– It is important that the ladies do not think about whether they could have done something different, better. I have noticed a frequent tendency in patients to seek answers to these kinds of questions. This can lead to unnecessary stress and a feeling of mental exhaustion – says gynecologist Anna Horbaczewska from the Superior CM clinic in Krakow in an interview with Medonet.
- Miscarriage is common. It affects up to three out of 10 pregnancies before the 10th week
- The most common cause is spontaneous genetic abnormalities in the embryo. This means that the next pregnancy does not necessarily end in a miscarriage
- Every woman should know and remember that miscarriage is something that can happen to any woman. When it happened, most often it could not be prevented – emphasizes Anna Horbaczewska
- More current information can be found on the Onet homepage.
Karolina Świdrak, Medonet: Are there more miscarriages now than before, or is there just more talk about them? What are the most common causes of these?
Anna Horbaczewska, gynecologist: In fact, miscarriages are very common. It is estimated that even about 30 percent. pregnancies up to 10 weeks end in early miscarriage. However, are there more of them than before? In my opinion, it is rather that now awareness in this aspect is increasing, because previously it was not just a topic that was discussed so often in the media.
Many patients are very worried after such an event. He wonders if this is normal and whether their future pregnancies are at risk. However, the most common cause of early miscarriage is genetic abnormalities in the embryo. They occur most often in the early stages of cell division, and it is a process that we have no control over.
Most of these genetic abnormalities are so-called spontaneous defects. They appear in a given embryo and are associated with an error in the division of the genetic material. Most often, they do not affect the couple’s risk of developing similar pathologies in the future. It may, of course, happen sometimes, but these are rare situations. Genetic testing of the miscarriage material is helpful in determining this probability.
The second most frequent cause of miscarriages are abnormalities at the stage of embryo implantation, i.e. the process of its implantation in the uterine cavity. Miscarriage is a delayed consequence of these abnormalities. In practice, this means that the pair – again – has no influence on it. Medicine has no action that can be taken to prevent this situation. Neither the doctors nor the patients have any possibility of interference in this case.
It is important that ladies do not consider whether they could have done something different, better. I have noticed a frequent tendency in patients to seek answers to these kinds of questions. This can lead to unnecessary stress and a feeling of mental exhaustion.
Of course, there are other possible causes of miscarriages, so if such a situation occurs, it is worth introducing diagnostics – primarily in the form of a gynecological examination that allows the uterus to be assessed for anatomical defects. They are often the cause of miscarriages.
What other diagnostic methods should be used?
It is worth doing tests for infections, for example, chlamydia, mycoplasma or ureaplasma. You also need to check the state of the hormonal balance. The likelihood of miscarriages increases in patients suffering, for example, from thyroid diseases. If a pregnancy occurs in the case of hormonally unregulated PCOS, the risk of pregnancy loss is also slightly higher. It is worth taking care of maintaining a healthy body weight and, in the case of chronic diseases, of their effective treatment.
As I mentioned at the beginning, miscarriages are relatively common. In the vast majority of cases, however, they do not significantly affect the chance of getting pregnant again, carrying it on and giving birth to healthy offspring. However, if a patient experiences two consecutive miscarriages or loss of a fetus later in pregnancy, more detailed diagnosis is recommended.
In such situations, the cause may be an abnormality in the coagulation system. Therefore, it is worth doing additional tests, also for autoimmune diseases or antiphospholipid syndrome. The genetic diagnosis of partners can also provide valuable information.
If the patient has a chance to protect the material from the miscarriage, it is possible to carry out a diagnostic examination of the embryo on its own. This lets you know if the miscarriage was caused by genetic factors. If so, what kind of defect caused them. Unfortunately, it also often happens that it is not possible to perform a complete diagnosis. Therefore, it is impossible to establish any abnormalities that could cause a miscarriage. Then it is important that such a patient during the efforts and early pregnancy was under medical care from the very beginning. This allows for more detailed monitoring of pregnancy and possible introduction of additional treatment.
In conclusion, every woman should know and remember that miscarriage is something that can happen to any woman. When it does happen, most often it could not be prevented. It is also worth being aware of the possibility of using psychological help. Women who experience miscarriages may find comforting in the fact that they can try to get pregnant again in the next cycle. Unless, of course, the diagnosis does not reveal any abnormalities that require treatment in the first place.
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We encourage you to listen to the latest episode of the RESET podcast. This time we devote it to the problems of the perineum – a part of the body just like any other. And although it concerns all of us, it is still a taboo subject that we are often ashamed to talk about. What do hormonal changes and natural births change? How not to harm the pelvic floor muscles and how to care for them? How do we talk about perineal problems with our daughters? About this and many other aspects of the problem in a new episode of the podcast.
Also read:
- L4 in pregnancy “lying” and “walking”. Women need to be careful about controls
- Gynecologist: I remember every pregnancy I terminated. I always feel regret, mourning
- What to do so that the gynecological examination does not stress?