo defective due to abnormal chromosome division (most common cause of death of the fetus), implantation defective fertilized ovum (egg), and the failure of the endometrium to accept the fertilized egg.
Placental factors usually cause a miscarriage around the 14th week, when the placenta takes over production of hormones necessary for maintaining pregnancy. These factors include premature separation of normally implanted placenta and abnormal placental implantation.
Maternal factors, which usually cause a miscarriage between weeks 11 and 19, including a long list:
aec maternal infection, severe malnutrition, ingestion of drugs, abnormalities of the reproductive organs (especially an incompetent cervix where the cervix dilates painlessly and without shedding of blood in the second quarter)
aec endocrine disorders, such as a thyroid disorder
aec trauma, including surgery involving the pelvic organs
aec certain immune disorders or blood group incompatibility.
What are the symptoms?
Signs of an impending miscarriage may include a pink discharge for several days or a little brown discharge for several weeks before the onset of cramps and increased vaginal bleeding. For a few hours, the cramps intensify and occur more frequently, then the cervix dilates to expel the uterine contents. If the expulsion is complete, cramps and bleeding disappeared. However, if the contents remain, cramps and bleeding continue.
How is it diagnosed?
The diagnosis of miscarriage is based on clinical evidence of expulsion of uterine contents, pelvic examination, and laboratory studies. Decreased levels of human chorionic gonadotropin, a hormone that is present in blood or urine during pregnancy, suggest a miscarriage. Pelvic examination determines the size of the uterus and if this size is compatible with the duration of pregnancy. Microscopic examination reveals evidence of products of conception. Laboratory tests reflect decreased hematocrit, and hemoglobin due to blood loss.
How is it treated?
contents of the uterus should be carefully considered before a treatment plan can be formulated. An error can be avoided, unless the cause is incompetent cervix. If bleeding is severe, the woman must be hospitalized and receive a blood transfusion. Initially, intravenous Pitocin stimulates uterine contractions. If remnants remain in the uterus, dilatation and curettage or dilatation and evacuation must be conducted.
A woman who has had several miscarriages due to incompetent cervix is a surgical procedure increased from 14 to 16 weeks after the last menstrual period. A few weeks before the estimated delivery date, the sutures are removed and the woman waits for the start of work, an alternative procedure, especially for a woman who wants to have more children, is to leave the sutures in place and deliver the child by cesarean section.
