General Practice 2022

8 main miscarriage symptoms

Table of contents:

8 main miscarriage symptoms
8 main miscarriage symptoms

Signs and symptoms of abortion can appear in any pregnant woman up to 20 weeks of gestation, the main ones being:

  1. Fever and chills;
  2. Smelly vaginal discharge;
  3. Blood loss from the vagina, which may start with a brownish color;
  4. Severe abdominal pain, like intense menstrual cramps;
  5. Loss of fluid from the vagina, with or without pain;
  6. Loss of blood clots from the vagina;
  7. Intense or constant headache;
  8. Absence of fetal movement for more than 5 hours.

Some situations that can lead to abortion, which can start suddenly, with no apparent cause, such as fetal malformation, excessive consumption of alcoholic beverages or drugs, trauma to the abdominal region, infections and diseases such as diabetes and hypertension, when these are not properly controlled during pregnancy.See the main causes of miscarriage.

What to do in case of suspicion

In case of suspicion of miscarriage, what you should do is go to the hospital as soon as possible and explain your symptoms to the doctor. The doctor should order some tests to check that the baby is doing well and, if necessary, indicate the appropriate treatment, which may include the use of medication and complete rest.

How to know if it's a miscarriage or period?

In some situations it can be more difficult to differentiate bleeding from a missed period and a miscarriage. In the case of abortion, bleeding is usually more reddish and can have an intense smell, it is abundant, being difficult to be contained by the tampon, and it is possible to notice larger clots and more gray tissue.

On the other hand, late period bleeding is slightly reddish brown, can be easily contained by tampon, and small clots can be seen in some cases. See in more detail how to differentiate delayed menstruation and miscarriage.

How to avoid a miscarriage

Abortion prevention can be done through some measures, such as, for example, not drinking alcoholic beverages and avoiding taking any type of medication without the doctor's knowledge. Know the drugs that can cause miscarriage;

Furthermore, pregnant women should only practice light or moderate physical exercises or exercises especially indicated for pregnant women and perform prenatal care, attending all appointments and performing all required tests.

Some women have a greater difficulty in carrying a pregnancy to term and are at greater risk of having a miscarriage and, therefore, should be monitored weekly by a doctor.

Types of abortion

Abortion can be classified as early, when the fetus is lost before the 12th week of gestation, or late, when the fetus is lost between the 12th and 20th week of gestation.In some cases, it may be medically induced, usually for therapeutic reasons.

When an abortion occurs, the expulsion of the uterine contents may occur completely, not occur or may not occur completely, and can be classified as follows:

  • Incomplete,when only part of the uterine contents is expelled or there is a rupture of the membranes,
  • Complete,when all uterine contents are expelled;
  • Retained,when the fetus is retained dead in the uterus for 4 weeks or more.

After the abortion, the woman must be analyzed by the doctor, who checks if there are still traces of the embryo inside the uterus and, if this happens, a curettage must be performed. In some cases, the doctor may prescribe drugs that cause the expulsion of embryonic remains or may perform surgery to remove the fetus immediately.

Physical and psychological consequences of abortion

After an abortion, some women may develop post-abortion syndrome, which is characterized by psychological changes that can directly interfere with their quality of life, such as feelings of guilt, anguish, anxiety, depression, self-punitive behaviors, eating disorders and alcoholism.

Physical complications of abortion are more common when the abortion is induced and when the procedure is performed in an environment with precarious sanitary conditions or when it is performed by a poorly trained doctor, with a greater risk of:

  • Perforation of the uterus;
  • Retention of placental debris that can lead to uterine infection;
  • Tetanus, when the procedure is performed in an environment with poor sanitary conditions;
  • Sterility, as there may be irreversible damage to the woman's reproductive system;
  • Inflammation of the tubes and uterus that can spread throughout the body, putting a woman's life at risk.

This list of complications tends to increase with time of pregnancy because the more developed the baby is, the worse the consequences for the woman.

In the case of a miscarriage, the consequences can happen when the woman does not go to the doctor after the abortion to check if there has been complete expulsion of the embryonic remains, since the permanence of these tissues in the woman's body can favor the occurrence of infections.

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