How long does it take to get pregnant again?

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor II Bui Minh Phuc - Department of Obstetrics and Gynecology, Vinmec Ha Long International General Hospital.
Miscarriage is a very painful and undesirable event for many couples. Looking forward to getting pregnant after a miscarriage is a desire of many couples to help ease the grief and anxiety caused by a miscarriage. So how long does it take to get pregnant again? Below is the answer of Doctor Bui Minh Phuc, Department of Obstetrics and Gynecology, Vinmec Ha Long Hospital.

1. What is a miscarriage?

Miscarriage is the expulsion of a fetus from the uterus before the 22nd week of pregnancy. An early miscarriage is a miscarriage before 12 weeks and a late miscarriage is between 12-20 weeks. According to the results of a study, 85% of women who have had one miscarriage will have a safe pregnancy within the next few weeks. Next time, 75% of women who have had 2 or 3 miscarriages will have a successful pregnancy in the next times.

2. How long does it take to get pregnant again after a miscarriage?

After a miscarriage, it takes 2-3 weeks for the body to let the uterus drain out of the remaining fluid and blood, as well as for the cervix to close after the miscarriage. Menstrual cycle will return 4-8 weeks from the date of miscarriage.
2.1 Case of a miscarriage According to the World Health Organization (WHO) recommendation, you and your husband should wait at least 6 months before getting pregnant again. This period will give your body time to recover, the lining of the uterus is healthy and ready for a new pregnancy. However, as published in the journal Obstetrics and Gynecology shows, shortening the time to get pregnant again after a previous miscarriage will bring a lot of benefits to both mother and fetus. Accordingly, couples who try to conceive again within 3 months of miscarriage have a 71% increased chance of conception.. Thus, mothers do not need to follow this timeline rigidly. There is no exact data on how long a mother should wait, but at least 3 to 6 months is a reasonable time for a mother to have another baby after a miscarriage.

2.2 Miscarriage twice or more If you have had two or more miscarriages, you should go to medical facilities to be examined by a doctor and make the most appropriate choice.
Egg pregnancy : Egg pregnancy is a condition in which part or all of the placenta is degenerated into large and small sacs of fluid that stick together into bunches like bunches of grapes occupying the entire area of ​​the uterus, overwhelming the growth of the uterus. fetus. If it is determined that it is an ovum, it should be treated as soon as possible. In case the eggs have not been released, scrape or suck. For women who are over 40 years old or do not want to have children anymore, hysterectomy may be indicated to prevent malignant complications. After egg aspiration, the patient is monitored for contraction of the uterus, thyroid cyst and metastatic nucleus.

Follow-up after curettage: Clinical: General status, morning sickness, vaginal bleeding, uterine contractions, thyroid cysts and metastatic nodules. Paraclinical:
Quantify Beta-HCG every week until negative 3 times in a row then quantitative quantification once a month until the end of 12 months. From the second year: every 2 months for the first 6 months and every 3 months for the next 6 months. Ultrasound: Find metastatic nodules and monitor thyroid cysts. After curettage, it is necessary to monitor Beta-HCG every week, until it is negative 3 times. The time for HCG to return negative is usually after 60-70 days. After discharge, the patient must be continuously monitored every 2 weeks for the first 3 months, once every 4 weeks for the next 6 months and once every 8 weeks for the next 8 months. During the follow-up period, the patient did not get pregnant, because it is possible to get pregnant in subsequent pregnancies. It is imperative to check the level of HCG in the urine when trying to get pregnant again. And it is best to practice contraception for at least 12-18 months to have enough time to monitor and predict the risk of turning into malignancy.
3. Risk to the mother when planning to get pregnant earlier than recommended by the doctor Usually, couples want to have a baby again soon after a miscarriage. However, the mother's body needs some time to recover. Being pregnant right after a miscarriage can expose the mother to a number of risks such as:
Failure to ensure the health status has not yet recovered, leading to anemia in the fetus, and the pregnant mother's body is easily impaired. Weakness and fetal development are not guaranteed to be safe. The mother's psyche may not be ready for the next pregnancy. If before the period returns, the mother is pregnant, then she will not be able to determine the milestones in her cycle, including the time of ovulation. Thus, the mother will not be able to determine the time of conception or detect early signs of pregnancy. 4. In case the pregnancy plan is broken earlier than the doctor's recommendation, what should the pregnant mother do? In case the pregnant mother has good resistance and is completely psychologically stable, she can still get pregnant again, but this is not recommended. However, in the event of an unintended pregnancy after a miscarriage, to be safe, pregnant women should take care of themselves more by supplementing with essential nutrients for the body, strengthening the spirit, and having regular check-ups. according to the doctor's schedule.
5. Tips for pregnancy after miscarriage Maintain a balanced, regular and healthy diet.

Avoid smoking and drinking alcohol. Check your weight: a BMI between 22 and 24 is ideal for conceiving. Avoid consuming too much caffeine: 2 cups of coffee a day increases the risk of miscarriage. Complete folic acid supplement. It is possible to add fish such as salmon, tuna, mackerel... to the daily menu because fish contains a lot of omega-3 which helps to improve blood flow and prevent abnormal blood clotting. Provide enough vitamin D, iron, zinc and calcium for the body through diet or direct supplementation through oral tablets as prescribed by the doctor. In addition, mothers should avoid some things such as: Abstain from cold, do not do heavy work, abstain from sex in the first 3 months because there is a risk of increasing the possibility of miscarriage. Most importantly, pregnant women should keep a comfortable mind, quickly remove old pain so that the pregnancy is as safe as possible. 6. Examinations at Vinmec after miscarriage Assessment: general condition, bleeding, infection not for intensive resuscitation or appropriate and timely antibiotic use. Ultrasound determines complete or incomplete miscarriage to decide whether a hysterectomy, surgical or pharmacological cleaning is needed. Drugs after the procedure: drugs to increase uterine contractions, antibiotics to prevent infection. Find the cause to prevent the next pregnancy.

Hopefully the above information has answered the question "how long after a miscarriage can I get pregnant again". Just because you've had the misfortune of having a miscarriage doesn't mean you're at high risk of miscarriage from now on. What a mother needs to do after a miscarriage is to ensure her health, keep herself as comfortable as possible, which will be favorable for the development of the fetus in the next pregnancy and especially will limit the possibility of miscarriage.
To maximize fertility and ensure a healthy pregnancy, before planning a pregnancy, both husband and wife should have a reproductive health checkup 3-5 months before becoming pregnant. You will be examined for fertility and sexual health, screened for sexually transmitted diseases, and screened for genetic diseases. In particular, this examination process will be able to detect early causes that can lead to infertility and infertility so that early intervention measures can be taken. Doctors will also advise on the best time to give birth and measures to be able to give birth to healthy and intelligent children.
Currently, Vinmec International General Hospital is implementing basic and advanced pre-marital reproductive health packages. This examination package will help you know your health status, promptly treat and prevent the risk of diseases if any, supplement the necessary nutrients, create the best conditions for the fetus to develop right away. From the time of pregnancy, it helps to identify risk factors related to genetics, 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 the disease. birth defects. After performing the necessary screening tests for both men and women, the doctors will analyze the results and give advice tailored to each case. All customer information is kept confidential, ensuring privacy.
In particular, Vinmec has a Fertility Support Center, which is the leading modern center in Vietnam built and applied a treatment process that coordinates comprehensive examination, combining both male and female obstetrics and gynecology to give birth. provide the optimal solution for each customer case. The medical team are highly qualified and experienced experts, capable of synchronously and comprehensively deploying the most advanced assisted reproductive techniques today. Vinmec Research Institute of Stem Cells and Gene Technology is located next to Vinmec Center for Reproductive Support, which is convenient for consulting and diagnosing genetic diseases.
If you have a need for a pre-marital health check-up at Vinmec, please book an appointment directly at the website for service.

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.