When a fetus dies in the womb before 20 weeks of pregnancy, it is termed as a miscarriage. Most miscarriages happen before 12 weeks of pregnancy, and few of them happen in the second trimester, that is between 13 to 19 weeks of pregnancy. Of all the pregnancies, 10-15% end in miscarriages.
Most miscarriages happen even before a woman knows she is pregnant. In this article, we will be talking about miscarriage symptoms, the causes behind it, depression during miscarriage and how to cope with early miscarriage signs.
More than 50% miscarriages happen due to chromosomal abnormalities in the developing fetus. Here are some chromosomal problems that can cause the loss of a baby in the womb:
Chromosomes in the cells hold genes, which are the basic unit of heredity. Each person has 23 pairs of chromosomes or 46 in total. A baby gets one chromosome from his/her mother and one from his/her father to make a pair. Sometimes, a fertilized egg (or embryo) gets the wrong number of chromosomes, leading to miscarriage.
In this case, the embryo fails to develop further and dies
In case of a blighted ovum, the embryo gets implanted into its place of development, that is, the uterus, but does not develop into a baby. Dark brown bleeding from the vagina is one of the early miscarriage symptoms in case of a blighted ovum. Once this starts, the feeling of nausea, heavy breasts and other early pregnancy signs disappear.
A part of one chromosome sometimes moves to another chromosome. This leads to abnormalities in the development of the fetus.
Miscarriages that happen due to the problem of uterus and cervix include:
Fibroids are growths on the uterus that can reduce space and leave less room for the growing baby. If you have fibroids before you get pregnant, your doctor might suggest removing them via surgery.
In Asherman’s syndrome, the inner lining of the uterus develops scars or scar tissue. This may hamper the growth of the baby. In this case, too, doctors might suggest removal via surgery if detected before pregnancy.
Some women might have a muscular wall that separates the uterus. This might need to be removed before trying to get pregnant
This means that you are born with a uterus that has an abnormal size, shape or structure. Septate uterus also comes under this category. This condition might cause repeat miscarriages.
An incompetent cervix is when the cervical passage or birth passage opens up prematurely. This usually might happen in the second trimester as an opened up cervix pushes the fetus out, leading to miscarriage.
Sexually transmitted diseases (STDs) and severe food poisoning can also cause loss of pregnancy. Such infections might spread to the blood and uterus and cause a miscarriage. Your doctor needs to be informed immediately if you think you are pregnant and suffering from STDs
Losing a baby during pregnancy comes as a shock, even if it is in the early stages. Early miscarriage signs are hard to miss as they will include:
Spotting, or a dark brown or deep red discharge might start, much like the beginning of a period. The flow might be heavier in comparison, depending on what stage of pregnancy you are in
Abdominal cramps are one of those miscarriage symptoms that is hard to miss. You might experience a sharp cramping in the abdomen like you would during your period.
Along with cramps, a miscarriage might be accompanied with severe lower abdominal pain.
The above-mentioned symptoms might be experienced even early on during normal pregnancy. So if you notice spotting or bleeding,
It is normal to feel shocked and heartbroken especially if you have a miscarriage after knowing that you’re pregnant. It is important for you to talk it out and seek help after the loss of a baby. But first, you need to recognize the symptoms of depression during miscarriage.
If five or more of the above symptoms exist for more than two weeks, then a woman might need counseling or intervention of a doctor or psychologist to heal.
After a miscarriage, anger, depression are common to experience. But most women who suffer from miscarriages have healthy pregnancies in the future. Talking it out with friends and family and keeping up the hope can help you tide over the unpleasant experience and guilt. However, if the depression is severe, doctors might recommend:
At times, the couple needs to be counseled together as even the man feels grief at the loss of a child in the womb. But supporting each other during such a time can help you tide over this rough patch faster.
You might not be emotionally prepared to try for another child soon after a miscarriage, but one must remember that the body has unique ways to prepare itself to make room for another healthy pregnancy. So a couple can take their time, take care of their health both physically and mentally and give pregnancy another shot.