The article talks about what to do to a woman if she has a dead pregnancy. The treatment methods for anembryonia are explained.
Contents of
- Main signs of anembrionia. Why anembrionia?
- How to learn about a developing pregnancy?
- Why does anembryony occur?
- What causes fetal death?
- At what time does anembrion occur?
- Symptoms of anembronia
- Video: anembrionia
- Characteristic features of anembronia
- Can I become pregnant after anembrionia
- Consequences of anabrionia
- Anembrion: how long can it be walked?
- Treatment of anembrionia
- Cleansing with anembrionia, pros and cons
- Video: pregnancy after curettage
- What if anembryony has recurred?
- How to detect anembrion: advice and feedback
- Video: A developing pregnancy
A woman waiting for the birth of a baby is absorbed in thoughts about the upcoming joyous efforts. The diagnosis of anembrion, which is usually placed during an ultrasound examination, becomes a bitter sobering pill. It is especially difficult when the pregnancy did not come for a long time, and the chances of giving birth were approaching zero.
Unfortunately, 15% of women have to confirm the threat of anembrional pregnancy( aborted miscarriage).Unwitting tears after hearing the diagnosis lead to a complete misunderstanding of what happened. Let's try to figure out what anembrionia is and how hopeless the situation is.
Main signs of anembryonia. Why anembrionia?
To a frozen pregnancy or anembrionia leads to a whole bunch of pathological symptoms. This is the intrauterine death of the embryo, and inertness of the myometrium, and violations of the hemostatic system. All in a complex leads to a stop of development of a fetus on early terms. The fetal egg is empty, without the embryo
. The fetus is formed at the aborted abortion no later than the third semester of pregnancy. Until the fifth week the embryo does not reach the size sufficient for examination on ultrasound. In other words, the apparatus simply does not fix the presence of the embryo. Therefore, the diagnosis can be erroneous.
What to do after you have been diagnosed with anembrionia? Do not panic and do not despair! After waiting a few weeks and insisting on the passage of additional checks, you can exclude the mistaken diagnosis of
After confirming the diagnosis, a woman will undergo gynecologic curettage. It will also require treatment. But a frozen pregnancy does not put an end to maternity.
Psychological trauma after a failed miscarriage does not threaten a woman's health. Pregnant women again, a woman can safely endure the baby. On its development anembrionia does not affect.
How do I know about a developing pregnancy?
The woman finds out that the embryo has stopped development during ultrasound examination or after taking the tests for the level of hCG( with the help of the test pregnancy is confirmed or various deviations in its course are revealed).Any changes in the body or discomfort, she may not feel.
- Part of the cells that began division after fertilization, forms an embryo, part - the placenta and fetal membrane. But with anembryony, the fetal cells stop dividing the
- . The fetal egg continues to grow. Hormones that cause toxicosis are produced. But the embryo inside the fetal egg is absent. Monthly absent. Uterus increases in size
- Spontaneous miscarriage can occur at this stage. The woman has spotting, pain in the abdomen
Why does anembryony occur?
A female body is capable of getting rid of a weak, unviable fetus. The same applies to the fetus with the wrong chromosome combination. But among the causes of genetic pathology of the embryo, there are others.
What causes fetal death?
- genetic disorders( inserting an invalid chromosome set, getting a defective spermatozoon into the egg, or pathetic changes in the egg, coincidence of several wrong combinations)
- woman's infections in the first trimester of pregnancy, if accompanied by a rise in body temperature( exerts a destructive effect on the embryo)
- toxic substances that enter the body of a pregnant woman in the early stages;
- decrease in secretion necessary for normal fetal development of hormones;
- bad habits( alcohol abuse, smoking, drugs)
- reasons can hide and under stress the pregnant, conflicts, tragedies in the family that do not pass without consequences for the woman and the fetus;
- excessive physical activity can cause empty amniotic eggs( this applies to athletes).Therefore, care of a beautiful and smart figure should be postponed until the birth of a child
But even with the modern development of medicine, the reasons for the frozen pregnancy are not yet known. Absolutely healthy women can face the problem of pathological pregnancy.
At what time does anembrionia arise?
A pregnant woman undergoing anembrionia before the 13th week of pregnancy. But even later( up to 28 weeks) there is a threat of fading of the fetus
Symptoms of anembrionia
It is impossible to independently determine in the early stages of pregnancy that the fetus has stopped development. The peculiarity of the pathology is asymptomatic. Absence of subjective signs of pregnancy( toxicosis, if it was before), the appearance of bloody discharge can indicate the beginning of the rejection of dead cells. Next will be a miscarriage of
Video: anembronia
Characteristic features of anembronia
- decrease in breast size( breasts become less dense on palpation) manifested on day 6 of fetal death in early pregnancy
- at week 25, the breast swells when the embryo is dead and colostrum
- is releasedlate gestation period, there is a stoppage of fetal movements, if they have already been observed
- a sharp increase in temperature, weakness, headache( poor state of health is caused by a delay of not developingI embryo within the female body);
- appearance of cramping pains in the lower abdomen
Is it possible to conceive after anembrionia
- If the genes of the future parents are normal, then the woman after the primary anembrionia has every chance to see again two strips on the test and safely give birth to a healthy baby
- But with the "bad heredity"incompatibility will have to fight. Independently to become pregnant in this case is equivalent to "Russian roulette"
- It is not excluded the repeated diagnosis-sentence. With natural pregnancy, a woman risks losing a baby even after his birth.
After anembrion, it is important not only to become pregnant, but also to exclude all possible risks and malformations of the fetus. The most safe way to get pregnant is in vitro fertilization( IVF).
- Thanks to the IVF procedure, only healthy viable spermatozoa will participate in fertilization. Thus, the probability of "replanting" the embryo with genetic deviations
- is excluded. Reproductive technologies allow excluding not only anembryony, but also the development of congenital genetic diseases compatible with life. Remember: now you want to become parents and give birth to a healthy child
- Soon your children will desire the same. They will take care of what they will give to your grandchildren! A good genetic heritage of the genus will help you save medicine
Consequences of anabrionia
90% of women who have anembriony diagnosed successfully become pregnant and have healthy children. After the experience it will take some time to recover.
Frozen pregnancy is always a heavy physical strain on a woman's health and her mental state. But some pathology of pregnancy can happen again. Therefore in the future it is necessary to be surveyed and to eliminate the cause of the frozen pregnancy.
After a stiff pregnancy, a woman physically remains healthy if the frozen fetus is identified and removed in a timely manner.
Anembryonia: How long can you walk with it?
After the woman has been diagnosed with anembrionia, the most appropriate method for removing the dead fetus
is chosen. In the early stages( up to 8 weeks) it can be:
- a medical method( performed to provoke abortion) - tablets are prescribed;
- Vacuum aspiration( the fetus is removed from the uterus by the extraction method of the extractor)
In later terms:
- scraping( under general anesthesia);
- induced artificial delivery with subsequent cleaning of the uterus
Doctors do not always resort to immediate surgery. Sometimes a preference for expectant tactics is given. Behind the condition, women are observed until the body itself does not tear off the frozen fruit.
Treatment of anembronia of
- A patient with a confirmed anembria diagnosis is assigned Dufaston. The drug is also needed after cleansing to normalize the tone of the uterus
- Further treatment consists in the appointment of antibacterial and immunomodulating drugs that interfere with the development of sepsis and inflammation of
- . At least six months later, the woman's body will be fully restored for a new pregnancy. Repeated consultation with a doctor and examination are mandatory, because you may need additional treatment.
Cleansing with anembryony, pros and cons
Scraping does not save the woman from bleeding, cramping pains( occur with a contraction of the uterus).They continue for a week.
After the allocation is completed, it is necessary to visit the gynecologist to exclude the inflammatory processes in the uterus and appendages. Scraping is performed with incomplete miscarriage. In the event that a woman has a complete miscarriage, scraping does not do. In any case, ultrasound should be performed before the procedure.
Video: Pregnancy after scraping
What if anembrionia recurred?
If a newly conceived woman after repeated ultrasound does not fetus the fruit inside the fetal egg, there is no heart beat, then scraping is performed. With repeated repetition of anembrion, a complete examination of both spouses is shown.
How to detect anembrion: advice and feedback
Hope, 42 years old : "With anembrion, the level of hCG decreases. Once every three days you can take a test for HCG, so you do not have to worry about it again, because a woman, sometimes, does not suspect about a frozen pregnancy: she is feeling well, and there are no other signs that the child is gone »
Olga, 35 years old: "After a woman first finds a frozen pregnancy, do not try to find the cause. It is likely that there was a genetic malfunction. In my case, everything is different: the pregnancy ends with the fading of the fruit for the fourth time in a row! It is important not to give up. Check several times. To be surveyed and to listen to advice or councils of doctors. It is believed that the dead woman's fetus happens only once. But this is not my case. "
Larissa, 29 years old: "A gynecologist delivered a gestation period of 6-7 weeks. But when examined on ultrasound it turned out that the period of 3 weeks. The size of the fetal egg is 4 mm. But there is no fruit in it. Preliminary diagnosis of anembrion and sent to a second ultrasound in a week. It is also necessary to take tests for hCG. "
Svetlana Yuryevna, obstetrician-gynecologist: " The patient had a nausea after cleaning, the temperature rose. She decided to do a pregnancy test, which showed a positive result. This indicates the development of trophoblastic disease, which shows treatment in the hospital »