Miscarriage and Stillbirth
Losing a child before they're born is not uncommon, but it's never easy. Whether you have just experienced a miscarriage or stillbirth or have been told by a healthcare provider that such an event is likely on the horizon, you may have many feelings at once, including worry, disbelief, disappointment, andgrief.
Learning more aboutpregnancy loss causes and risk factorsmay help provide clarity, if not immediate comfort. Start here to understand why miscarriage and stillbirth can happen, how to cope physically and emotionally, and what to consider before trying to conceive again.
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Usually, miscarriages happen when anembryo or fetusis not developing normally. Often due to genetics or chance, the developing fetus will have too few or too many chromosomes, information in cells that guide growth and allow a pregnancy to progress. Being older can increase the risk ofchromosome abnormalities, and one-third of pregnancies in people ages 40 and older end in miscarriage. Sometimes, abnormalities in the cervix or uterus can lead to miscarriage, too. But miscarriages very rarely happen because of anything the pregnant individual has done. Work, exercise, stress, arguments, sex, and morning sickness won't cause a person to miscarry.
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If a person miscarries before five weeks, sometimes called a "chemical pregnancy," they may have what feels like anormal, even painless period.But most miscarriages involve some cramping.A person may also pass blood, fluid, or tissue through the vagina (though bleeding does not always signal a miscarriage). If you think you're miscarrying, keep in close touch with your healthcare provider. They can prescribe medicine to ease discomfort and advise you to seekemergency care for excessive miscarriage pain or bleeding.
Learn More: Am I Having a Miscarriage? -
Cramping and bleeding can last for hours or days. Sometimes, a healthcare providerconfirms by ultrasound that you have lost a pregnancybut still have tissue inside of you, which can take around two weeks to pass on its own.Taking medication called mifepristone or misoprostol will cause your body to expel the tissue quicker, usually within one week.
Learn More: What Is Incomplete Miscarriage? -
Miscarriage is more common than you may think. Some 10% to 15% of known pregnancies end in miscarriage, but experts think that as many as half of all pregnancies do.Most miscarriages happen before the12th week of pregnancy, though one in five occurs between weeks 13 and 19.
Learn More: Risk Factors for Miscarriage and Pregnancy Loss -
You may be able to get pregnant as soon as your menstrual cycle begins again, usually four to six weeks after a miscarriage. Experts suggest you wait until you have one normal period beforetrying to conceive again.You may want to wait even longer if your healthcare provider recommends special testing to help determine what may have caused the miscarriage.
Learn More: Chances of Miscarriage After a Normal Pregnancy -
Miscarriage describes early pregnancy loss that occurs before20 weeks gestation.Stillbirth is when a baby dies in the womb after 20 weeks. It's less common than miscarriage, affecting about 1 in 160 pregnancies.Stillbirth is often discovered when the pregnant person senses alack of fetal movementor a second- or third-trimester ultrasound confirms that a baby has no heartbeat. Stillbirth rarely occurs amid labor these days, thanks tofetal monitoring.
Learn More: What Is Stillbirth? -
通常,死胎的原因还不清楚。一些年代tillborn babies have birth defects, genetic disorders, or growth restrictions linked toplacentalor maternal circulation problems. Some medical conditions (like high blood pressure and diabetes) andinfections(including cytomegalovirus andlisteria) put you at higher risk for stillbirth.
Learn More: Causes and Risk of Stillbirth
Key Terms
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Chemical Pregnancy
A chemical pregnancy is a very common form of early miscarriage that happens within thefirst five weeks of gestation.While there may be enough circulating hormones in the person's body for apositive pregnancy test, a just-formed embryo stops developing, and the body usually expels it through what may seem like a normal, albeit slightly late, period.
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Ectopic Pregnancy
Affecting aboutone in 50 pregnancies, an ectopic pregnancy happens when a fertilized egg starts to develop outside the uterus, usually in one of thefallopian tubes.可以危及生命贝科异位妊娠use they can cause the fallopian tube to burst, leading to internal bleeding. Tell your healthcare provider right away if you have any symptoms like heavy bleeding, low-back pain, or one-sided abdominal pain.
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D&C Procedure
Dilation and cutterage (D&C) is a short (five-to-10 minute) surgical procedure to remove tissue from inside the uterus or stem excessive bleeding, sometimes after anincomplete miscarriage.While under general anesthesia or sedated, a surgeon will dilate the cervix and use suction and a sharp instrument to scrape tissue from the uterus.
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Rainbow Baby
A child born after a previous pregnancy loss is sometimes called a rainbow baby. Nicknamed because of the hope and joy they can bring families following a dark period, rainbow babies may be bornafter a miscarriage, stillbirth, ordeath of a newborn sibling.
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hCG Levels
Human chorionic gonadotropin, or hCG, is a hormone the body produces as soon as conception happens. In early pregnancy,hCG levels typically doubleevery few days, peaking around10 weeks.Your healthcare provider may check your hCG levels through a simple blood test to make sure your pregnancy is progressing normally.