Pregnancy and the threat of miscarriage. How to prevent the threat of termination of pregnancy? Terms of threat of miscarriage

In this article, you will learn about the symptoms of the threat of miscarriage, the causes that cause it, and about the measures that you can take to avoid this diagnosis.

You saw on the test 2 strips? Congratulations - you are pregnant! From this moment, joyous efforts begin in anticipation of the child and his bearing. But you need to know some of the nuances that may be useful to you in the future and help to avoid trouble.

Statistics do not please us with good numbers, unfortunately.

Approximately every fifth pregnancy ends before the term necessary for the birth of a healthy baby. And women with the diagnosis of "threat of termination of pregnancy" are much more.

The threat of miscarriage, unfortunately, can occur at any stage of pregnancy, if this occurs before the 22nd week - this is called spontaneous abortion, if it is a question of later terms, then it is said about premature birth. The fact that there were cases that doctors saved children born after 22 weeks, and nursed them.

That's why, starting from this date, if there are any serious complications of pregnancy, they say not about its interruption, but about premature birth. Modern medicine allows you to save children born with a weight of more than 675 grams.

Preterm Child

Quite often cases when pregnancy ends with barely begun, that even a woman does not always know what happened, becauseat the same time there is a slight delay in menstruation, but then they come, perhaps they are more painful and more plentiful than usual, and a woman may not know what happened.

The later the pregnancy is interrupted, the more difficult it is for a woman to survive both psychologically and physically.

How to determine the threat of miscarriage? Symptoms and signs in case of threat of miscarriage

Knowing a number of symptoms that may occur in case of threat of termination of pregnancy, you can possibly avoid undesirable consequences if you take the necessary measures in time. But also do not forget that not every pregnancy can be saved. It depends on the causes of the threat, which you will also find in this article.

So, there are 3 main symptoms of a miscarriage threat.

1. Bleeding is the most dangerous of the possible symptoms, which makes it the most serious. In this case, it often begins with just a few drops, and then gradually intensifies. This symptom can last several days. Allocations can be either bright red or dark brown. If there are blood clots or pieces of tissue in the secretions, then most likely there was a miscarriage. Bleeding usually occurs due to detachment of the fetal egg
2. Pulling pain also occurs quite often when a miscarriage threatens, but it may not be present. It happens that the symptoms then appear, then disappear, then again appear. At this time, it's better not to doubt, but to get to your gynecologist as soon as possible - perhaps you will save your child. Do not confuse pulling pains with pains on the sides of the abdomen, these pains are quite normal and occur in almost all women, they are associated with changes that occur in the ligament of the uterus when a woman is pregnant.
3. Hypertensive of the uterus is also quite common. In the first trimester, hypertension occurs primarily in the anterior or posterior walls of the uterus. This diagnosis is confirmed by an ultrasound examination, but it can be determined without it. For information on how to recognize the hypertension of the uterus, read the section below. With hypertension there are painful sensations and the uterus as if "stony".It is necessary as soon as possible to see a doctor with complaints about these symptoms, tk.than earlier specialists will take measures, the more likely that pregnancy will be preserved. But if you experience similar periodical sensations after a period of 32 weeks, these are the so-called false fights, or else they are called Braxton-Hicks fights. This phenomenon is normal and very common in pregnant women, this is such a preparation of the organism for childbirth, so in this case, do not worry

How does the miscarriage occur

All these symptoms can be periodic, appear and disappear, intensify or be barely noticeable. If you have identified any of these symptoms, contact your gynecologist immediately for help.your child's life depends on adequate treatment!

How to determine the hypertension of the uterus?

Make it simple enough and it's very important to do it as quickly as possible, if you have even the slightest suspicion. Symptoms of hypertension are quite simple:

• in the first trimester, the expectant mother feels the heaviness in the lower abdomen, there are drawing pains similar to the pains during menstruation, they can give both to the sacrum and to the back of the
• at later periods, i.e. In the 2nd and 3rd trimester, the symptoms are the same, but you can also see visually that the stomach is compressed, it becomes very hard - "stone"

Any woman, faced with hypertonia, can quickly identify his symptoms.

Hypertension of the uterus when threatened with miscarriage

Rarely, but with tonus there are also spotting spotting. When they appear, call an ambulance, lie down and try to calm down.

However, it should be noted that there are cases when hypertension passes asymptomatically and only an ultrasound examination can make such a diagnosis.

Causes of the threat of miscarriage

The reasons are actually quite a lot, they can depend on the state of health of the future mother's body, as well as on the embryo itself or on external factors. Some of these reasons can be avoided, so you need to know about them. But unfortunately, it often happens that the cause can not be clarified.

Blood test for threat of miscarriage

It should be noted that the longer the gestation period, the less likely it is to be interrupted.

• Genetic changes in the fetus - a very common cause of abortion, more precisely about 70% of miscarriages are caused by pathologies in the fetus. This can happen both because of the external environment, and because of some hereditary disorders. This can be considered a natural selection, nature so ordered that non-viable embryos die before birth. In this case, the termination of pregnancy can not be stopped, and it should not be done. When symptoms of a threat appear, the fetus is most often already dead. A woman should understand that in such a case pregnancy can not be saved and she needs to focus on identifying possible causes of genetic disorders to exclude them in the future.
• Hormonal disorders of can also seriously affect pregnancy and its bearing. The most frequent violation is the lack of progesterone in the body, which is responsible for maintaining the pregnancy. This hormone is first produced by the yellow body, at a period of about 16 weeks, when the placenta finishes its formation, it takes on this function. That is why this problem is most often encountered in the first trimester, while the placenta is not yet formed. Also, progesterone is responsible for the successful implantation of the fetal egg in the wall of the uterus and with its lack of rejection of the fetus. Another frequent violation of the hormonal system is the excess of male hormones .When excessive production of androgens suppress female hormones, which leads to a threat, and then possibly to miscarriage. The hormonal balance can be adjusted by contacting the doctor in time. And to identify it better before pregnancy, then the threat of interruption will not arise
• Genetic incompatibility of the parents of fetus is also a frequent cause of miscarriages. If the genes of the mother and father are very similar, the female body will reject the fruit. So ordered the nature, which takes care of a healthy continuation of the genus with different genes
• Incompatibility of parents in the Rh factor of blood. There are cases when the future mother has a negative Rh factor, and her partner has a positive, most likely difficulties in bearing a child, when he took the Rh factor of his father. This is because the woman's body considers the embryo a foreign body and will reject it

Rhesus conflict and threat of miscarriage

• Another reason is increased blood coagulation .Often, this problem is identified at later dates
• Features of the structure of the uterus can also interfere with the bearing of the child, because a disorder in the structure can prevent the fetal egg from attaching to the wall of the uterus and retaining there. There are two-horned uterus or saddle-shaped, this developmental defect will complicate the woman's bearing, incl.possible threat of miscarriage

Features of the uterine structure and the threat of miscarriage

• There are infectious diseases , which can provoke a threat of abortion. It can be banal flu and pneumonia, kidney disease, chlamydia, viral hepatitis, syphilis, rubella and others. It is very dangerous if the body temperature of the pregnant woman is increased, so infections should be avoided and not in contact with sick people.
• There are also a number of gynecological diseases , which can provoke a threat of miscarriage. These diseases include inflammation of the genitals, endometritis, uterine fibroids and other
• . Previously transferred by a woman to abortions or miscarriages , during which scraping was performed, can also affect pregnancy bearing. This is due to the fact that under these procedures the endometrium is damaged - the inner layer in the uterus
• The threat of miscarriage occurs with endocrine diseases or diseases of the immune system , for example, in violation of the normal functioning of the thyroid gland, as well as in such a disease as diabetes
• Drugs can also do harm, becausealmost all medicines can not be taken during pregnancy. In addition to medicines, it is even better to refrain from taking medicinal herbs and various herbal prescriptions, even the most innocuous

Drugs and the threat of miscarriage

• In the second half of pregnancy, the occurrence of a threat of miscarriage is quite frequent due to the presence of pathology in the development of the cervix, as well as the placenta .If the cervix is ​​weak, it can not withstand and unfold before the deadline, not holding the fruit
• From emotional state pregnant also much depends, in particular, the health of her body. Stress can worsen the course of pregnancy, and sometimes even provoke a miscarriage.
• The pregnancy of is also not the least of the reasons for the pregnancy because of the threat of miscarriage. Pregnant is to abandon bad habits, such as smoking, drinking, drugs, and also to refrain from consuming coffee and other harmful foods that can harm

Lifestyle of the pregnant woman and the threat of miscarriage

• Injuries , physical activity, falls, abdominal pains toocan seriously harm. It is interesting that even if a woman suffered a brain concussion before becoming pregnant, it could further provoke a threat of miscarriage
• Based on statistics, in women over 35 years old miscarriages are twice as likely. Specialists attribute this to the fact that eggs grow old and more embryos are not viable. In men, spermatozoa are constantly produced from the moment of their puberty, but women are already born with eggs, which gradually grow with them. Therefore, the older the woman, the older her eggs are, which eventually lose their vitality due to the surrounding factors: they are affected by the diseases, toxins and other harmful substances that are transferred.

Be attentive to yourself and your health, it is advisable to start before pregnancy, andthis will help you endure and give birth to a healthy baby.

How to keep pregnancy in case of threat of miscarriage?

When a threat of miscarriage, it is often possible to keep a pregnancy if the woman in time will take all measures and begin treatment. It is best to do this in a hospital where you will be monitored and where you can conduct all necessary examinations.

Preservation of pregnancy in the first trimester

At any time, the threat of abortion needs to be treated, but in the early stages, everything is complicated by the fact that it is difficult to find out the cause of the threat.

If the child is long-awaited or have already failed attempts, doctors in the first trimester try to keep the pregnancy. But if the woman is healthy, the first pregnancy and the threat of interruption can not be eliminated, it is considered that it is better not to go against nature and try again, and maybe the next pregnancy will proceed better.

This is due to the fact that miscarriages are very frequent in the early stages due to the fetal's inability to live and its genetic deviations.

Threatened miscarriage in the first trimester

Presence of pregnancy in a hospital

• Most often, in case of complications of pregnancy, a woman is taken to a hospital for further examination, treatment and supervision.
• One of the main methods of treatment is strict bed rest. With hypertension, women are given droppers with magnesium, prescribe candles with papaverine, and also no-shpu. If you have problems with pregnancy in the first trimester, this is enough
• With hormonal problems, progesterone preparations such as morning or dubuston are prescribed. In the second and third trimesters, ginipral
• is often prescribed. If the pain has stopped, there is no bleeding, the uterine tone is normal - this indicates proper treatment and maintaining the pregnancy. But do not forget that after discharge from the hospital you must take care of yourself, follow the recommendations of gynecologists and adhere to the

regimen. Treatment of the threat of miscarriage in the hospital

Preservation of pregnancy at home

• Many people are interested in the question whether it is possible to treat the threat of miscarriage at home. The answer to this question is not so simple, it all depends on this particular case, the causes of the threat of pregnancy, the degree of its severity, the number and intensity of symptoms, the health and well-being of the pregnant
• With a small amount of hypertension, for example, you can get treatment at home. But you will need to fulfill the prescription of the doctor, including strict strict bed rest, take during the medicine, avoid stress, fatigue
• . However, you need to understand that in this case you are responsible for the consequences yourself, you risk primarily your lifeborn child. After all, household chores, fed by a husband, lessons learned with an older child are not worth it! In addition, all cases can be delegated to the same husband, mother, sister, friend. Think carefully about this before giving up treatment in the

hospital. Treating the threat of miscarriage at home.

Threatening miscarriage in the first trimester of pregnancy.

The first trimester lasts from the 1st to the 12th week. The first period, which can be called critical, usually occurs on the 2nd or 3rd week. At this time, the fertilized egg is already in the uterus and implanted into its wall. This period is very important, and most often the woman does not even guess what is happening now, and in case of failure she may not know that she had a miscarriage.

The most common causes of the onset of the threat of miscarriage are the following:

• genetic disorders in the fetus and its non-viability
• the presence of lesions of the endometrium( layer inside the uterus)
• the presence of harmful habits in the woman, taking harmful for the fetus drugs
• stresses
• scars after caesarean section
• presence of myomauterus
• disorders in the structure of the uterus

The period of 8-12 weeks is also dangerous and there may be a threat of abortion. Typically, at this time, the reason is the lack of progesterone in a woman.

The threat of miscarriage in the second trimester of pregnancy

In the second trimester, which falls on 13-26 weeks, there is also the possibility of the threat of interruption. At this time, the critical period falls on 18-22 weeks, becausethe uterus grows intensively.

• Dangerous during this period are disorders in the development of the placenta - low presentation
• Pathology of internal organs
• Presence of infectious diseases

The above reasons make the placenta sensitive, which leads to its detachment. And as already mentioned above, the detachment causes bleeding, because of which miscarriage is possible.

Threatened miscarriage in the third trimester of pregnancy

• After the 26th week of pregnancy, the third trimester begins. In this period, instead of the threat of miscarriage, the threat of premature birth of
• is possible. In the third trimester, bleeding can occur, the causes of which are usually low placentation or placenta previa.
• Premature detachment of the placenta in most cases does not harm the mother and baby, but breaks the connection between them. In case of bleeding, always consult a doctor
• . You should also be alerted to the lack of movements of the baby, it happens that the children die in the womb because of cord cord entanglement or for other reasons. Better insure and go to see a doctor if you are worried about the long absence of tremors
• Leaking amniotic fluid can also lead to choking of the fetus, so do not delay, your child can still be saved. In these cases, stimulate premature birth with special drugs
• . The period from 28 to 32 weeks is very dangerous, becausethe uterus grows intensively. Therefore, at this time, most often premature births are caused by placental abruption, late toxicosis, hormonal disorders and other reasons.

The main thing that a woman should do is, with the slightest disturbance in her health, seek medical help, try to calm down and trust doctors. Nowadays, thanks to the latest medical technologies, 96% of premature babies can be saved and released in special children's departments.

Treatment for threatened miscarriage. Drugs with the threat of termination of pregnancy

• When treating the threat of miscarriage, a woman must comply with bed rest. In some cases, she is not allowed to get out of bed even in the toilet
• Naturally, with the first symptoms and the diagnosis of the threat of termination of pregnancy, the woman begins to worry and get nervous. However, stress, not the best medicine, the depressed psychological state of a pregnant woman can aggravate the situation, so doctors prescribe sedatives such as tincture of valerian, sedasen.

. Restful in case of threat of miscarriage.

• . In the first trimester, doctors often prescribe hormones that contain progesterone( morning, dyufastone) or drugs that suppress excess male hormones - androgen
• If the cause of the threat are immune diseases, experts recommend such drugsas dexamethasone, medipred
• If the failure was detected on an ultrasound or physical examination, is carried out under general anesthesia surgery to suture the cervix that do not give ovum come out. In this case, the woman receives medications that relax the uterus
• . If the threat of miscarriage is more than 16 weeks, gynecologists prescribe pregnant drugs that relieve spasms of the muscles of the uterus, for example, ginipral, partusisten, magnesium sulfate. Usually pregnant women make droppers with these medicines

Dropper pregnant with threat of miscarriage

• If a woman has a bleeding, apply hemostatic medicines
• If necessary, the pregnant woman is treated for infections, inflammatory processes, various chronic diseases
• For strengthening the body, doctors also prescribe a pregnant woman to drink a course of vitamin

In most cases, the threat of termination of pregnancy can be avoided if one approaches the question of one's health correctlyor early pregnancy. And also do not forget that by contacting the doctor on time, you will save the life and health of your future baby.

Vitamins when threatened with miscarriage

If you are diagnosed with a "Threatened miscarriage" note the vitamins that you take, becauseTheir deficiency or overabundance can worsen your position and condition. Do not need to take vitamins during pregnancy, be sure to consult your doctor. Try to first adjust your diet, which should include vegetables, fruits, dairy products, fish, as well as low-fat meat.

Quite a big role is played by vitamin E, it helps to maintain pregnancy, and is also necessary for normal fetal development. This vitamin you will find in cream and vegetable oils, seeds, nuts and other products.

Dufaston with threatened termination of pregnancy

• Dufastone is prescribed to pregnant women with a deficiency of progesterone in their body. Like Utrozestan, this drug is a synthetic analogue of the female hormone
• . Dufaston is well tolerated by women and has no contraindications for pregnant women, does not affect the liver and blood coagulability. Most often it is prescribed in the first trimester of pregnancy.
• . As already mentioned, progesterone before 16 weeks is produced by the yellow body, and then takes on itself this function of the placenta, which by this time will complete its formation. Therefore, the lack of this hormone is observed at the beginning of pregnancy. In rare cases, the drug is prolonged to 20 weeks
• The dosage required by a particular woman is prescribed by the doctor. After the symptoms of the threat have passed, the drug is taken for a week, then gradually reduce the dosage. If the symptoms returned, you need to continue taking the drug for a while. Sharply canceling Dufaston's reception is not recommended

How to keep pregnancy at risk: advice and feedback

Better, of course, to prevent the emergence of a threat of miscarriage and now we will tell you how:

• Prepare for pregnancy in advance: check your body for identification of chronic and other diseases, various fatal and future infections for the mother, make an analysis of the genetic compatibility of you with the future father, find out about the compatibility with the Rh factor
• Treat all diseases and infections found
• Less is in crowded places and do not communicate with sick people - you need to avoid any infections during pregnancy.
• Visit your doctor regularly in a women's consultation.
• pregnancy planning should quit smoking, do not drink alcohol and drugs, and, of course, all this must be abandoned and during pregnancy. The same should be done to the future father of
• . Eat well and watch your diet.
• . Avoid stress. If you can not get it, ask the doctor to pick up your sedative.
• Protect yourself from unnecessary physical activity, do not wear heavy, avoid injuries and falls, protect your stomach

Pregnant at a gynecologist's reception for threat of miscarriage

If you still have symptoms indicating a threat of abortion, you should urgently take the necessary measures.

1. If you have a bleeding - call an ambulance
2. immediately. If you find any symptoms of a pregnancy termination threat - contact your doctor
3. . If your stomach becomes hard, you feel that the uterus is toned, lie down, relax, calm down. Put a candle of papaverine and drink valerian.
4. . While waiting for an ambulance or a doctor, exclude all physical exertion, incl.and household chores, lie down and try to calm down

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