Miscarriage: signs and consequences

Miscarriage 5 signs that a premature end of pregnancy is imminent

For the experience that many women can hardly describe, Duchess Meghan found touching words in the New York Times in November 2020: "Losing a child means an almost unbearable grief." She had suffered a miscarriage in the summer of 2020 and made this public months later.

Losing the unborn child is one of the greatest fears of every pregnant woman, especially in the first months of pregnancy. What can lead to this and what happens after a so-called miscarriage, we explain to you here.

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  • Exercise and nutrition plan guide
  • Different workouts for each trimester
  • Exercises in picture and video
  • Guide to your diet
  • 57 pages PDF, accessible on all devices

Being pregnant already puts a lot of strain on your body: frequent nausea, the increasing weight, all the hormonal changes. But maybe you still feel the need to get some exercise during these months. Be it to not completely give up your old habits, be it to not get completely rusty. If you want to stay fit during pregnancy, you’ve come to the right place!

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What happens during a miscarriage?

The nightmare of every expectant mother: she loses her embryo, like the fertilized egg, by the 8. Week of pregnancy is called, or. the fetus before it is viable. A fetus is usually considered viable at 23. week of pregnancy or. From a birth weight of 400 grams. If the woman loses the baby afterwards, it is called a premature birth.

Up to which week of pregnancy is the risk of miscarriage the highest??

In the first 4 to 5 weeks, women most often lose a fertilized egg, usually unnoticed and without symptoms, during their (possibly slightly delayed) menstrual period. Only a woman who has taken an early pregnancy test or a laboratory test usually knows at all that she was pregnant. Experts believe that about 60 percent of just-fertilized eggs are lost right away.

Among medically proven pregnancies, about 15 percent end in miscarriage. Thereby one speaks up to 13. Week from an early abortion, between the 14. and 24. Week of pregnancy from a late abortion. From the 17th week. The risk of miscarriage drops to less than 3 percent after the first week of pregnancy.

How to recognize a miscarriage?

Don’t panic, not every short bleeding or pulling in the lower abdomen indicates a miscarriage. This helps against anxiety during pregnancy. However, if you notice these signs, every pregnant woman should see her gynecologist as soon as possible:

  • heavier bleeding with clots that last longer
  • abdominal cramps and very severe pain in the lower abdomen
  • Menstruation-like pulling in the lower abdomen
  • Very severe pain in the lower back
  • Fever and headache

What are the causes of miscarriage?

First of all, we can reassure you that in all probability you have not done anything wrong. Because in up to 70 percent of all miscarriages there is a genetic chromosomal mutation, which means that your child would not have been born viable at all.

Other reasons can be malformations of the uterus, z.B. When the placenta has not formed properly or the fetus has to share space with a fibroid. But an unfortunate fall, age over 35, infections, hormone imbalances, medications, alcohol and drugs can also cause a fetus to abort.

At the latest after the 2. After the first miscarriage, you and your gynecologist will try to find out the cause of the miscarriage so that you can start treatment to avoid miscarriage in the next early pregnancy.

When does a curettage have to be done?

Usually such a procedure is necessary from the 9. Week of pregnancy necessary. From this time on, the placenta adheres more tightly to the inner wall of the uterus, remains of the placenta or the fetus remain there, with the consequence that the uterus cannot regress well.

Infections, scarring, polyps and even infertility are then possible, which is why it must be performed after a miscarriage.

What happens during a curettage?

The word sounds scary, but don’t be afraid. A so-called "curettage" is a minor procedure, usually performed on an outpatient basis under general anesthesia, that lasts about 5 to 10 minutes. The doctor carefully removes the uterine lining and other cellular debris with a spoon-like instrument. Under general anesthesia you will not notice anything.

Later, you may experience pain, for which you can take a pain pill. And you should take it easy for the next few days in order to recover from the physical as well as the psychological strain. However, if you have a fever and heavy bleeding, you should inform your gynecologist immediately.

How quickly you can get pregnant again after a miscarriage?

As soon as the last, normal bleeding stops after the curettage, a completely normal, new cycle begins with possibly another ovulation. From a medical point of view, there is usually no reason not to try again right away, unless you have already had several abortions in a row, in which case you should first look into the causes.

By the way, the chances of getting pregnant again within a year after a miscarriage are good, the risk after a new miscarriage is less than 5 percent. After 2 miscarriages, however, the probability of carrying a pregnancy to term is seriously lower, so in these cases you should first carry out more detailed examinations.

What are the arguments against trying again soon after a miscarriage??

Even if your body is ready for it, you should also listen deep inside yourself to see if you really want to get pregnant again right away.

Do not underestimate the psychological consequences of a miscarriage! Give yourself and your partner time to grieve. Take your time and use contraception first. The WHO recommends that you allow at least 3 months to pass. These are the best hormone-free contraceptive methods.

A miscarriage is a traumatic event, but it doesn’t mean you have to remain childless. Take time to process this difficult experience and then go as optimistically as possible into a new, this time successful pregnancy – the statistics are on your side.

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