Friday, December 28, 2007

Miscarriage : Causes and Signs

Miscarriage is the term used for a pregnancy that ends on it's own, within the first 20 weeks of gestation. It also known as Spontaneous Abortion.

Miscarriage is the most common type of pregnancy loss, according to the American College of Obstetricians and Gynecologists (ACOG). Studies reveal that anywhere from 10-25% of all clinically recognized pregnancies will end in miscarriage. This occurs when a pregnancy is lost shortly after implantation, resulting in bleeding that occurs around the time of her expected period.

Most miscarriages occur during the first 13 weeks of pregnancy. Pregnancy can be such an exciting time, but with the great number of recognized miscarriages that occur, it is beneficial to be informed about miscarriage, in the unfortunate event that you find yourself or someone you know faced with one.

If you experience any or all of these symptoms, it is important to contact your doctor or a medical facility to evaluate if you could be having a miscarriage:
  • Mild to severe back pain (often worse than normal menstrual cramps)
  • Weight loss
  • White-pink mucus
  • True contractions (very painful happening every 5-20 minutes)
  • Brown or bright red bleeding with or without cramps (20-30% of all pregnancies can experience some bleeding in early pregnancy, with about 50% of those resulting in normal pregnancies)
  • Tissue with clot like material passing from the vagina
  • Sudden decrease in signs of pregnancy
Especially for the first pregnancy, it is important to get notice on these sign, but don't act paranoid since it can be bad for your daily activity.

The reason for miscarriage is varied, and most often the cause cannot be identified. During the first trimester, the most common cause of miscarriage is chromosomal abnormality - meaning that something is not correct with the baby's chromosomes. Most chromosomal abnormalities are the cause of a faulty egg or sperm cell, or are due to a problem at the time that the zygote went through the division process. Other causes for miscarriage include (but are not limited to):
  • Hormonal problems, infections or maternal health problems
  • Lifestyle (i.e. smoking, drug use, malnutrition, excessive caffeine and exposure to radiation or toxic substances)
  • Implantation of the egg into the uterine lining does not occur properly
  • Maternal age
  • Maternal trauma

Factors that are not proven to cause miscarriage are sex, working outside the home (unless in a harmful environment) or moderate exercise.

What are the chances for having a miscarriage ?

For women in childbearing years, the chances of having a miscarriage can range from 10-25%, and in most healthy women the average is about a 15-20% chance.
  • An increase in maternal age affects the chances of miscarriage
  • Women under the age of 35 yrs old have about a 15% chance of miscarriage
  • Women who are 35-45 yrs old have a 20-35% chance of miscarriage
  • Women over the age of 45 can have up to a 50% chance of miscarriage
  • A woman who has had a previous miscarriage has a 25% chance of having another (only a slightly elevated risk than for someone who has not had a previous miscarriage)
But there is no reason to think about abortion when you just got good news on your pregnancy, so just enjoy and live a healthy living for the next 9 months of beautifull moments of your life.

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