Quite often, women who have miscarried at an early period ask the doctors whether cleaning is necessary. Let's try to answer this question and describe in detail in which case curettage is performed after a spontaneous abortion.
What is “cleaning” after a miscarriage?
In medical terminology, this kind of procedure is called curettage, or curettage. It implies the complete removal of the remnants of the body of the embryo or the ovum if the miscarriage occurred on a very short period, 5-8 weeks.
Do I need a cleaning after a miscarriage and do they always do it?
After a spontaneous abortion was diagnosed, as evidenced by uterine spasm and bleeding, the doctor examines the woman in the chair.
In order to examine the uterus, ultrasound is also performed. The data obtained and help determine whether cleaning is required for miscarriage that occurred at the beginning of pregnancy.
If we talk, based on statistical data, then approximately only in 10% of cases this procedure is necessary after a spontaneous abortion for a short period. However, it is worth noting that quite often curettage is performed prophylactically, because of the impossibility of performing an ultrasound or if there is no time for it (for uterine bleeding, for example).
In European countries, curettage is performed only in cases when there are symptoms of infection of the uterine cavity, as well as when the gestation at which the miscarriage has occurred exceeds 10 weeks and after that there is heavy bleeding. In this case, preference is given to vacuum aspiration, which in itself is less traumatic for the female body.
Can a miscarriage be without further cleaning?
This question interests many women almost immediately after the occurrence of miscarriage.
Regardless of the period at which the termination of pregnancy occurred, in order to make a decision about curettage, it is necessary to conduct an examination with examination of the uterine cavity.
In cases where there was a complete rejection of the embryo or the ovum, cleaning is not carried out.
If there are no visible abnormalities on the ultrasound, then a medical consultation may decide on the observation of the woman for 2-3 weeks. After this time, re-examination is carried out using an ultrasound machine. Prior to this procedure, women are usually prescribed anti-inflammatory drugs, which helps to avoid complications and the development of infection in cases where small sections of the embryo tissue remain in the uterus. After all, sometimes they are so small that it is not possible to extract them even with the help of special tools.
Also an important role in determining whether cleaning is required after miscarriage is played by determining the level of hCG, which is always carried out in the case of spontaneous abortion. It is this study that makes it possible to determine whether there are any embryo areas left in the uterine cavity, which often provokes an increase in hCG levels.
If the concentration of this hormone in the blood rises, then a revision of the uterine cavity is appointed.
Thus, we can say that the fact whether it is possible to do without cleaning after a miscarriage in the early period or to do it without fail is decided by the doctors on the basis of the examination performed by the woman and the data obtained from the ultrasound scan. It is also necessary to say that quite often curettage itself is carried out already much later than spontaneous abortion, when in the uterus there are particles of the embryo that were simply not noticed by doctors during the diagnostic activities.
Curettage procedure after miscarriage
The manipulation takes 15–20 minutes. Previously given the direction of the coagulation and general blood tests, the study of infection. Cleaning after miscarriage in the early period (up to 12 weeks) is carried out if, according to the ultrasound data, fragments of the ovum are found in the uterus.
8–10 hours before the operation, food and liquid should not be taken. The curettage procedure takes place on a gynecological chair: the genitals are disinfected with an antiseptic, expanding the cervix and scraping the mucous layer with a vacuum or curette. These manipulations are quite painful and are performed under general or general anesthesia. If possible, make hysteroscopy (video camera inspection) simultaneously with curettage: curettage after a miscarriage is considered the least dangerous when the doctor sees the uterine cavity.
With a miscarriage at an early date, the embryo can exit completely (it looks like a gray rounded bubble), then cleaning is not required. In other cases, fetal fragments will begin to decompose, which will cause the spread of pathogenic microbes and damage to the endometrium. Therefore, even if the miscarriage happened outside the medical institution, and the woman is sure that the embryo has stood out completely, do not neglect the visit to the doctor.
Early Miscarriage Cleaning
Pregnancy, interrupted immediately - in 5-8 weeks - often occurs. The doctor must find out the cause and make a revision of the uterus so that the infection does not penetrate into the genital tract. In the early term, spontaneous miscarriage can do without cleaning.
If, after an unexpected termination of pregnancy, the fertilized egg is removed entirely, you will not have to curet out the uterus. The specialist makes a decision based on the results of analyzes and ultrasound. Revision of the uterus is carried out with frozen pregnancy.
Scrape the mucosa in order to prevent bleeding, the accumulation of blood clots, so as not to leave pieces of the ovum.
If necessary, make a curettage of the upper layer of the mucous membrane of the uterus and its cervix. Samples are sent to histology to determine the causes of miscarriage.
The consequences of cleansing after miscarriage
As with any intervention, cleaning the uterus with miscarriage is not always without complications. If there are problems with blood clotting, uterine bleeding may open. To stop it, appoint an injection of oxytocin.
Abdominal pain and fever are signs of an ongoing inflammatory process. Due to spasms of the cervical canal during curettage, blood clots can accumulate in the uterus.
Disturbance of circulation is called hematometra. Accumulating in the uterus, the blood can not go outside, it causes pain attacks. If you ignore such a diagnosis, you can subsequently lose the uterus and the possibility of childbearing.
A complication of hematometers is infection of the blood, which can be fatal. Doctors prescribe as a therapeutic method medical treatment and special procedures for the removal of accumulated blood from the uterus.
After cleansing as a result of spontaneous abortion, complications can appear in the form of endometritis, in which the mucous membrane becomes inflamed. Therefore, a course of antibiotics is required, which is important to follow the scheme.
Vacuum cleaning of the uterus after a miscarriage is the most effective and safest method of curettage. But in some cases, problems may arise:
- Not completely removed embryo. The doctor often has to be manipulated blindly, so there may be leftover fetus in the uterus.
- Mechanical damage to the cervical canal with instruments that occurs when the uterus is opened. Possible consequences - miscarriage next pregnancy.
- Bleeding triggered by damage to existing fibroids or blood vessels. In some cases, you have to remove the uterus.
- Infection observed in case of non-compliance with hygienic recommendations due to the fault of a woman or doctor. Leads to infertility and inflammation.
- Cervical weakness. During surgery, the cervical canal may weaken and subsequently lead to miscarriages.
It is not necessary to postpone the trip to the hospital with the appearance of such signs:
- intense spotting,
- absolute lack of discharge,
- stomach ache.
Monthly after curettage
Menstruation after curettage of the uterus usually begins on time, that is, after 26-29 days. To normalize the cycle and prevent pregnancy, the doctor may prescribe birth control pills already on the day of cleaning or the next.
Monthly discharge is usually scanty because the endometrium has not yet recovered.
If abundant bleeding occurs, it can be predicted that not all of the endometrium was removed during the elimination of hyperplasia. The results of the ultrasound examination help to confirm the medical guess. Secondary cleaning is not prescribed, and help reduce blood loss.
Vaginal discharges that last too long (10 days or more), have an unpleasant odor, which may indicate the beginning of an infectious process. It should be alerted and a sharp cessation of discharge, which is a sign of the formation of blood clots in the uterus.
Gynecologists advise to abstain from pregnancy after cleaning for at least six months. An organism that has not recovered from the operation is not ready to bear the child. To prevent the development of complications prescribed antibiotics, oral contraceptives, offer medical observation and testing.
Sexual rest should continue for at least three weeks after cleaning in order to prevent infection and bleeding. It is necessary to limit physical activity, alcohol consumption, to refuse to visit baths and saunas, to take a bath (only a shower).
Recommended physiotherapy procedures:
- EHF (for the prevention of endometritis),
- ultrasound (from adhesions),
- phototherapy (for anti-inflammatory purposes).
For the fastest healing, physicians use sorption treatment: a composite solution is injected into the uterine cavity. Control the regeneration process by taking an aspiration biopsy.
Abdominal pain indicates the presence of irregularities due to curettage. If there is a slight discomfort - this is the norm, do not worry, after a couple of days in the absence of other negative signs, it will pass.
Anxiety should cause severe pain, the causes of which are - tearing of the cervix or organ puncture, inflammation, accumulation of blood. After eliminating all the negative factors, the doctor allows you to plan a new pregnancy.
In order to quickly recover to normal after an unseemly cleansing process, one should strictly follow the doctor’s instructions, adhere to a healthy lifestyle, maintain hygiene, not overwork, have a good rest and eat properly. In this case, recovery after curettage will be much easier.
After miscarriage, some women become depressed. The right decision would be to contact a psychotherapist.
To plan a new pregnancy, it is necessary to fully restore health after cleansing, to make sure that all indicators (urine, blood) are normal, there are no infections. The uterus, ovaries and cervix must be ready to conceive and bear. Such conditions will guarantee the birth of a healthy baby.
Early miscarriage: what could happen?
In fact, each case is considered individually, as there are many factors that matter, although experts identify 10 most common causes. Among them:
- genetic disorders in the fetus,
- hormonal disorders in women
- immunological problems
- sexually transmitted infections
- common infectious diseases and inflammatory diseases of internal organs,
- history of abortion
- taking illegal drugs and herbs,
- wrong lifestyle,
- trauma, severity, sex (in the early stages of pregnancy, it is recommended to give it up).
What to do if you have a miscarriage?
Determine what happened miscarriage can be quite unpleasant symptoms. These are: bleeding, severe pulling pain in the lower abdomen, dizziness, weakness.
In such a situation, it is impossible to delay the call of a specialist, because if there was a detachment of the ovum, there is still a chance to save the pregnancy. The main thing - as soon as possible to take a horizontal position and try to calm down. Call the ambulance. Independently sent to the hospital can not.
If you are sure that a full-fledged miscarriage has occurred, all the more do not refuse to be examined. First, it is necessary to find out the reason why the development of the fetus was interrupted, since if the problem is serious in the future, miscarriages can recur (provided that the necessary treatment is not followed). Secondly, it is necessary to make sure that no particles of the placenta are left in the uterus, as this may provoke an inflammatory process.
Do I need cleaning and what are the consequences?
In fact, complications after a spontaneous abortion of up to 12 weeks are rarely serious. The exception is situations when a woman independently tries to provoke it by taking questionable medications, tinctures and other popular methods.
But, to prevent the development of complications, an ultrasound scan should be performed. If necessary, the doctor will prescribe cleaning (pozakaniyami for its implementation may be the remaining particles of the placenta or fetus in the uterus).
After this procedure, it is recommended to abandon sexual activity for a month, and two weeks later, it is mandatory to visit a specialist for verification.
Is there a high chance of re-miscarriage?
If tests were taken, the reason for the termination of the first pregnancy was revealed, and appropriate measures were taken (that is, both partners underwent treatment if necessary), it is not worth talking about a high probability of a repeated loss. It can happen only for the above reasons or the lack of proper treatment after the first miscarriage.
When an operation is needed
Before determining whether scraping after miscarriage is necessary, it is worth considering what happens in the female body when the fetus is torn away and a spontaneous abortion happens on a short period (up to 20 weeks).
First, there are nagging pains in the lower abdomen, sometimes cramping and intolerable, bloody discharge from the vagina may appear brownish (many women, unaware of their pregnancy, take them for menstruation, which is painful due to the delay). At this stage, the fetus is still possible to save, because the cervix is still fully closed. But, unfortunately, at this moment few women seek medical help.
Further, inside the uterus, the chorion (the placenta or the baby’s place subsequently develops from this organ), through which the embryo was connected with the maternal organism, gradually exfoliates. The fetus begins to experience oxygen starvation. At this stage, spontaneous abortion can no longer be prevented. As a rule, if the pain is not very severe, the woman notes increased bleeding, which she considers to be menstrual.
The dead embryo is completely detached from the uterine wall, but still remains inside the genital organ.
The uterus begins to contract hard, trying to expel a foreign body from itself. In this case, the bleeding may be the same or increase slightly.
Finally, expulsion of the deceased ovum occurs when the vaginal discharge becomes abundant, with many bloody clots. This usually occurs on the 2-3rd day after the onset of bleeding. Sometimes women notice that a large gelatinous clot has fallen out that scared them, and sometimes it goes unnoticed.
Removal of the ovum from the uterus can be:
- complete (doctors leave such a miscarriage without cleaning),
- incomplete (you need additional curettage to remove the remnants of the embryo or placenta).
If, in the case of incomplete abortion, neglect the curettage procedure, there will be a risk of developing inflammatory diseases of the uterus and ovaries.
When scraping is needed
If a spontaneous abortion could not be prevented, then it is necessary to contact a gynecologist and undergo an appropriate examination to find out if a complete abortion has happened or not. It is often enough to diagnose an ultrasound scan, which shows how completely self-induced abortion has occurred and whether cleaning is necessary after miscarriage.
How the procedure proceeds
Many women who have already experienced the stress of having lost a child in the early period and having learned that pieces of the ovum remain in the uterus, are very much afraid of the procedure ahead. But fears are in vain - cleaning after miscarriage is the same as during an abortion. It is carried out under local or general anesthesia.
Depending on the results of ultrasound diagnostics, the method is chosen:
- Vacuum (if the remains of the embryo are small).
- Scraping (this is done if during the spontaneous abortion in the early period the fetus died and left the uterus not completely, but it is very difficult to determine the location on the endometrium of the remains of the ovum).
The operation is as follows:
- A woman is given anesthesia (general or local - the doctor decides).
- A special instrument is used to open the cervix and remove the upper layer of the endometrium (a mini-operation lasts 15-20 minutes).
После этого, как и при обычном аборте, который делается на небольшом сроке, пациентка проводит пару часов под врачебным наблюдением и отправляется домой.
Нормальными последствиями такой гинекологической мини-операции станут:
- Умеренные боли в нижней части живота, похожие на менструальные (продолжаются от нескольких часов до нескольких дней и не требуют медикаментозного лечения).
- Обильное кровоотделение, которое должно продолжаться не менее 10 дней (более раннее прекращение может послужить признаком спазма шейки матки и того, что кровь скапливается внутри нее).
Из-за чего может произойти самопроизвольное прерывание беременности
Женский организм очень сложен, и часто акушерам-гинекологам нелегко определить причину, по которой на раннем сроке беременность самостоятельно прерывается. Но все же в ходе клинико-лабораторных исследований были выявлены факторы, которые способствуют самопроизвольному аборту:
- Естественный отбор. This happens when the maternal organism "feels" the pathological mutation of the chromosomes of the fetus and rejects the embryo. The cause of the mutation may be the ecology, the wrong lifestyle of one or both parents, occupational hazards.
- Hormonal disruptions of the female body (for a full-fledged gestation and the birth of a healthy baby in the reproductive system of the mother must observe the necessary balance of hormones).
- Rhesus conflict, when a maternal organism with a negative Rhus perceives the embryo as an alien body and tries to destroy (with a negative Rh factor of a woman and a positive man, it is desirable to conduct training in accordance with medical recommendations during the planning period of conception).
- Genitourinary, sexually transmitted infections. If the infection affects the germ, then the principle of natural selection is triggered, when the mother's body expels the non-viable fetus.
- Previously performed abortions. Such intervention in the reproductive sphere can provoke the rejection of the ovum after a short period after the onset of development. Very often, a regular termination of pregnancy leads to the inability to bear the baby or even get pregnant.
- Drugs that the woman took, unaware of his conception. Some of the drugs can provoke chorion rejection.
- Stress. Prolonged stressful situations include defensive survival mechanisms that “pause” reproductive functions.
- Injuries. Dragging weights, falling or hitting the stomach can cause uterine spasms, which will lead to the rejection of the attached fetal egg.
How to avoid complications after miscarriage and cleansing
To avoid undesirable dangerous consequences, if a fetus has been rejected for up to 20 weeks, it is necessary to:
- Undergo a medical examination and, if necessary, cleanse the uterus from the chorionic particles and the embryo remaining in it.
Neglect of this procedure can provoke inflammation of the ovaries or uterus and lead to infertility.
- Identify and, if possible, treat the cause that caused the maternal organism to reject the fetus. If this is not done, this situation can become chronic, and it will be much more difficult to eliminate it.
- Carefully observe the nature of bleeding after the expulsion of the ovum and cleaning. Too early their cessation, or, conversely, the duration and profusion, can serve as a sign of developing gynecological pathology.
- Subsequently, closely monitor the course of menstruation and in case of deviation from the normal course, consult a gynecologist.
Is scraping necessary if the pregnancy is spontaneously interrupted? This question can only be answered by a doctor after the examination. But if there is a need for it, do not be afraid of this procedure, because with its help you can prevent the development of inflammatory processes and get a chance to experience the joy of motherhood.
Bulgakova Olga Viktorovna
Doctor obstetrician-gynecologist, Stavropol, Graduated from the Stavropol Medical Academy with honors. Residency in obstetrics and gynecology. Advanced training for the treatment of infertility.
When do you need to clean up a miscarriage on an early date?
Do I need to clean the uterus with miscarriage
If you have a miscarriage, is it necessary to clean the uterus, or can you “forget” about this incident, not go to the doctors and live peacefully? Much depends on the duration of pregnancy, the presence or absence of bleeding, its profusion, pain, etc.
A great many women at least once in their lives had a spontaneous miscarriage without cleansing, and all because they did not know at all that they were in a position. Quite often, the pregnancy is terminated in the first days after the onset of the delay, and if the woman does not follow her menstrual cycle very carefully, she may not notice it at all.
What is the difference between menstrual bleeding and the one that happens with miscarriage? Usually nothing. In the discharge can be a little more clots, but usually only slightly, if everything happened in the first days of the delay. But the fertilized egg is still so small that it is usually mistaken for a small clot. And the embryo in it is still not exactly considered.
Cleaning after miscarriage is necessary if the uterus is not completely clear. And this threatens with a complication - endometritis, inflammation of the endometrium. To understand that you have not yet all come out of the uterus can be a long discharge. Or if the discharge has ended, but after a few days it began again. Remember how much blood will go after a miscarriage without curettage is normal - this is no more than 7-8 days. That is about the same as during simple periods. If the bleeding lasts longer - it threatens not only the inflammatory process, but also iron deficiency anemia.
But even in this case, when incomplete miscarriage in the early period, cleaning in many cases is not recommended. If the pregnancy is interrupted by a delay of no more than 2-3 weeks - vacuum aspiration is possible. For this procedure, a very small dilation of the cervix is needed, nothing needs to be scraped, that is, the uterine cavity is not injured. And the procedure itself is transferred by a woman much easier, does not require anesthesia, only local anesthesia is sufficient. That is, during the procedure, the woman is conscious and can leave the clinic almost immediately. This procedure is done in the usual women's clinics.
But one way or another, it is possible to judge precisely that with the uterus, only by the results of ultrasound investigation.
The question remains unclear - when can one become pregnant after a miscarriage without cleaning, are there any restrictions on the minimum periods? If you are planning a child, you must do an ultrasound. As the uterus will be clear in what time it is feasible. If there are no residues of the fetal membranes in the uterus, no infectious diseases, nothing bothers, this miscarriage was the first, while the woman had previously undergone an examination that was optimal for those who are planning a child, then conception is possible as soon as possible.
The threat of miscarriage in the early stages and its causes
There are many factors that can trigger a threatened abortion, or even samoabort. This condition is especially characteristic of small terms, since this period of time is one of the critical periods. As a result of the impact of various environmental factors or internal adverse processes associated with the pathology of other organs and systems, at the time when the ovum is implanted (embedded) in the mucous wall of the uterus. Also, as one of the possible causes of samoaborta, the initial failure in the tab of the genetic material, as a result of which a deliberately unviable fetus is formed. Such damaged genetic material is subsequently rejected by the body by expelling the ovum from the uterus, with the result that we have a miscarriage in the early period.
Miscarriage in early pregnancy and its symptoms
Not always a woman is aware of pregnancy in her small terms, and may not be aware of the state of expulsion of the ovum, that is, miscarriage. Such situations quite often go unnoticed by either the patient or the medical staff. Only in case of complications a woman turns for help.
But when a representative of the fair sex is aware of her position, in the event of symptoms not characteristic of pregnancy, she tries to see a doctor. Some women are quite positive about the development of events when pregnancy is not desirable, but there are those for whom pregnancy was long-awaited. But in both cases, regardless of the goal pursued by patients, the symptoms have similar characteristics:
- the appearance of sharp pulling and cramping pains in the lower abdomen and lumbar region,
- pain, most often associated with previous sexual intercourse or excessive physical or psychological stress, although there are exceptions,
- the appearance of bloody discharge from the genital tract, which are aggravated after each pain,
- there may be common symptoms characteristic of many pathological conditions (general weakness, nausea, vomiting, dizziness, high and close to normal levels of body temperature, etc.),
The situation associated with spontaneous abortion poses a danger not only to the reproductive health of the woman, but also her life. In this regard, this situation should not be left to chance without medical control.
Miscarriage in the early term and "cleaning"
Miscarriage in the medical literature has the term spontaneous abortion, and there are several stages of such a condition. Depending on at what stage of spontaneous abortion the patient has requested medical assistance, the doctor determines whether to “purge”. This concept is a popular name. In fact, this process is called scraping, with the procedure involving both the uterine cavity and the cervical canal.
It is necessary to decide on when all the same need this scraping. The question of the need for such surgery is a doctor. If the patient has no complaints, the absence of parts of the ovum in the uterus is determined by ultrasound, then curettage is not required. But even if interventions are not required, the doctor observes the patient over time. For closer observation even possible hospitalization.
In cases where a woman continues to bleed, there are complaints of prolonged increasing pain, localized in the lower abdomen, and ultrasound detects parts of the ovum in the uterus, or by means of a gynecological examination, the ovum is determined in the cervical canal, then resort to scraping (cleaning).
By itself, miscarriage in early pregnancy is not dangerous, its complications are dangerous, situations where the process gets out of control.
Complications after miscarriage in the early period and further treatment
If a woman has recorded all of the above signs of self-abortion, or the interruption has already happened, there is a risk of complications. These include the accession of a secondary bacterial or other type of infection with the development of endometritis, bleeding from the uterus, leading to severe anemia, up to the removal of the uterus, as a source of bleeding.
Also, remotely, after a miscarriage at an early period, the patient may experience irregularities in the menstrual cycle, mental disorders, problems with conception, prolonged sluggish inflammatory diseases of the pelvic organs.
In such cases, when the patient has had a spontaneous abortion, or miscarriage, hormonal contraception is usually prescribed for the first time, in order to restore ovarian function, and as a contraceptive. And they also conduct a number of studies to identify the cause of the termination of pregnancy, and be sure to send the married couple for a consultation to genetics.
Kostyuzhev Artyom Sergeevich
Psychotherapist, sexologist. Specialist from the website b17.ru
cleaning is a must!
and who told you about a full narcosis ?? Local anesthesia usually.
Well, the doctor told you, do you think that you will be advised by the smarter here?
My friend had an ST, she was given a pill and sent home, said they had a drink and wait. She had a miscarriage, but no one even examined her after that, there was no question of an ultrasound at all, not that cleaning. They said that everything should be fine anyway. But we have it here in Holland, everything is so simple and never any complications. And she really is fine, then gave birth to a son.
How much current periods appeared before you go to bed, you should immediately call an ambulance! And go, there would be cleaning and everything would be fine. I had just a miscarriage, from the brown discharge began abundant. I called an ambulance. Anesthesia, I say, was common, yes. Introduced the needle, I fell asleep after a second. And I didn’t have to see a huge piece of jelly (something white of irregular shape ... covered in red streaks in a brown dense mass, thank God. I spent a week there, they helped me (some sensors put stomachs on my stomach to stimulate the stomach and there quickly healed) Well, that's all.
be sure to do an ultrasound. If the body itself is all rejection, then cleaning is not needed. Why extra intervention?
5, placental tissue may remain and this can lead to endometritis and bleeding. So who of us is a fool, you can still argue.
Uzi required! Jelly is not a miscarriage, but an exit of a hematoma, it is just that it is emptied. lots of blood and a piece of jelly. Check if the egg is still in place.
Change the doctor, what does it all mean, if you feel good? and vrrga decomposition and sepsis? It is necessary to exclude the presence of an egg in the uterus or to remove it by tabletting or by scraping. There is general anesthesia, usually diprivan, you will not feel it at all, sleep for about 15 minutes. then you can rest for a couple of hours and you can go home with a clear head.
you must see the doctor, as she said, and observe yourself until the next menstrual period. especially the temperature (ask more precisely the doctor). I had 2 miscarriages out clean, the doctor looked, cleaning was not needed. the nurse said she was lucky - the body managed itself (that is, it is not a single case). on the third pregnancy a son was born. good luck
6, this is also true. enlarged endometrium is better to remove in order to avoid inflammation in the future.
the doctor, in my opinion, is right. just do not leave it to chance, but check. I, after two births, unfortunately, remained. although after the last, they looked right away with a mirror, and an ultrasound on the track. day - and a month later, hello-pozhalasta (((recently, from the gynecological department. I was discharged from hospital), the placental polyp was scraped and inflammation was treated. Eh.
I did not do the cleaning. it all came out. track. pregnancy - the son was born.
I'm not in the subject a bit, but what can be a heartbeat at 6 week ??
12th, the fetal heartbeat on the 5th week is already there .. About curettage - do you think everything is scraped there to the smallest particles? In addition, if the fertilized egg remained in the uterus, then it is immediately TEMPERATURE and PAIN. And I have none. Cleaning is much worse than letting the body handle itself. Only in Russia, doctors refer to "get rid of it quickly - discharge from the ward," and then the girls pay with infertility and other sores ..
do it yet.
No, I definitely would not go. In my experience - the less you climb there, the better it functions.
not necessarily be temperature and pain. My pregnancy stopped at 5 weeks. and scraped to 9. I did not feel any signs of stopping, the uterus grew. toxicosis. the chest ached, but the egg was exactly 4 weeks.
16 and meyan no toxicosis! and the chest does not hurt! I feel myself to go to the disco! miscarriage coincided with the day of the beginning of menstruation! the blood is scarlet and nothing hurts - neither the stomach nor the head! and there is no temperature.
I had a miscarriage on the 7th week. I saw everything the same as the author - and the blood, and the released ovum. Then I asked the doctor to do an ultrasound - and if nothing was left in the uterus, do not do the scraping (I was sure that the miscarriage was complete). But no one asked me - during the inspection of the needle on the armchair in the vein, anesthesia, and cleaning. And good health! But I also had a good state of health - the temperature was normal, and no toxicosis, and no pain even when a miscarriage occurred.
Author, MANDATORY. Uzi, and then after the fact decide what to do. Just do not tighten with it. If even the smallest piece remains there, then after a few days you will have a temperature of 40 and severe inflammation. Then, in any case, they will clean you up, but it will be transferred much harder due to inflammation. And antibiotics will prick. I do not want to frighten, but it is better to be safe
The author of the ultrasound and everything, according to its results, decide, I have a second miscarriage purely out myself. On the ultrasound, the uterus was slightly enlarged, and that was all. no remnants of anything .. But the view that I’ve left I will never forget.
Give links where they write that maybe cleaning is not needed. I am the author.
Repeated ultrasound after abortion required. And you talk about miscarriage. Do not be stupid
21, do not go to the person, you are stupid here !! abortion and miscarriage are two different things.
Abortion (abortus artificialis) is a deliberate abortion. A miscarriage - when the very "rejected"
I had one miscarriage, only severe bleeding with pains, or rather the first two days without pain, they still hoped to save; woke up already. In the morning we were discharged home, again the pains, we went to the hospital - in the uterine cavity 9 mm of something, we prescribed oxytocin, drank - something came out, something appeared again. We thought to do a second cleaning, we decided to wait for menstruation. Monthly came. out of me there has never been MUCH a lot of blood! The second periods are smaller. On the third is already normal.
So, the author, on ultrasound should be 100%
abortion is not only medical, but also spontaneous, it is also a miscarriage.
The doctor said everything correctly - ultrasound and then decide. The uterus should be sterile, and if there remains to rot begin. You know, nothing good.
I am amazed that "experts" write here! Who scared you so much ?! Why bother with chemicals (anesthesia) and injure the uterus? Здоровый организм сам знает как себя очистить. У меня два выкидша было. Первый раз на 14-й неделе обнаружили что беременность замерла в 6 недель. Плодное яйцо вышло сразу, а "ошмётки" выходили еще пару недель - вышли сами! Второй раз выкидыш был в 4 1/2 недели, и опять всё само вышло со временем. Здесь, в Штатах, врачи предпочитают без надобности не вмешиваться, только советуют следить чтобы не было запаха оттуда. Так что, автор, Ваш врачь Вам хороший вариант предлагает.
Is a D&C necessary after a miscarriage?
About 50% of women who miscarry do not undergo a D&C procedure. Women can safely miscarry on their own, with few problems in pregnancies that end before 10 weeks. After 10 weeks, the miscarriage is more likely to be incomplete, requiring a D&C procedure to be performed. Choosing whether to miscarry naturally (called expectant management) or to have a D&C procedure is often a personal choice, best decided after talking with your health care provider.
It is your desire to help you. What is the most important part of the process? It is a fact that the process has been carried out. For most first trimester miscarriages, expectant management should be a viable option.
For all women, it’s a challenge. Once the D & C procedure is done. It may be necessary to make it possible for women to use it for more than 10-12 weeks.
I got pregnant but didn’t plan now I want an abortion, but I’m afraid if there are any drugs or how you can make the discovery go terribly afraid of an abortion and I don’t have a long time on July 28 I had monthly periods and I don’t buy tests that help pregnant girls.
Lala, you still have time for a vacuum if you hurry. In general, you are a fool.
lana, you're really a fool
What a vacuum. Child conception man !! How can one so cynically dispose of the life of a person who can see the light?
Yes, Lana, you are really a fool. People do not know how to save a pregnancy, and you want to destroy. Do not anger God ..
Abortion is nothing more than the murder of his own child.
but I did not go for cleaning after a miscarriage at week 7, although the doctor advised, but at the same time did not insist. Now a week has passed, the uterus (by ultrasound) has not yet cleared. Inject antibiotics and reducing drugs. One doctor reassured, he said, wait until menstruation, everything should come out, only while insure with antibiotics and antiseptics. The other two doctors scare the onset of endometritis. But I hold on, I hope, trying to make it to menstruation. After the cleaning, there will be problems with the attachment of the next fruit. heard such stories. I am very worried, I took upon myself the responsibility for my decision not to clean. Now I’m suffering and hope for my body :) Two more weeks before menstruation in such agony.
I can say one thing for sure: if you do not want to be cleaned, your right. But go to the ultrasound, not the enemy herself!
girls, hello everyone. I am 25 years old, I have a wonderful little daughter, the pregnancy with her was wonderful. Three years later I became pregnant again, but now on the fifth week bleeding began, a very strong pain in the lower abdomen and lower back, I think it most likely awakens the miscarriage, because I don’t see any reason to keep such a small pregnancy if you have already gone Problems. Right now I don’t know what to do, wait a couple of days and go to the genecologist, or go straight to the ultrasound. I feel disgusting, very much afraid if they are scanty and amused I am afraid. My family almost fell apart, and here I got pregnant and we were so happy about it, but alas, I don’t even know what to do.
cleaning is a must! and who told you about a full narcosis ?? Local anesthesia usually.
I am 27, first pregnancy, ned6-7, everything was fine, but about 6 days ago I started to pull my left side, and 3 days ago I began to smear, first a little, then stronger, with small clots of brown color, not strong, but not very pleasant appeared lower abdominal pain, temperature is normal !! I think it is. = (tomorrow
I'm going to an ultrasound, I'm very afraid.
I am 36 years old, two school children, gave birth both times by Cesarean section. After 3 years after 2 births she became pregnant again, did not want to leave the child and signed up for an abortion, while she was undergoing all tests, brown discharge began. The doctor said that it begins a miscarriage, most likely due to the fact that the uterus is badly injured by two operations. I didn’t go for an abortion, I just waited, about the 8th day there was a miscarriage, a fertilized egg came out, the menstrual periods were abundant, but they didn’t cause much anxiety. After that, she underwent an ultrasound scan, the doctor insisted on cleaning, scared with all sorts of terrible consequences, even death. But I just turned around and left, waited for the next menstruation, everything went fine. For 10 years, the situation was repeated 3 times, when it happened the last time, I didn’t even go to the doctors, after a miscarriage I pierced the uterus-reducing medication, then I did an ultrasound at a private clinic, they said everything is fine. I really want to give advice to those who have encountered such a situation for the first time: do not rush to clean, you will always have time to scrap the uterus, try to do it with medication, without surgery, listen to your body. In female gynecology, everything is so calculated that our internal organs are able to cope with this problem, you need only a little help. We immediately rush to go to the operating table and the doctors help us with this, because they take money for such operations, but they don’t want to treat them. Control ultrasound certainly necessary, but I always went to the ultrasound after the second menstruation after a miscarriage. Good health.
Oh, girls, I didn’t go for cleaning either, I don’t know that I shouldn’t, there was a 3 week period, but there was a miscarriage, right in the hospital, she was rolling around on pain, doctors did not care, she begged to be saved by any means, the baby was welcome answered natural selection, and left an hour later. damn, he was big, see 5! it turns out and the term is not the same, and everything is not that, the doctors themselves argued among themselves, that's all! I do not believe them anymore! here on the branches they write a lot of positive things, the girls immediately become pregnant, give birth, and without cleansing, and on the trail. a month after a miscarriage, well done, for support here only :-) so who will advise, do you need to drink antibiotics? that inflammation was not.
The main signs of miscarriage
The most common and symptoms are aching pain in the lower abdomen and bleeding (of any intensity). The pain (it has a wave-like character) is sometimes transmitted to the lower back. Discharges can also indicate a threatened miscarriage, and if they are brown or red, you should definitely go to the hospital.
Note! With a strong bleeding, the chances of keeping the baby are much less than with a small one. But if the discharge contains bits of flesh, then the miscarriage has already happened.
Less commonly, the symptom is uterine tone, accompanied by pain and discomfort. And if the tone is not accompanied by anything, in such cases, doctors advise to reduce the number of stressful situations and reduce physical exertion. Sometimes, even with all the signs listed above, pregnancy proceeds normally, but, of course, exclusively under medical supervision.
If at least one of the symptoms has been noticed, then you should immediately go to the hospital.
- Genetic abnormalities cause miscarriage in cases. But there is no need to panic, because these violations are usually random and occur due to radiation, various kinds of viral infections and so on. Such miscarriages can be considered a form of natural selection, when nature gets rid of the sick or unviable offspring.
- Hormonal disorders can also trigger an interruption. Often, progesterone deficiency leads to this, although with timely diagnosis and treatment of the child can be saved (prescribed a course of hormonal drugs). Another disorder is an increased concentration of a male hormone that prevents the production of estrogen and progesterone.
- Sometimes the Rh conflict occurs, i.e. when the mother and the fetus have different Rh factors. As a result, the mother's body sees something alien in the embryo and, consequently, rejects it.
- Infectious diseases that are sexually transmitted also cause abortion. These include chlamydia, gonorrhea, syphilis, etc. In addition, there is also a cytomegalovirus with herpes, causing miscarriage in approximately 1/5 of cases. It must be remembered that most of the infections result without any symptoms, so it is recommended to test for the presence of an STI before conception and, if necessary, to undergo treatment, otherwise the pathogenic virus infects the fetus and provokes a miscarriage.
- Abortions that happened before. If a woman has already had an abortion, it can lead to miscarriage or, in the worst case, sterility.
- Wrong way of life. Even at the planning stage, you should give up bad habits.
- In the early term, taking any medications is undesirable, otherwise defects in the development of the embryo may occur.
- Strong stress, tension, grief - all this can have a negative impact on the development of a new life. In such cases, the use of certain sedatives is acceptable, but only on prescription.
- Rarely, too frequent hot baths result in spontaneous miscarriages. Of course, no one forbids pregnant women to swim, but it does not need to forget about safety. So, the water temperature is not allowed to be too high, and the duration of the procedure should not exceed 15 minutes.
- Excessive physical exertion or accidental drops can lead to miscarriage, but only for one of the above reasons.
Note! Usually, the fetus dies before its hatching begins.
Early miscarriage: what to do?
Early miscarriages include miscarriages up to 12 weeks. The reasons for this may be many, although the following are considered to be the main ones:
- the presence of various infections in the mother,
- general weakened state of health and the presence of a woman in a position of chronic diseases of internal organs,
- history of abortion,
- taking pregnant drugs and some rights with abortive properties,
- severe stress
- heavy exercise
- fall and other injuries after conception,
- hot bath
- unhealthy lifestyle (smoking, drinking alcohol, taking illegal drugs).
Symptoms of miscarriage in early pregnancy
Before taking any action, you should make sure that there is a loss of the fetus. To understand what happened miscarriage in the early period will help the characteristic symptoms, which include:
- Uterine bleeding of any intensity, since even if a miscarriage did not occur, there is a great threat of spontaneous abortion.
Do I need cleaning after a miscarriage in the first trimester?
If a miscarriage occurred before 5 weeks, most women may not notice this, since they will take symptoms for a normal menstruation, which came with some delay (if the test was not done during the first days of the delay, as well as to determine an interesting position on such term he is capable of). The pain is also not so obvious as with the loss of the baby after a couple more weeks.
Cleaning, which is the process of curettage of a dead fetus from the uterus, is almost always required, since its complete expulsion after spontaneous abortion occurs extremely rarely.
At home, it is impossible to determine if cleaning is required, so it is necessary to consult a specialist after the bleeding stops (in the case when the bleeding does not stop for a long time, calling an ambulance is a necessity). The doctor will conduct a full examination and only if necessary will appoint such a procedure as cleaning. It will be preceded by the preparation of a woman, during which her body will be cleansed (an enema is used). Also, a specialist will find out if there are allergic manifestations and other contraindications to the use of anesthesia.
Purification of the uterus from the remnants of the ovum and the membranes - a necessity, ignoring which can lead to the development of genital infections of varying severity and a general deterioration in health up to infertility.