This is an automatically translated article.
The article was professionally consulted by Specialist Doctor II Pham Thi Tuyet Mai - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.Early miscarriage is a condition that many pregnant women face and are worried about when they repeatedly have an early miscarriage or have had it for the first time in their pregnancy. Women need to know clearly what causes early spontaneous abortion and whether early miscarriage has any effect on future pregnancy or not.
1. What is a natural early miscarriage?
Natural miscarriage has 3 types:Pregnant woman and then bleeding, the gestational sac comes out automatically, this is a very common form. A woman who has a gestational sac, embryo and fetal heart, but then the fetal heart stops working, and the gestational sac remains in the uterus, is called a stillbirth. In this case, the pregnant woman needs to be taken out as soon as possible, because if left for a long time, it will lead to bleeding, infection, danger to the pregnant woman and affect future pregnancies. The state of an empty egg means that a pregnant woman is pregnant but the gestational sac is empty and there is no embryo. Empty eggs are a form of fetal cessation. In this case, it is necessary to remove the pregnancy early, otherwise, it will create conditions for bacteria to develop, causing uterine infection, sepsis, even hysterectomy.
Sảy thai tự nhiên có 3 dạng
2. What are the causes of natural early miscarriage?
Pregnant women with abnormal structure in the uterus from congenital double uterus, horned uterus, septum, uterus is a series of fibroids ... or pregnant women suffering from diseases such as uterine fibroids, endometriosis endometrial endometrium, adhesions to the uterine cavity after an improper abortion... This will affect the development of the fetus, causing a high risk of early miscarriage. Pregnant women with endocrine abnormalities such as luteal insufficiency, do not provide enough hormones for the fetus to develop, leading to fetal distress and failure to develop. Or women with polycystic ovaries, it is very difficult to get pregnant and easily miscarry, so when there is, you must be very careful in pregnancy care. Pregnant women with medical conditions such as thyroid disease, diabetes, cardiovascular disease or anemia. If these diseases are not treated stably, they should not become pregnant to avoid affecting the development of the fetus or even early miscarriage.Females have chromosomal abnormalities, up to 90% of spontaneous miscarriages are related to chromosomal abnormalities. This condition occurs in a spouse or both, affecting the cell division of the zygote, creating an embryo that is abnormal and difficult to maintain.
Immune factors, autoimmune disorders such as antiphospholipid syndrome cause microvascular embolism, leading to anemia, fetal growth arrest.
Trắc nghiệm: Bạn có hiểu đúng về dấu hiệu mang thai sớm?
Các dấu hiệu mang thai sớm không phải chỉ mỗi trễ kinh mà còn có rất nhiều dấu hiệu khác như xuất huyết âm đạo, ngực căng tức,… Điểm xem bạn biết được bao nhiêu dấu hiệu mang thai sớm thông qua bài trắc nghiệm này nhé!
3. Does an early miscarriage have any effect?
Thai phụ nếu đã sảy thai sớm liên tiếp 2-3 lần trở lên và chưa sinh lần nào giữa các lần sảy thai thì nên được khám sản khoa
The Obstetrician and Gynecologist will check for endocrine-related diseases, the structure of the uterus, the ovaries of the wife, as well as test the couple's sex hormones, test the husband's semen, test two chromosomal couple... for a comprehensive assessment and detection of the cause of consecutive early miscarriages.
Then the doctor will have a suitable and correct solution to the condition.
If women have uterine fibroids, they will have surgery to remove the fibroids, or surgery to separate the uterus. If you have medical problems, you will be referred to a specialist for the best stable treatment.
If you encounter chromosomal abnormalities, you will be consulted with the support of reproductive support measures such as asking for sperm, eggs, and embryos depending on each specific case...
If pregnant with antiphospholipid syndrome will be treated with low-molecular-weight heparin to reduce the risk of thrombosis.
Even if the cause cannot be found, the doctor will have a special pregnancy regimen to actively supplement hormones for pregnant women, or will follow up to determine the cause. In case the uterus is a series of fibroids, there will be a solution through a surrogate.
Early miscarriage does not cause too many dangerous effects for pregnant women. If a woman has an early miscarriage within two and a half months, a woman can wait for her period to return, and there is a chance that she will get pregnant again. Should not be too worried to the point of obsession, affecting subsequent conceptions.
Miscarriage is a complication that no woman wants, so early recognition of the signs and risks of miscarriage is something that women should know to prevent and coordinate with their doctor to come up with a treatment plan. In the case of having to handle pregnancy, there will be a scientific way to handle each type of miscarriage, minimizing the risk to the mother.
To minimize complications during pregnancy and prepare for a healthy pregnancy, both husband and wife should have a reproductive health checkup 3-5 months before becoming pregnant.
The wife should:
Get vaccinated before pregnancy (especially against rubella because rubella in pregnancy is extremely dangerous ) Genetic testing to screen for genetic diseases before pregnancy Check for secondary infections In particular, women over 35 years of age, if they want to become pregnant (especially if they have never been pregnant), will have to have a very detailed health check because pregnancy at this age often problems: Ovarian failure, premature birth, higher risk of birth defects, placenta previa, preeclampsia. The husband should:
Check reproductive health, detect diseases of testicular atrophy, physiological weakness, weak sperm... Sexually transmitted diseases, especially those that cannot be cured, are extremely dangerous. Vinmec currently has many comprehensive health care programs for couples, pregnant mothers and their unborn babies, including basic pre-marital examination packages, advanced pre-marital examination packages, and maternity packages. . Vinmec has a team of experienced doctors in the fields of obstetrics and gynecology, IVF, stem cells, gene technology, capable of synchronously and comprehensively deploying the most advanced assisted reproductive techniques today.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
