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Some spontaneous miscarriages can be caused by viruses—cytomegalovirus, herpesvirus, parvovirus, and rubella virus—or diseases that cause sporadic miscarriages or recurrent miscarriage. Other causes include immunological disorders, severe trauma, and uterine lesions. Most often, the cause is unknown.
Risk factors for spontaneous abortion include:
- Age >35 years
- History of spontaneous abortion
- Drug use
- Poorly controlled chronic diseases in the mother
Ultrasound is considered the most reliable way to diagnose a threatened miscarriage. A high probability of spontaneous abortion is confirmed if the ultrasound shows that the placenta has begun to exfoliate and the fetal egg has flattened.
If a spontaneous abortion occurred in the early stages of pregnancy (up to four weeks), the uterine wall is scraped out using special tools.
- Surveillance for threatened miscarriage
- Evacuation of the products of the concept in case of an inevitable, incomplete or missed miscarriage
- Emotional support
With a threatened miscarriage, the treatment is observation. Bed rest has not been proven to reduce the risk of a complete miscarriage.
Treatment depends on the stage. With a threatening and incipient miscarriage, bed rest is indicated in a hospital setting. Psychotherapy that eliminates negative emotions and positively affects the development of pregnancy. Medical methods include sedative therapy, sleeping pills at bedtime, vitamins, hormonal drugs.
With a late miscarriage that is not accompanied by significant bleeding, they wait for the spontaneous birth of the fetal egg, curettage of the uterus is indicated in case of retention of parts of the placenta in the cavity. With a threatening or incipient miscarriage due to isthmic-cervical insufficiency, surgical intervention is indicated: suturing the cervix.
You can safely start treatment, which we carry out as quickly and efficiently as possible in Tashkent. Gatling Med Clinic will make you feel confident in yourself and in your health!