Who helps me after a miscarriage?Hopefully, your doctor and midwife will be compassionate. However, experience shows that especially doctors are often very factual, especially if you had a miscarriage in a very early week of pregnancy (until 12 weeks). Your gynecologist will explain the medical aspects to you. Try not to take it too personally, even if it seems hurtful. Even after a spontaneous miscarriage (spontaneous abortion), when the baby has gone off by itself, the doctor can recommend you a scraper. In this minor operation, which can also be done on an outpatient basis, it may be necessary to remove the afterbirth to prevent infection.
You may be surprised that your doctor will not initiate further investigations after your first miscarriage. The sad truth is that miscarriages are very common. The good news is that rarely are serious medical problems the cause. Therefore, it is very likely that your next pregnancy is happy.
If it was your second miscarriage, then the doctor may advise you to have blood tests to test for antibodies. But although the technique continues to evolve, it is often impossible to determine the cause of repeated miscarriages. In this case, you can also consider whether you want an autopsy. In the process, the fetus is not completely cut, as is often assumed to be false, but only a few incisions are made to remove tissue samples. This can provide information about whether a chromosomal disorder was present or if the child lacked vital substances for care. This can be very helpful for further pregnancies.
I can not get over my miscarriage""I've been crying my eyes out for weeks,"" Andrea recalls of her miscarriage a few years ago. Even today, she still tears when she thinks of her lost baby.
It's normal for you to cry spontaneously, especially in the first post-miscarriage period, when the pain is overwhelming. Also, shock, depression, fatigue and guilt are normal. You may not be able to sleep, eat and concentrate (Lohtrop, 1998).
It is important that you realize that you and your partner are not to blame. Miscarriages in the first trimester are common, with almost 15 percent of all pregnancies ending prematurely (Shiers 2003: 279).Talk to each other, share the pain and take the time to mourn.
Even if you think you're over the miscarriage, you and your partner may be overpowered by the strong intentions of their original scheduled delivery date or anniversaries - that, too, is normal.
It can help you if you talk about it. If you openly deal with your miscarriage, you will be amazed at how many neighbors, cousins and co-workers are affected as well. If you do not want to talk to your friends, maybe because you have not talked about pregnancy at all, visit a support group or go to a psychotherapist. A mother writes: ""Being in contact with other concerned parents has been a saving straw for me, to realize that you are not alone in this world of what has happened, that there is a place to turn."" (Quote from Klaus Schäfer: ""Wege unter'm Regenbogen"")
Will a new pregnancy become more difficult due to the miscarriage?Probably not. A miscarriage does not necessarily indicate a fertility problem. On the contrary, studies show that even half to three quarters of women who had three or more miscarriages later gave birth to healthy babies without the need for special medical care. (RCOG 2004, RCOG 2003: 8)
As long as your doctor does not tell you otherwise, your second pregnancy is likely to be quite normal. After a first miscarriage, the risks of another miscarriage are no higher than before, ie about 15 percent. Even after two miscarriages, the risk is only slightly higher.
When can I get pregnant again?Most doctors recommend waiting until your period returns to normal. This gives you and your body a chance to recover. This is important - especially if you have a scraping or extraction behind you. In doing so, your mucous membrane can be injured, which can make a new pregnancy more difficult. That's why you should give your body time.
I'm pregnant again, but terribly afraid of another miscarriage. What can I do?Your fear is completely understandable. That's the way many women feel. Some report that pregnancy with the child after a miscarriage was the longest nine months of their life. Presumably your doubts and fears are strongest in the weeks you lost your first baby. But as difficult as that is, try to think positively and keep in mind that all odds are in your favor.
You should protect yourself as much as possible during the first weeks of pregnancy and do not stress yourself. You can ask your doctor for an early ultrasound scan. As soon as you see your baby's heartbeat, you may be able to relax a bit.Share your fears and worries with your partner. He too could want to talk about it.
Llewellyn-Jones, D. . Fundamentals of Obstetrics and Gynecology. 7th seventh edition. London: Mosby. Ch. 12: 105-112.
Lloyd, C. 2003 Common Medical Disorders Associated with Pregnancy. Ch. 19. In D.M. Fraser and M.A. Cooper. eds. Myles Textbook for Midwives. 14th edition. Edinburgh: Churchill Livingstone. pp 321-355.
Lohtrop, H. 1998. Good hope, sudden end. Kösel, 1998
MIDIRS (Midwives Information and Resource Service). Undated a. Alcohol and Pregnancy. Informed Choice for Professionals. 4. MIDIRS in collaboration with the NHS Center for Reviews and Dissemination. www. info choice. org.
MIDIRS (Midwives Information and Resource Service). Undated b. Antenatal screening for congenital abnormalities: helping women to choose. Informed Choice for Professionals. 8. MIDIRS in collaboration with the NHS Center for Reviews and Dissemination. www. info choice. org.
Schäfer, K., 2003. ""A Path of Mourning"", Books on Demand, 2003
Schäfer, K., undated. ""Paths Under the Rainbow""
Shiers, C. 2003. Abnormalities of Early pregnancy. Ch. 17. In D.M. Fraser and M.A. Cooper. eds. Myles Textbook for Midwives. 14th edition. Edinburgh: Churchill Livingstone. pp 275-293.
NELH (National Electronic Library for Health). 2003. Evaluation of the evidence base for the association between NSAIDs during pregnancy and the risk of miscarriage. NHS Information Authority. www. info choice. org.
RCOG. 2003. The investigation and treatment of couples with recurrent miscarriage. Royal College of Obstetricians and Gynecologists, Green-top guideline, 17th London: RCOG press. www. rcog. org. uk [pdf file, as of October 2013]
RCOG. 2004. Couples with recurrent miscarriage: information for you. Royal College of Obstetricians and Gynecologists. www. rcog. org. uk [pdf file, as of October 2013]
RCOG. 2008. Early miscarriage: information for you. Royal College of Obstetricians and Gynecologists. www. rcog. org. uk [pdf-file, October 2013]
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