¿Qué es un aborto espontáneo?
El aborto espontáneo generalmente se specify como la pérdida temprana de un embarazo. El aborto espontáneo también se conoce como aborto no provocado. Los siguientes son algunos de los tipos de aborto espontáneo:
Amenaza de aborto.
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Tener un manchado o sangrado en el inside wall trimestre puede o no significar que se presentará un aborto espontáneo. Alrededor del 10% al 20% de las mujeres tendrá un aborto espontáneo en el primer trimestre. Se vigila a la mujer para detectar cualquier sangrado adicional. Es común que se hagan ecografías (ultrasonidos) para vigilar el crecimiento del feto y sus latidos.
Aborto consumado. El feto, la placenta y otros tejidos se pierden con el sangrado.
Aborto no consumado. Solo una parte de los tejidos se pierden; algunos quedan en el útero. Es posible que se presente un sangrado vaginal abundante.
Aborto retenido. El embrión o feto muere, pero no sale del útero. A veces, se presenta un manchado marrón oscuro, pero no se detectan latidos ni crecimiento fetales.
Aborto séptico. El aborto espontáneo se infecta, la madre presenta fiebre y puede tener sangrado y secreción con mal olor. Es común que se presente dolor abdominal. Esta es una afección seria y puede derivar en un shock e insuficiencia de órganos si no se trata. Es posible que sea necesario administrar medicamentos y hacer un procedimiento llamado dilatación y legrado (D y L). Este procedimiento usa instrumentos especiales para retirar el embarazo anormal.
Aborto recurrente. Dos o más abortos espontáneos.
What causes a miscarriage?
About fifty percent of early pregnancy losses space from chromosome defects in the fetus. Other causes may include:
Abnormal embryo development
Hormone difficulties in the mother. These include low levels of progesterone or a thyroid problem.
Diabetes in the mother, specifically poorly managed blood sugar
Problems in the uterus. These include scar tissue inside the uterus, abnormal form of the uterus, or fibroids.
Opening of the uterus cannot stay closed throughout pregnancy (incompetent cervix)
Infection native germs. These include cytomegalovirus (CMV), mycoplasma, chlamydia, listeria, and toxoplasma.
Autoimmune conditions such as lupus, in which the body assaults its own tissue
Injury or trauma
Exposure to toxicity substances and chemicals, such together anticancer drugs
Often, the reason of a miscarriage can’t be found.
Who is at danger for miscarriage?
Some things deserve to make miscarriage more likely. They include:
Being an larger mother
Having an early pregnancy loss in the past
Drinking an ext caffeine
Having a short folate level. Folate is a B vitamin.
Having a low or high weight
What space the symptom of a miscarriage?
The most usual symptom the a miscarriage is vaginal bleeding. The bleeding may be painless. Or girlfriend may have mild come severe ago pain or cramping in the ship (abdomen). Some women may pass pregnancy tissue.
How is a heritage diagnosed?
Spotting or little amounts that bleeding throughout the an initial trimester is common. This may or might not average you are having actually a miscarriage. Your health care provider will most likely use ultrasound to diagnose miscarriage. If the fetus is no much longer in the uterus, or there is no much longer a heartbeat, your provider will certainly diagnose a miscarriage. Various other tests encompass blood tests because that the hormone person chorionic gonadotropin (hCG). Reduced than typical levels the this hormone or level that do not go up might mean the pregnant is not growing properly.
How is a legacy treated?
If you have actually vaginal bleeding, however the laboratory tests and also ultrasound display that the pregnancy is OK, your healthcare provider may tell girlfriend to remainder for a few days. You will be watched for an ext bleeding. You might have an ext hCG blood tests and also ultrasound exams to inspect the development of the fetus and also the fetal heartbeat.
If tests present that girlfriend have had actually a heritage in the very first trimester, you may have several choices. Talk v your health care provider about the therapy that is ideal for you. Treatment selections include:
Expectant management. This method waiting to let the miscarriage take place on its own. You will certainly be checked often during this time.
Medical management. This is treatment with medications to help the pregnant tissues pass. You may gain a medicine called misoprostol. It provides the uterus contract and push out the pregnant tissues.
Surgical management. You might need surgery to eliminate the fetus and also other organization if they have not every been naturally passed. The procedure is called a operation evacuation that the uterus, or a dilation and curettage (D&C). Anesthesia is used due to the fact that the procedure can be painful come the mother. The cervical opening is stretched open (dilated). The doctor supplies either suction or an instrument referred to as a curette to remove all the pregnant tissues within the uterus.
Pregnancy tissues might be sent out to the lab come test because that gene or chromosome defects.
If you have actually an infection, your healthcare provider will give you antibiotics.
Pregnancy ns after 20 weeks might need different procedures. You may get medicines such together misoprostol or prostaglandin. This medicines help open the cervix and make the uterus contract and also push the end the fetus and also tissues.
What room the symptom of a miscarriage?
A heritage is a significant loss come the woman and also her family. That is appropriate and normal to grieve because of the loss.
Pregnancy lose does no usually cause other serious health problems, unless you have an infection or the tissues room not passed. A major complication with a miscarriage ~ 20 main is a major blood coagulation problem. This is an ext likely if it take a lengthy time (usually a month or more) to pass the fetus and other tissues.
Women through Rh negative blood might need treatment after a miscarriage to prevent troubles with blood incompatibility in a future pregnancy. A medicine dubbed Rh immunoglobulin may be given.
When should I contact my medical care provider?
Tell your healthcare provider if friend have any bleeding throughout your pregnancy. If you likewise have various other symptoms, such as significant cramping, check out your medical care provider as shortly as possible.
Key points about miscarriage
Miscarriage is a pregnancy loss in the very first 20 mainly of pregnancy.
Bleeding in pregnancy might or may not be a sign of a miscarriage.
If you have actually bleeding and also other symptoms together as severe cramping, see your health care provider as soon as possible.
If you have a miscarriage, you may need a procedure to remove the fetus and other tissues, if they have not every been normally passed.
If a miscarriage has actually not occurred, you will probably be told to rest. You and your baby will certainly both be monitored.
Tips to help you get the most from a visit come your medical care provider:
Know the factor for her visit and what you desire to happen.
Before your visit, compose down questions you want answered.
Bring someone v you to help you ask questions and also remember what her provider speak you.
At the visit, compose down the name of a new diagnosis, and also any brand-new medicines, treatments, or tests. Additionally write under any brand-new instructions her provider provides you.
Know why a brand-new medicine or treatment is prescribed, and how it will assist you. Likewise know what the side results are.
Ask if your problem can be cure in other ways.
Know why a check or procedure is recommended and also what the results could mean.
Know what to intend if you execute not take the medication or have the test or procedure.
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If you have actually a follow-up appointment, write down the date, time, and purpose for that visit.