Some spontaneous miscarriages can be caused by viruses - cytomegalovirus, herpes virus, parvovirus and rubella virus - or diseases that cause sporadic miscarriages or recurrent miscarriages. Other causes include immunological abnormalities, severe trauma and uterine lesions. Most often, the cause is unknown.
Risk factors for spontaneous abortion include:
- Age> 35 years
- History of spontaneous abortion
- The use of drugs
- Poorly controlled chronic diseases in the mother
The most reliable way to diagnose a threat of miscarriage is an ultrasound scan. A high probability of spontaneous abortion is confirmed if an ultrasound scan shows that the placenta has begun to exfoliate, and the ovum has flattened.
If a spontaneous abortion occurred in the early stages of pregnancy (up to four weeks), the wall of the uterus is scraped out using special instruments.
- Observation of threatened miscarriage
- Evacuation of concept products in case of unavoidable, incomplete or missed miscarriage
- Emotional support
For threatened miscarriage, treatment is observation. Bed rest has not been shown to reduce the risk of complete miscarriage.
Treatment depends on the stage. With a threatening and incipient miscarriage, bed rest is shown in a hospital setting. Psychotherapy eliminating negative emotions and positively affecting the development of pregnancy. Medication methods include sedation, sleeping pills before bedtime, vitamins, hormones.
With late miscarriage, not accompanied by significant bleeding, the spontaneous birth of the ovum is expected, curettage of the uterus is indicated in case of a delay in the cavity of parts of the placenta. With a threatening or incipient miscarriage due to isthmic-cervical insufficiency, surgical intervention is indicated: suturing the cervix.