Miscarriage Treatment

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A miscarriage, also known as spontaneous abortion, is an unexpected event resulting in the loss of a fetus before reaching 20 weeks of pregnancy. Typically, miscarriages occur during the first trimester of pregnancy. Medical research indicates that approximately 10 to 15 out of every 100 pregnancies end in miscarriage.

Interestingly, research conducted by the NIH reveals a significant prevalence of miscarriages, reaching up to 32% among Indian women. While a miscarriage can sometimes involve the natural expulsion of the fetus, it is essential to undergo an ultrasound examination and subsequent medical intervention to ensure a complete miscarriage. Neglecting this step could increase the risk of an incomplete miscarriage, leading to potential severe infections, recurrent miscarriages, long-term infertility, and potentially serious health complications for the mother.

Types of Miscarriage

  • Threatened miscarriage
  • Inevitable miscarriage
  • Complete miscarriage
  • Incomplete miscarriage
  • Missed miscarriage
  • Recurrent miscarriage
  • Miscarriage - Diagnosis and Treatment

Diagnosing Miscarriage

Ultrasound Examination – An ultrasound may be advised by the doctor to assess fetal heartbeats and confirm fetal development status. If inconclusive, a retest might be necessary.

Pelvic Evaluation – A pelvic exam could be conducted to determine if cervical dilation has commenced.

Blood Analysis – Pregnancy hormone levels in the blood may be analyzed and compared with previous levels through a blood test.

Chromosome Testing – In cases of recurrent miscarriages, a chromosome test may be suggested to investigate potential genetic factors from either the woman or her partner.

Tissue Examination – If vaginal tissue is expelled, a tissue test might be performed to confirm miscarriage and rule out other health concerns.

Managing Miscarriage

Once pregnancy loss is confirmed through the aforementioned diagnostic methods, healthcare providers often recommend a Dilation & Curettage (D&C) procedure to remove pregnancy tissues and aid in recovery.

D&C is performed under general anesthesia, during which the gynecologist dilates the cervix and gently extracts fetal tissues from the uterine cavity. A spoon-shaped instrument called a curette is used to delicately scrape the uterine lining during the procedure.