What does a fertilized egg look like during miscarriage. Early miscarriage - photo and description. Why do girls have miscarriages? Early miscarriage risk

Medical statistics note that recently there have been cases of the threat of early termination of pregnancy, so every expectant mother needs to know her symptoms, as well as what are her reasons that can provoke a miscarriage. A miscarriage is a spontaneous abortion that occurs during the first 22 weeks of gestation. If the interruption occurred after this critical period, then doctors diagnose not a miscarriage, but childbirth that occurred before the appointed time (in the fifth month and later).

Symptoms of an early miscarriage threat

As doctors note, in 20% of conceptions an involuntary abortion occurs, which sometimes many women do not even notice, believing that the appearance of bleeding signals that menstruation has begun.

In accordance with these data, several types of termination of pregnancy are distinguished.:

• Incomplete / complete abortion;
• Threatened abortion;
• Non-developing pregnancy;
• Started abortion.

These processes differ in their dynamics, although such a division can be called superficial, conditional. A complete miscarriage suggests that the uterus rejects not only the fetus, but also the fetal bladder, and water. An incomplete abortion is characterized by complete or partial rejection of the fetus, while the amniotic membrane remains in the uterus, which requires special surgical intervention.

The incipient abortion is accompanied by severe bleeding and pain for a long period of time.

During this period, a pregnant woman may begin contractions and dilatation of the cervix, that is, one can state a kind of onset of labor. Threatened abortion manifests itself in weak uterine contractions and little bleeding, but in most cases this passes quickly and the pregnancy remains intact. The release of the uterus from the fertilized egg is considered a defense mechanism. If this process occurs before the 12th week of the term, then an early miscarriage is diagnosed, if after the 12th week, then a late miscarriage occurs. In the case when the pregnancy ends after 22 weeks, we can talk about premature birth.

The main causes of miscarriage in early pregnancy

It is rather difficult to determine the reasons for which self-abortion occurred at the beginning of the term, since there is a need for a comprehensive examination with the subsequent delivery of all the required tests. Basically, the causes of involuntary abortion are divided into two large groups: medical and socio-biological.

The first group of reasons includes the following factors:

• Heavy physical activity;
• Age;
• Wrong lifestyle;
• Severe stress, anxiety, nervous breakdown;
• Unfavorable living conditions;
• Accidents.

Thus, a miscarriage is triggered as a result of strong stressful experiences of the mother, her smoking, alcoholism or drug addiction, as well as as a result of injury. In addition, the mother's age also has a serious impact on the pregnancy process - the older the woman, the more likely it is to terminate the pregnancy, as well as her living conditions (financial situation, ecology, etc.).

Medical reasons for a miscarriage include a woman's health problems, as well as:

• Serious hormonal imbalance;
• Viral and infectious diseases;
• Pathology of the body's immunity;
• Fetal abnormalities or genetic disorders in a woman.

In addition, one of the reasons for the termination of pregnancy can be an arbitrary abortion performed earlier, which can provoke a variety of complications, as well as cause secondary infertility. Miscarriage can lead to drug treatment, independent use of medicinal plants or drugs. The threat of interruption can also arise in a situation of Rh-conflict, in such cases the likelihood of miscarriage is very high.

How does a miscarriage happen?

In the early stages of pregnancy, it is very difficult to differentiate what causes the miscarriage, so most experts believe that it is caused by genetic factors.

The interruption process itself takes place in several stages.:

• The threat of interruption;
• Incipient miscarriage;
• Incomplete abortion;
• Complete abortion.

With a threatened abortion, detachment of the placenta begins, which is accompanied by the onset of the primary symptoms of interruption: spotting and severe pain in the lower abdomen. If a woman manages to notice these signs in time, then the likelihood of maintaining the pregnancy is much higher.

However, if the pregnant woman failed to understand the signals of her body, the placenta exfoliates, which leads to the death of the fetus, that is, the phase of imminent abortion begins, which cannot be prevented.

As a result of an incomplete abortion, the placenta completely exfoliates, and the embryo dies, after which the body begins to reject it. And the stage of complete abortion begins, during which the elimination of the place and the fetus from the uterus and genital tract occurs. Thus, the pregnancy is finally terminated.

Recommendations: how to recognize the signs of miscarriage in early pregnancy

The entire pregnancy process, especially in the first or second month, includes several critical periods.

It is during these periods that the threat of interruption arises.:

1. Fetal implantation begins at 2-3 weeks of pregnancy, but in the presence of scars, injuries or abnormalities in the structure of the uterus, this process is disrupted, as a result of which a threat appears.
2. The most vulnerable embryo becomes at 4-6 weeks, when developmental abnormalities can begin to form, which do not allow it to live and develop further.
3. At 8-12 weeks, the placenta is actively developing, so there is a high risk of pathologies in its structure. And a miscarriage at this stage may be associated with a lack of progesterone in the woman's body.

Information: what an early miscarriage looks like

It is rather difficult to independently determine that a miscarriage has occurred, since it can be accurately distinguished only as a result of a comprehensive medical examination.

At the same time, you can find out the signs of a miscarriage in a short period of time.:

• Brownish discharge or bleeding with varying intensity;
• The embryo leaves through the genital tract;
• Pain in the lower abdomen;
• The amniotic fluid has departed;
• Strong convulsive contractions begin;
• The temperature rises sharply and the general health of the pregnant woman worsens.

In the early stages, symptoms of a miscarriage can manifest as menstruation after a slight delay. If a woman has undergone express pregnancy testing after her periods have disappeared and was able to get a positive result, then a miscarriage can be diagnosed with a sudden onset of the menstrual cycle.

The first signs of a miscarriage: treatment and consequences

Conception can happen quite safely, however, soon the fetus can attach to the uterine wall and freeze in development, in which case it can be argued that the pregnancy process is false. To avoid the threat of termination of pregnancy, every woman must do all the necessary procedures (for example, an ultrasound scan), pass all the tests and undergo the required examinations.

As soon as a woman succeeds in getting pregnant, a miscarriage may be suspected, in which case experts give the following recommendations:

• Bed rest and the maximum reduction in physical activity on the female body;
• Complete removal of the possibility of experiences, worries, stresses, emotional upheavals, etc.;
• Taking hormonal drugs (as prescribed by a doctor);
• Rejection of bad habits;
• Correction of the diet.

It is necessary to consult a doctor when the first negative symptoms appear, since in the event of a threatening miscarriage, the pregnancy can be preserved, but for this it is necessary to determine exactly what is the main cause of the threat. A woman should not make hasty conclusions, since any emotional shock or experience can only aggravate the situation.

At the same time, you need to understand that the absence of any action can entail negative consequences:

1. The introduction of infection into the female body, in the presence of blood clots and the remains of a dead fetus.
2. The retention of particles of the ovum in the uterus, which leads to an increase in uterine contractions, and, consequently, bleeding, through which the uterus tries to remove a foreign body from the body.
3. Dysfunction of the hormonal background, due to the abrupt interruption of the pregnancy process.

Therefore, it is very important to go through the "cleansing" process, during which the remnants of the fetus, particles of the unformed placenta and blood clots will be removed from the female body. When determining the cause of a miscarriage, a pregnant woman undergoes a course of prevention of subsequent pregnancies.

Early signs of miscarriage (video)

In most cases, the pregnancy process goes well, but sometimes certain difficulties occur in the form of the threat of termination of pregnancy and miscarriage. It is impossible to determine with certainty why this happens to a particular woman, in a particular situation. Therefore, it is very important for the expectant mother to undergo all the necessary examinations in order to prevent any deviations from the normal course of the pregnancy process.

Spontaneous termination of pregnancy at gestational age from 13 to 22 weeks. Depending on the stage, the woman experiences pulling or cramping pains in the lower back and lower abdomen, bloody vaginal discharge is noted, the ovum or its fragments leaves. For diagnostics, bimanual palpation, transabdominal gynecological ultrasound, analysis for the content of hCG are used. With a threatening late abortion, a protective regime is prescribed, hormonal, antispasmodic, sedative drugs. Patients with an onset and completed miscarriage are shown emptying the uterine cavity, antibacterial and antianemic therapy.

General information

Late spontaneous abortion (miscarriage) is observed in 2-4% of women with clinically confirmed pregnancy, which is about 1/5 of all cases of premature termination. The key difference between late miscarriage and premature birth is the non-viability of the fetus, which weighs up to 500 g during abortion and cannot develop independently outside the uterine cavity, which approximately corresponds to the 22nd week of gestation. There is a certain difference in the approaches of domestic and foreign obstetricians to the management of pregnant women with a threat of miscarriage. While expectant tactics are practiced abroad, in Russia, patients with threatened abortion are prescribed medication.

Causes of late miscarriage

Treatment of late miscarriage

The therapeutic tactics for spontaneous abortion depends on its form. If there is a threat of miscarriage, drug treatment and a protective regimen with refusal from physical activity and sexual intercourse are recommended. The patient is prescribed:

• Hormonal drugs... The use of gestagens in combination with vitamin E is especially effective.
• Antispasmodics... The drugs can lower the tone of the myometrium and, accordingly, reduce pain.
• Methylxanthines... Medicines of this group relax the myometrium, reduce the risk of thrombosis, and improve blood circulation in the tissues of the uterus and placenta.
• Sedatives... To reduce the psychological stress experienced by a pregnant woman, magnesium preparations, a decoction of motherwort or valerian are used.

After eliminating the threat of late termination of pregnancy, further management of the patient depends on what causes this condition. If an isthmic-cervical insufficiency is detected, sutures are applied to the cervix or an obstetric unloading pessary (Meyer's ring) is installed in the vagina. The tactics of treating the identified gynecological and concomitant diseases should take into account the peculiarities of the appointment of various groups of drugs during pregnancy. The management of a pregnant woman in the diagnosis of intrauterine infection of the fetus or chromosomal aberrations is determined by the type of pathogen and genetic abnormalities.

Forecast and prevention

The prognosis for the fetus and the pregnant woman is determined by the reasons that provoked a late miscarriage. In the absence of developmental anomalies and gross anatomical changes in the uterus, the timely appointment of a protective regimen and drug treatment in most cases allows the pregnancy to be preserved. When an abortion has begun, incomplete, complete and failed, it is impossible to maintain pregnancy, and the main efforts of obstetricians and gynecologists are aimed at helping a woman. After suffering a miscarriage, the risk of repeated spontaneous abortion increases by 3-5%. For prophylactic purposes, women with a probable threat of termination of pregnancy are advised to plan conception, preventive treatment of inflammatory diseases of the female genital area, timely registration and regular observation in the antenatal clinic.

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Questions and answers on: fertilized egg with medical abortion

2012-11-20 08:25:00

Natalia asks:

Became pregnant against the background of an intrauterine device, decided to have an abortion with pills (for a period of 3.5 weeks) There is a child, I have not done abortions before! (32 years old) Ultrasound is visible! Under the supervision of a doctor, I drank 3 tablets of mifepristone, after 2 days (yesterday) 2 more tablets of mirolut Can the spiral during medical abortion become an obstacle to the exit of the ovum, or somehow negatively affect, will it come out with secretions? Today is the second day of abundant discharge, but there are no clots or a spiral with an egg!

Answers Korchinskaya Ivanna Ivanovna:

Purely theoretically, clots and a spiral can come out, but in practice, if they didn’t come out in two days, I don’t think that this will happen. You need cleaning with the removal of the spiral, otherwise, in a couple of days, an inflammatory process can develop with all the ensuing consequences.

2014-10-29 22:40:15

Natalia asks:

Hello. I have already contacted you with questions. Yesterday, an ectopic pregnancy was found on the ultrasound scan, 4-5mm. Before the ultrasound, I took HCG, 10/24/14-180.3; 10/26/14-157.4; and today 10/29/14-174, 3. What is the reason for such a jump in hCG. They questioned the undeveloped (frozen) pregnancy. Proceeding from the fact that a week and a half ago (maybe a little more) the symptoms that were previously disappeared. There was a lack of appetite, headaches, my chest ached. A week and a half ago, all disappeared, my appetite appeared, moreover, it increased, my head stopped hurting, my chest, too. I feel normal. I have no pain in my stomach. Five days, six days ago my chest started hurting again, as before my period. I should have my period according to the schedule on November 1, 2014. Another question -in connection with an ectopic (tubal) pregnancy, what can happen when if menstruation begins? I hope you understand the question, can a tubal abortion occur? or what can happen against the background of menstruation? go out without excesses? in general is this possible but? all this time there is no daub, absolutely clean. Just please do not answer that you need to urgently go to the hospital, etc. The question regarding this is being resolved. And the last question, is it possible with such HCG and a period of about a month, can solve this a little more the problem with a medication method. without resorting to an operation. I am interested in your conclusions based on the above. Thanks in advance.

Answers Bosyak Yulia Vasilievna:

Hello, Natalia! Firstly, I don’t think that you were correctly analyzed for hCG - it cannot be such that the indicator began to fall, and then rose again. In any case, this pregnancy will not progress normally. Is one of the fallopian tubes enlarged? How do you know that the diameter of the ovum is 4-5 mm? If the pregnancy is really ectopic, then the ovum will not come out of the tube on its own and menstruation against this background will not start. In this case, depending on the period and size of the ovum, either conservative therapy or laparoscopy is prescribed. So you need to go to the hospital and a specialist on the spot will guide you on how to proceed. All the best!

2014-09-07 20:02:42

Victoria asks:

Hello. I decided to have an abortion, the doctor persuaded me to take medication. With her, I drank 2 tablets of miropristone and after 48 hours I drank 2 tablets of Mirolut. The stomach hurts, but 10 hours have already passed, and the fertilized egg does not come out. I concluded that the doctor saves on patients and gives an insufficient amount of the drug. I call her every 2 hours, she said that tomorrow at 8.00 she will give me another pill of peace. The question is - will this help? Thanks in advance.

Answers Wild Nadezhda Ivanovna:

For most women, this dose is sufficient, but there is a category of women who have reduced sensitivity to these drugs. There are few such women, but they exist. If a miscarriage does not occur, then you will have to remove the ovum instrumentally.

2013-08-09 10:43:01

Daria asks:

Hello! Yesterday I had a medical abortion for a year and 2 months. ago there was a cesarean, the threat of miscarriage (ultrasound said a very soft uterus, surgical abortion can cause perforation of the uterus., 3-4 weeks, fetal egg 12 mm.)
6.08.- at 18.00 I drank 3 tablets. Mefiprex in the presence of a doctor in the medical center. For almost two days everything was calm, 8.08 at 11.00 a pinkish discharge began, I called the doctor - she said at 15.00 under the tongue 3 tab. misoprostol, after two hours another 2. I did everything, after the first pills, blood with clots began, but not abundant (the stomach pulled like during menstruation) After the second pills, it did not change much, but diarrhea began - I drank linex - everything went away, at 18.30 the temperature rose to 38, I called the doctor, she said to drink baralgin and wait. The temperature subsided smoothly after two hours. The discharge continued, but not abundant, but as in menstruation. a little blood with clots came out. And today all day is gradually coming out, the stomach is pulling quite a bit. From today, the doctor prescribed Unidox solutab 1 ton. 2 times, nastatin 1 ton. 3 times. Something like this. For the control ultrasound only on the 19th. I'm afraid that suddenly something is wrong, why is there not enough discharge? (The doctor said that I just had a short time) I thought about the ultrasound today, but she said no. Why should I do? Why did my temperature rise yesterday? And is it normal that I was prescribed antibiotics? Thank you in advance!

2013-01-15 05:33:30

Linda asks:

Hello, I had a medical abortion on December 14, on December 15 menstruation went on the third day, the ovum came out and abundant discharge with clots lasted 7 days. On the eighth day, they did an ultrasound scan and confirmed that everything worked out. The doctor prescribed Diana-35 for me, but as I wrote for some reason, I did not take them. A week later, I was anointed for one day and then brownish discharge went gradually, they brightened. She was protected by condoms and is sure that there can be no repeated pregnancy. After the medical abortion, I feel nauseous, there is still no menstruation, today is January 15th exactly one month from the first day of menstruation. My health is excellent, only once, 2 weeks after the abortion, I got very sick in the lower abdomen, as with menstruation, then it passed. A week ago I did a pregnancy test and showed negative results. Could the test show incorrectly ?? Could the ultrasound be wrong with an incomplete abortion? And did I feel good about the incomplete abortion? What are my next steps? Please answer. Thanks!

Answers Medical consultant of the portal "site":

Hello, there is no reason to doubt the correct test result. Ultrasound is a fairly reliable research method, but not 100%, errors are possible. "And did I feel good" - only you yourself can answer this question. Your actions are reliable methods of contraception, preventive visits to the gynecologist every 6 months, in the presence of violations - as needed.

2012-10-30 18:27:41

Anastasia asks:

At 5 weeks of uterine pregnancy, bleeding began (red blood went, much stronger than with menstruation), I got to the hospital in an ambulance, they gave an injection and the bleeding stopped completely, and in the morning they did an ultrasound scan and the doctor concluded that the pregnancy was a frozen ovum 1.5 cm , embryo 3 mm, heartbeat under the question mark, they said to do vacuum aspiration. According to the results of histology, the doctor concluded that the fragments of the endometrium with an uneven pronounced decidual reaction of the stroma and signs of reverse development of the glands (light glands) of Overbeck, the Adies Stellar phenomenon, elements of the membranes of the membranes were not detected, but after vacuum aspiration, an ultrasound scan was performed and it was revealed that the ovum and the embryo itself were not removed or damaged, I had to do a medical abortion, after all this, Enterococcus faecalis + escherichia coli titer 10 to the 5th degree was found in the urine culture, microorganisms were not identified in the vagina, the doctors cannot advise anything, I am not in despair know what to do ((((please give advice, thanks in advance!

Answers Purpura Roksolana Yosipovna:

Are you worried about any symptoms - discharge, pain, etc.? An infection in such a concentration, in principle, requires sanitation with an antibiotic, but I have no right to virtually prescribe treatment, contact your gynecologist. You could not bring an infection during vacuum aspiration, after a medical abortion, discharge can be for a long time (up to 1 month) and can provoke the activation of pathogenic microflora, but then microorganisms should have also been detected in the culture from the vagina. In any case, antibiotic therapy is necessary. Fading of pregnancy in the early stages is due to genetic pathologies, immune factor, infection, etc. Don't worry, 10% of all pregnancies end in miscarriage, unfortunately. You will receive treatment and can plan your pregnancy.

2012-10-14 14:00:55

Anna asks:

Hello! had a medical abortion at the end of August. The term was about 7 weeks. Control ultrasound showed that the ovum came out, but the uterine cavity was expanded and blood clots were present (echo signs of hematometers, it seems so). The doctor said that with a medical abortion, this happens, and that everything will come out with menstruation, especially since I continued to have spotting. In September, my periods came as planned, but more abundant than usual. After them spotting continued. The first sexual intercourse was a week after the end of menstruation. After a few hours, blood began to flow and clots again, but everything stopped after about an hour. Can you please tell me what this means? How to proceed further? The abdomen, in general, does not hurt, but several times it pulled in the lower abdomen.

Answers Purpura Roksolana Yosipovna:

Long-term discharge, hormonal disruptions are characteristic of medical abortion (so it's good that your period came on time). Wait for the next period, the situation should return to normal. If you experience sharp pain or intermenstrual bleeding, then you should immediately consult a doctor.

2012-05-30 12:10:50

Maryana asks:

Hello. I am 20 years old. At the age of 19, there was an abortion (medication), everything went well, there was no delay in menstruation - like clockwork ... but exactly a year later, at 20 years old, pregnancy again - they decided to give birth ... on the ultrasound, the ovum itself was not visible on the ultrasound (the uterus was enlarged was), but the test showed that there was a pregnancy ... 7 days after the delay, my stomach started to hurt very badly, until we arrived at the gynecologist, blood clots had already gone ... they examined with a vaginal sensor, and stated that there was a pregnancy, but failed .. after, I passed the hormone test 2 times (pregnancy 2-3 weeks) .. and a week later the hormone level was already normal (not pregnant) .. after examining me on an ultrasound scan, the gynecologist said that everything worked out, and prescribed a medicine to strengthen the uterus because it is "soft". After another examination, they said that everything was normal. But, after a spontaneous abortion, in the middle of my cycle (13-15 days, with a cycle of 28 days) it smears .. it lasts 3-4 days .. and passes. What could it be? and the last two months the cycle has gone astray and has been smeared for almost a week .. maybe you need to take a hormone test? if so, how to do it correctly?

Answers Wild Nadezhda Ivanovna:

You need to do an ultrasound with a vaginal probe: you need to exclude the placental polyp. From menstruation during 3-6 MC, take contraceptives to regulate MC. To be examined by a geneticist, preferably together with your husband.

2011-09-29 17:47:02

Jeanne asks:

Zd-those, I'm 31. On May 13th I drank mefipristone at the doctor's office, May 15th Mirolut, abundant monthly 10 days went, 16 did Uzi - I know that early, but I was leaving in a hurry and the gynecologist was not against). The answer is ultrasound - the ovum is not visualized, the remnants of the membrane in the inner yawn in the cavity of blood clots. Uzist said that the membranes will come out during the next menstruation. The gynecologist said that everything is in order and I can leave. In June and July, the pregnancy test was denied. In August, the test showed a weak second strip and the analysis for hCG in the women's consultation was 148 - pregnancy was diagnosed. For 7 weeks, blood went and then chocolate discharge, was sent to the hospital for preservation (dyufaston, folic acid, vit E). on the 5th day I just got on an ultrasound scan, was diagnosed with "Bubble drift, undeveloped pregnancy" - the diagnosis was independently confirmed by another uzist. On September 9, curettage was performed, on September 28, histology: developing pregnancy after medical abortion (May), partial cystic drift. I live in the suburbs of Moscow, the city of Dubna, there is no specialist here who would deal with this pathology. On September 8, HG was 1940. On September 28 (3 weeks after curettage), the analysis for HG was 3.5, I made fluoro lungs on September 19, without pathologies. My attending physician said that if hCG remains reduced for 2 months, then the danger is over, but she is not an expert in this area. I already doubt everything and am afraid: after all, the first gynecologist who performed me a medical abortion also told me that everything was in order. My first pregnancy was in May. Help me with the survey tactics. Do I need to go to a specialized clinic or just be guided by the indicators of hCG. I am a dermatovenerologist myself and I am terribly scared both in terms of chorioepithelioma and infertility. By the way, the histologist on the phone when I was going for the answer said that I had a developing pregnancy and there was no cystic drift, so that I could explain to my doctor. Completely confused. What to do, help !!!

According to statistics, out of 100 pregnancies, 15–20 end in miscarriages. Most often this happens when a woman does not yet know about her situation. But if the expectant mother is already aware that conception has occurred, then a miscarriage becomes a terrible loss for her. Therefore, information regarding miscarriage will be useful both to those who are at the planning stage and to women who are already expecting a baby. Knowing the causes and symptoms of spontaneous abortion in the early stages, you can prevent the threat of losing a child, as well as avoid unpleasant consequences.

What is a spontaneous abortion

Miscarriage (spontaneous or spontaneous abortion) is the rejection of the fetus by the mother's body for reasons beyond her control for up to 28 weeks.

Pregnancy statistics for women in Russia

There are three types of spontaneous abortion (depending on the period at which the miscarriage occurred).

1. Interruption of biochemical pregnancy (up to 3 weeks). For unknown reasons, the embryo detaches from the walls of the uterus and leaves with blood clots. In most cases, bleeding at these periods is perceived as the onset of menstruation, since a woman does not yet know about her pregnancy.
2. Early miscarriage, or spontaneous abortion. Termination of pregnancy occurs before the onset of the third trimester.
3. Premature birth, or late miscarriage. The reasons may be various pathologies of the fetus, circulatory disorders, preeclampsia in the mother, etc. In most cases, with miscarriage in late terms, the child can be saved.

In each period of pregnancy, there are periods during which the threat of miscarriage is most likely. The risk of losing a child is highest in the first month after conception, especially from 14 to 21 days.

In addition, you need to be extremely careful during the following periods: 8-12, 16-20, 28-32 weeks. During these periods, a woman should rest more, avoid stress, listen to her feelings and visit a doctor in a timely manner.

If signs of an incipient miscarriage are found, a woman should immediately seek qualified medical help. Timely measures taken increase the chances of maintaining pregnancy and a successful delivery at the appointed time.

The threat of miscarriage - how to maintain a pregnancy (video)

Types

Miscarriages are classified into several types:

1. Inevitable (incomplete). He is accompanied by severe pain covering the lower back and lower abdomen. It is accompanied by cervical dilatation and uterine bleeding. A miscarriage is considered inevitable when a fracture of the fetal bladder forms and the internal os of the uterus opens. Incessant pain and discharge are signs of incomplete miscarriage.
2. Full - spontaneous termination of pregnancy, in which the embryo or fetus is completely expelled from the uterine cavity. After complete cleansing of the organs, pain, spasms and bleeding disappear. Surgery is rarely required.
3. Failed miscarriage, or missed pregnancy. A dead fetus remains in the uterus, at first there are no symptoms. Most often it is diagnosed at a routine appointment with a gynecologist or ultrasound. Surgical intervention is required.
4. Repeated miscarriage. Occurs in about one in a hundred couples. When a woman has three pregnancies in a row end in arbitrary termination in the early stages.
5. Anembryonia. Fertilization and attachment of the egg occurs, during examination, an enlargement of the uterus is observed, a fertilized egg is formed, and other symptoms of pregnancy are also present. But the fetus either does not develop, or dies at the initial stage.
6. Chorionadenoma. It develops as a result of genetic disorders. In place of the fetal bladder, just a piece of tissue is formed, which gradually increases in size.

With the early diagnosis of these conditions, a woman must undergo an abortion for medical reasons.

Features in the early stages

In most cases, complete or incomplete miscarriages occur in early pregnancy.

1. With a complete miscarriage, the uterus rejects the fetus completely, along with the waters and the fetal bladder.
2. In the case of incomplete miscarriage, most often only the embryo is rejected, and the amniotic membranes remain in the uterine cavity. The embryo can come out completely or partially.

In order to avoid the serious consequences of an incomplete miscarriage, a woman is cleansed, and also hemostatic, hormonal, antibacterial drugs that cause uterine contractions are prescribed.

It is imperative that after cleaning, an ultrasound scan should be performed to make sure that there are no blood clots and fetal tissues left, and the uterine mucosa is restored.

Causes

The most common causes of miscarriage are genetic abnormalities and fetal malformations that are incompatible with life. That is why some doctors prefer not to maintain a pregnancy until 12 weeks, arguing this by natural selection. In some cases, it is suggested to have an abortion for medical reasons.

If a woman is hospitalized for conservation, then in most cases, doctors manage to prevent miscarriage. In this case, if possible, a complete examination of the fetus is carried out for the presence of genetic abnormalities. And only then a decision is made on the further tactics of pregnancy management or a referral for its termination is issued.

The main causes of early miscarriage are:

1. Genetic defects:
   • anatomical (congenital and acquired malformations);
   • infectious (chronic endometritis);
   • genetic (structural or quantitative changes in chromosomes);
   • endocrine;
   • thrombophilic;
   • immunological (autoimmune and alloimmune).
2. Violation of the level of hormones and the performance of the thyroid gland.
3. Diseases of the reproductive system, sexually transmitted infections.
4. Viral and infectious diseases (flu, tonsillitis, rubella, chickenpox, toxoplasmosis).
5. Impaired blood flow between mother and child;
6. Severe pathologies of the internal organs of the fetus.
7. Bad habits of the mother (smoking, alcohol, drugs).
8. Postponed stress, nervous tension.
9. Physical activity, lifting weights, injuries.
10. History of abortion, scars on the uterus and abdomen.
11. Taking medications that are contraindicated in pregnancy.
12. X-ray radiation.

The causes of early fetal rejection can be attributed to a later period, although in the second and third trimesters, miscarriage is most often provoked by inflammatory processes in the uterine cavity or placenta.

Early signs

The following symptoms signal the threat of miscarriage:

• pain in the lower abdomen;
• vaginal bleeding (scarlet or brown discharge, smearing or profuse);
• convulsions.

In the early stages, pregnancy is not always known, so the symptoms of a miscarriage may well be mistaken for the onset of a new menstruation. It is worth noting that there are also secondary signs of spontaneous abortion that distinguish it from critical days, in particular:

• vomiting and frequent loose stools;
• pain in the form of spasms;
• weight loss;
• bleeding alternating with mucus;
• aching pain in the lumbar region.

If you know about pregnancy, and even slight bleeding has begun, you must urgently seek medical help.

There is such a thing as a missed pregnancy or miscarriage. This is the cessation of fetal development and its death for up to 28 weeks. Signs of this condition:

• lack of toxicosis;
• decrease in basal temperature;
• weakness.

In addition, the symptoms of a miscarriage may differ depending on the stage of the miscarriage.

Symptoms depending on the stage of miscarriage (table)

A timely diagnosis of the threat of miscarriage and the onset of spontaneous abortion (first and second stages) with adequate treatment leave chances for the child to survive. The next stages are irreversible and lead to termination of pregnancy.

Stages of spontaneous miscarriage (image gallery)

Bleeding after a spontaneous abortion can last 4 to 10 days Some time later, the ovum and placenta are expelled from the uterus. The clinical picture of miscarriage: bleeding, accompanied by spasm and pain in the lower abdomen, pain in the lumbar region

Spontaneous abortion or menstruation?

It is possible to determine that the pregnancy was terminated, and the next menstruation did not come, by monitoring the level of hCG in the blood and measuring the basal body temperature.

Basal temperature is the lowest body temperature measured immediately after sleep without getting out of bed.

Prophylaxis

Even a completely healthy woman is not immune to miscarriage. It is not always possible to find genetic mutations, hereditary or chronic diseases, which often manifest themselves precisely during pregnancy.

But you can follow simple rules that will allow you to conceive a healthy child and increase the chances of a successful pregnancy. Among them:

• moderate and healthy eating, weight control;
• complete rejection of alcohol and cigarettes;
• taking multivitamins;
• elimination of stress and overload;
• frequent and long walks in the fresh air;
• gymnastics or physical education;
• good rest;
• scheduled examinations by a doctor.

After an early miscarriage, a woman should undergo a full examination, treatment and, only with the permission of a doctor, begin planning a new pregnancy.

2 out of 10 pregnancies, according to statistics, end in spontaneous miscarriage. Therefore, you need to carefully monitor your well-being while carrying a child. If you experience specific symptoms, seek medical attention immediately. Timely diagnosis and treatment will preserve your pregnancy and minimize the risks of termination.

This question is often asked by the fairer sex to their gynecologist. It is worth noting that most women in the first month most often do not even suspect that they are in a position. There can be many reasons for the delay, this is not necessarily pregnancy. That is why the expectant mother is very scared if after a while she starts bleeding, which differs from the discharge during menstruation. A miscarriage or menstruation in a specific situation can only be determined by a specialist. However, it is worthwhile to understand the reasons for this process, as well as its symptoms and signs.

What does a miscarriage look like? In the early stages, spontaneous interruption of fetal development occurs in five percent of women around the world. The figure is considerable. In general, a miscarriage is a natural termination of pregnancy that occurs spontaneously in a woman for up to twenty to twenty two weeks. In addition, early and late miscarriage is distinguished. The first occurs in the first twelve weeks, the second - in the second part of the above period. In the case of a natural way, after the twenty-second week of the child's development, it is already a question of premature birth.

Experts say that some representatives of the fair half may have a miscarriage with every pregnancy. Such a process or disease is called habitual. Many events and factors are thought to be the cause of early miscarriage. However, there are situations in which a spontaneous interruption occurred without any visible violations.

What is fetal rejection and what does it look like? A miscarriage also occurs when a woman and a child have incompatible Rh factors. In such a case, the woman's body simply takes the child for a foreign body, infection, and so on. All processes are aimed at pushing the fetus out of the uterus. Frequent abortions preceding the desired pregnancy lead to miscarriage. Doctors always warn girls who are pregnant for the first time about the possible consequences of such an operation.

The cause of a miscarriage may be a hormonal disorder, a malfunction in the genital system, a cyst or endometriosis, for example. It is worth noting that such a case is always accompanied by severe stress. Any strong feelings, depression and abdominal trauma often lead to spontaneous abortion. It is not for nothing that experts recommend that all expectant mothers be calmer, do not worry about trifles, but only enjoy their condition and the expectation of a small miracle.

What it looks like At first, a woman begins to feel a slight malaise, weakness and dizziness appear. In such a situation, you should contact a specialist as soon as possible. Doctors will be able to stop even the bleeding that has begun. Today it is successfully treated by doctors from all countries. As for the hormonal disruption, which is quite often the cause of this process, it is easy to suppress it using special medications.

The early miscarriage process is divided into several stages. Natural abortion can be incipient, threatening, complete, incomplete, and in progress. The symptom in all cases is very similar. A woman may experience unpleasant pulling pains in the lower abdomen and lower back. Then discharge appears. Their nature and number depends, first of all, on the stage of the abortion.

What does a miscarriage look like in the following stages? Nausea and even vomiting are likely. Pain can occur both in the lumbar region and in the lower abdomen, next to These sensations women are often confused with the onset of menstruation, especially if the miscarriage occurs at a very early stage. Then everything develops according to the usual scenario. Depending on the period, the woman begins to feel a weak dull or strong sharp pain in the uterus. Bleeding begins with large blood clots. It is in this mass that you can find a small transparent body ranging in size from five millimeters to two centimeters. It most often has a translucent consistency, and a point is clearly visible inside. If you suspect that a miscarriage has occurred, be sure to see your doctor, as it may be incomplete. The remains must be removed in order to avoid inflammation. In addition, be sure to find out the cause of the miscarriage, as this will help you plan your pregnancy later and avoid such problems.

We hope that the question of what an early miscarriage looks like will never touch you or interest you.