A miscarriage is the loss of a pregnancy before the 23rd week of pregnancy. According to the American Maternity Association, miscarriage accounts for 10 to 15 percent of all pregnancies, and 80 percent of miscarriages occur before 12 weeks of pregnancy. Let’s find out the reasons for miscarriage in first trimester in this article!
Causes of miscarriage
Placental problems: Miscarriages during the first 3 months of pregnancy are often attributed to problems with the developing fetus. The placenta is the organ that connects the baby’s body with the mother’s body, transporting nutrients from the mother’s body to the fetus for the fetus to develop. Therefore, if there is a problem with the placenta, it can affect the growth and development of the baby, and even cause a miscarriage.
Chromosomal problems: The biggest cause of first-trimester miscarriages are chromosome-related. The reason is that the zygote formed by fertilization between a sperm and an egg has a problem with the number of chromosomes, which can be either a lack or an excess of chromosomes.
Hormonal imbalance: Hormones have an extremely important role in pregnancy. For example, the hormone progesterone plays an important role in helping the placenta attach to the uterine wall, if the mother’s body does not have enough progesterone, the placenta will easily detach and lead to miscarriage.
Immune disorders: When the immune system is over or underactive, there can be a risk of recurrence. Simply put, the mother’s body does not accept the pregnancy.
Maternal health condition: Having a medical condition during pregnancy, such as diabetes, high blood pressure during pregnancy, lupus, kidney disease, and problems with the thyroid gland, etc., can increase your risk. chance of miscarriage.
Infectious disease: An infection can cause the amniotic sac to rupture prematurely, or it can also cause the cervix to open too quickly.
Food poisoning: Food poisoning can also lead to miscarriage.
Uterine structure: Uterine abnormalities such as septum uterus, unicornuate uterus, and bicornuate uterus can cause miscarriage.
Cervical fissure: Cervical fissures can lead to miscarriage. If the mother’s cervix is too weak, it will be difficult to hold the fetus.
Signs of miscarriage
Signs of a miscarriage can vary from person to person, and some women experience all of them while others experience only mild changes in their bodies:
Loss of pregnancy symptoms: For mothers who are experiencing morning sickness but suddenly lose signs such as breasts no longer tight, and no nausea.
Irregular bleeding: If the vaginal bleeding is bright red and then stops, repeatedly, the color of the blood also changes from bright red to ripe plum brown, which is a sign that the hormone levels are dropping and Miscarriage may occur.
Lower abdominal pain, and back pain: This symptom is similar to when you have menstrual pain. But it is also the most common sign of miscarriage and ectopic pregnancy. Therefore, if you notice uterine contractions (about every 5-20 minutes) that make you feel tight and difficult to breathe, followed by vaginal bleeding, you need to see your doctor right away.
Cramps with bleeding: If the cramps are accompanied by vaginal bleeding and difficulty breathing, you are most likely to have a miscarriage.
Prevention of miscarriage in the first 3 months
From the cause of miscarriage, the specialist gives the following recommendations to couples:
Go to a pre-marital doctor to determine the health of both of you before getting pregnant.
For those who are pregnant, it is necessary to limit heavy labor.
Good working environment, pregnant women should avoid cigarette smoke, hot spicy food during pregnancy, or stimulants such as alcohol, and coffee.
When there are signs of a missed period, you should go to the doctor as soon as possible to check whether the pregnancy is in the uterus or not. There are many cases where the thought of miscarriage is threatened, but in fact, an ectopic pregnancy is very dangerous.
Pregnancy screening tests are prescribed by a specialist.
If the mother has a history of threatened miscarriage or miscarriage, she must abstain from marital relations.
During the first 3 months of pregnancy, you should limit going to epidemic places and get vaccinated before pregnancy to help prevent diseases.
Pelvic pressure: If the pelvic pressure from the fetus is heavy and is accompanied by vaginal bleeding and cramping, it is a very clear sign that you are about to miscarry.
Excessive vaginal discharge: Abnormal vaginal discharge with blood clots and pink-colored fluid can be a sign that you are about to miscarry. Especially when this slime has a strong odor, it is very worrying.
Negative pregnancy test: A positive than negative pregnancy test is a typical sign of an ectopic pregnancy, and is often accompanied by spotting.
When can I start getting pregnant again?
If the miscarriage is not resolved, bleeding is still visible, or the ultrasound detects an empty gestational sac, the doctor will perform an abortion. Some people still see bleeding a few days after abortion because HCG is still circulating in the body, so the woman will not ovulate or get her period again. In most cases, it takes about 10 days for HCG levels to stabilize and hormone levels to return to pre-pregnancy levels. Many women get their period again within 4-6 weeks of a miscarriage, which is a sign that ovulation and fertility have returned to normal.
However, doctors also advise couples trying to conceive, after a miscarriage to wait for the bleeding to stop, the hormone levels to be stable, and to feel physically and psychologically healthy enough, the chances of pregnancy will be improved. The next pregnancy will be better. Usually, after 3 months couples can conceive again.
Once there is a history of miscarriage, extreme caution should be exercised in subsequent pregnancies to avoid risks. You should be screened before becoming pregnant and fully vaccinated.
This helps to know your health status, promptly treat and prevent the risk of diseases if any, supplement the necessary nutrients, and create the best conditions for the fetus to develop right from the time of preparation of pregnancy, which helps identify genetic risk factors. Especially in cases where the parents are suffering from obstetric and gynecological diseases, chronic diseases, have been pregnant, or gave birth to a child with birth defects.
Miscarriage is the last thing you want so make sure you take good care of yourself while pregnant and follow a proper diet to improve your baby’s health.
Top News hopes this article can help you learn more about the reasons for miscarriage in first trimester and wishes you and your baby all the best!
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