This is an automatically translated article.
The article was professionally consulted by Specialist Doctor Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.
An incomplete miscarriage, also known as an incomplete miscarriage, is a miscarriage, but part of the pregnancy remains in the uterus. Vaginal examination showed bleeding according to the finger, dilated cervix, and uterine mass smaller than gestational age.
1. What is an incomplete miscarriage?
Incomplete miscarriage, also known as incomplete miscarriage, is a case where part of the fetus and placenta are still in the uterus, not yet expelled. Usually, the fetus before 10 weeks of miscarriage is completely expelled, but after 10 weeks, the fetus and placenta are often separated. Patients with persistent bleeding sometimes bleed heavily, but rarely lead to death.
There are many causes of incomplete miscarriage, the causes may be due to pregnancy, abnormalities in the mother's body or environmental factors:
Causes of pregnancy:
The fetus has an abnormality in infection. chromophore. Chromosomal studies in aborted fetuses show that 50-85% of miscarriages are due to chromosomal abnormalities. The most common chromosomal disorders are autosomes 6,12,13,16,17,18,21 or sex chromosomes, or haploid, triploid, or haploid chromosomes. mosaic,... Abnormal pregnancy, nesting in the corner or waist prone to miscarriage. Twins, triplets, polyhydramnios, and partial or total ovum also increase the risk of miscarriage. Maternal causes:
Endometrial lining does not develop, hormonal imbalance especially in women with pathologies in the adrenal gland, thyroid gland. The mother has an acute infection that causes the fetus to die due to infection, or the infection will increase the body temperature, causing uterine contractions and miscarriage. The mother is traumatized by abdominal trauma or surgery. The mother uses tobacco, alcohol, caffeine-containing stimulants, uses an intrauterine contraceptive device,... Environmental causes:
Living in an environment polluted with dust, tobacco, noise Noise, pesticides, working with high intensity, stress, fatigue, ... for a long time can cause the mother to miscarry.
2. Signs of incomplete miscarriage
When an incomplete miscarriage occurs, you will have the following signs:
Vaginal bleeding : vaginal bleeding can happen suddenly and become more severe within a few hours . The patient may have thrombus or tissue expulsion from the vagina. The lower abdomen is violently contracted, uterine contractions appear, the patient may have cramps. When the mother conducts an ultrasound or a routine antenatal check-up, the fetus is found to be stillborn, but there are no signs of miscarriage. On vaginal examination, the cervix is found to be open, blood flows out according to the examination finger, and the uterine mass is smaller than gestational age. When having an incomplete miscarriage, the mother will have a high risk of infection, bleeding often lasts longer than a complete miscarriage, if not handled in time, can have a great impact on health. Therefore, when there are signs of incomplete miscarriage, pregnant women should immediately go to medical facilities for timely intervention.
3. Incomplete miscarriage treatments
For miscarriages it is not entirely possible to wait for spontaneous abortion, this method is successful in 80% of cases. Using more drugs to enhance uterine contractions such as Mifepriston, Prostaglandin E1 will increase the success rate.
Alternatively, the doctor may recommend dilating the cervix and then using an instrument to clean the remaining fetal tissue in the uterine cavity. The doctor will base on the patient's general condition, gestational age, cervical dilation or dilation for appropriate management. This is a fairly safe procedure, but in a few cases, pregnant women may experience complications such as bleeding, infection, uterine damage,...
During treatment, pregnant women need spend a lot of time resting, avoiding a lot of travel, eating a nutritious diet to quickly recover health. In addition, it is necessary to follow the treatment regimen of the doctor and go for regular check-ups. Miscarriage is something that no one wants, the causes of miscarriage are sometimes beyond the control of the mother, so mothers should not torment and blame themselves. Focus on relaxing, resting, thinking positively, doing the things you enjoy, eating well, and giving your body time to recover so you can continue with your pregnancy.
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