About 1 in 10 women will have a miscarriage. And believe me, that is a sadness and disappointment that you can not prepare yourself for and that is always bigger than you think in advance. A miscarriage can naturally occur naturally, but sometimes it must be generated. Unfortunately, we can not do anything to take away the grief. What we can do is tell you what to expect.
What is a miscarriage?
A miscarriage means that a pregnancy is terminated before the 16th week. For example because the fruit has stopped growing, the heart is no longer correct or because it is rejected by the body.
The causes of miscarriage vary widely. Usually you can really do nothing about it, so never feel guilty. Once you have had a miscarriage, it says nothing about your next pregnancy. This can simply be successful. It can happen very early in the pregnancy, for example in the first week (early miscarriage). But it can also only go wrong in the 12th week, this is called an unresolved pregnancy. The fruit can be seen on the echo, but the heart is no longer correct.
The chance of a miscarriage is highest in the first weeks, after which it decreases. Read more about the chance of a miscarriage here.
One of the most important signs of miscarriage is blood loss. But please do not panic immediately if you have blood loss during pregnancy. This occurs in 20% of women. There are more characteristics than just blood loss. It proceeds from a miscarriage:
- First blood loss.
- Possibly also back pain or lower abdominal pain and cramps.
- Blood loss is increasing.
- In addition to blood you also lose clots, pieces of tissue (uterine lining and membranes that surround the fruit, the fruit itself and the fruit sac). Sometimes the fruit is still so small that you do not recognize it. You always recognize pieces of tissue. The loss of the tissue is always accompanied by cramps.
- When you have lost the tissue, the blood loss decreases and the cramps decrease.
- You may still be bleeding for several days, but these can also be a few weeks.
Hereafter the pregnancy symptoms will decrease, such as less sensitive breasts and no more morning sickness.
Producing a miscarriage or curettage
A miscarriage can occur naturally, but sometimes that is not the case. Then the parents find out during the echo that there is no fruit for example, but only a fruit bag or that the heart is not right. This is called non-vital pregnancy or missed abortion. For parents, this is a huge disappointment and can also be very confusing. Women still feel pregnant because they still experience the pregnancy symptoms.
There are then 3 options possible. Or it is waiting to see if the miscarriage still gets going, or the miscarriage is generated with medication or a curettage is planned. When the miscarriage is generated with medication, the course will be about the same as with a natural miscarriage.
Miscarriage, what does it look like
If you lose the fruit early in your pregnancy, you may not even know you were pregnant. Your bleeding from the miscarriage is then around the same time as your period, but possibly a bit more intense.
Usually the fruit is not really recognizable, but it looks different than the clots (black / red) and the remaining blood loss. The tissue of the fruit is white and glassy sometimes with a fruit pouch. The amniotic sac looks like a white condom that is under the blood. The further you were in your pregnancy, the bigger your fruit. It is only really visible from the 6 weeks of pregnancy. Length of the fruit per week:
- 6 weeks: 1.5 centimeters
- 8 weeks: 2.5 centimeters
- 10 weeks: 4.5 centimeters
- 12 weeks: 6.5 centimeters.
What to do during a miscarriage?
If you suddenly lose blood, it is good to call your midwife right away. He can determine whether a miscarriage is involved or not on the basis of a number of questions. During the miscarriage itself (whether or not raised with medication) you can do the following:
- With menstrual-like cramps, you may take a painkiller. Start with paracetamol. If this does not work then you can still take nurophen or NSAID against the cramps.
- Always use sanitary towels to catch your bleeding, not tampons. Continue to use the sanitary napkin until the bleeding has stopped completely (including the days / weeks after).
- When the blood loss and possibly the cramps increase, it gets going. Make sure you are in a safe environment and that someone is with you that you trust. If you have a lot of blood loss, the GP must be called.
It is not necessary to catch the fruit, at least not for research. But perhaps you want to take care of it for example to bury it or say goodbye. If you do not need it, it can be flushed through.
After the miscarriage
If the miscarriage has come naturally or you have raised it with medication, an ultrasound will be made after 1 to 2 weeks to see if everything is gone. Sometimes, when it is obvious that the fruit has come out and you have no further complaints, it is possible that no ultrasound is needed. If the bleeding lasts for a long time, an ultrasound is made to determine whether the fruit has come out and / or all tissue remains from the uterus. If the uterus is not completely clean yet, it will be examined what can be done. You may get a curettage.
Getting pregnant after a miscarriage
After the miscarriage you probably still have blood loss. This can last for a few days, but it can take another 3 weeks. If it takes longer, contact your doctor.Wait a while with community until the blood loss is stopped otherwise you have a chance of infection. When you have no blood loss, you can just try again.
In principle, you do not have to wait for your first menstruation. Yet this is often advised because you have more insight into your new pregnancy. Your first menstruation starts again on average after 4 to 6 weeks. Have you already had community before and after 6 to 8 weeks you have not had any period, then you may be pregnant again. Then do a pregnancy test.
Processing the loss
No matter how small and tender your pregnancy is, miscarriage is always a fierce event that you simply can not prepare for. You will experience intense feelings of disappointment, anger and sadness. Do not underestimate it and talk about it with other people. You will soon find that you are certainly not the only one. In addition, take the time to process it. You can also share your experience online with others, as one of our readers has done. You can read her experience in the piece: My first pregnancy, my first miscarriage.