Early miscarriage occurs in the first trimester of pregnancy. It’s a fairly common occurrence, affecting an estimated 10%-20% of pregnancies.
- 50%-60% due to chromosomal mutations
- Idiopathic or Unknown
- Progesterone deficiencies
- Uterine cavity abnormalities
- Risks increase with advanced maternal age.
The following actions do not cause an early pregnancy loss:
- Having sex
- Working and increased activity
- Exercising or contact sports
- Using birth control pills before pregnancy
- Symptoms of Early Pregnancy Loss
The most common symptoms of an early pregnancy loss are bleeding and cramping, but these are not sure signs. Many women experience these in their first trimester, and their pregnancies continue normally.
Diagnosis of Early Pregnancy Loss
Physical examination, Ultrasound evaluation and follow up serial HCG levels can diagnose and rule out serious conditions such as ectopic gestation.
Post Diagnostic follow up
You need to make sure all the pregnancy tissues are removed from your uterus. There are both surgical and non-surgical options available.
Non-surgical post miscarriage care options
If there’s no risk of infection, it may be possible to allow the tissue to pass naturally, which usually takes 1-2 weeks.
You should expect bleeding that is longer and heavier than your normal period. You may also pass tissue that resembles blood clots. Symptoms can include nausea, diarrhea, and/or painful cramps, for which we can prescribe you medication. Afterward, you should have an ultrasound to make sure all of the tissue has passed.
Surgical post miscarriage care options
If your bleeding is heavy, or if you show signs of an infection, we will recommend surgical removal of the tissue. There are two common procedures:
Suction Dilation & Curettage
It involves inserting a thin tube into the uterus, and using gentle suction to clear out the tissue under local or general anesthesia.
Dilation and curettage (D&C)
It involves dilating the cervix, and using a special instrument to remove all of the tissue. You may receive general or regional anesthesia.
To prevent infection, you should avoid vaginal intercourse for 1-2 weeks following the miscarriage. During this time, do not put any objects in your vagina, including tampons and birth control devices.
Signs of infection:
- Severe Pain
- Heavy bleeding (going through two or more pads per hour, for longer than two hours)
- Your OB/GYN will guide you for your future pregnancy plans.
You may be advised not to put anything into your vagina (such as using tampons or having sexual intercourse) for 1–2 weeks after an early pregnancy loss. This is to help prevent infection. Call your ob-gyn right away if you have any of the following symptoms:
- Heavy bleeding (soaking more than two maxi pads per hour for more than 2 hours in a row)
- Severe pain
You can ovulate and become pregnant as soon as 2 weeks after an early pregnancy loss. If you do not wish to become pregnant again right away, be sure to use a birth control method. You can use any contraceptive method, including having an intrauterine device inserted, immediately after an early pregnancy loss. If you do wish to become pregnant, there is no medical reason to wait to begin trying again. You may want to wait until after you have had a menstrual period so that calculating the due date of your next pregnancy is easier.