PT Health Life – According to experts, after a miscarriage, the mother needs a period of physical, mental or emotional therapy for everything to return to normal.
According to experts, after a miscarriage , a mother needs a period of physical, mental or emotional therapy to get everything back to normal. Because the loss of a newborn baby to a mother is very big.
Miscarriage often has a serious impact on couples. After a miscarriage, women often do not feel like having sex.
After about 2 – 3 weeks of miscarriage, the woman can have sex again and the internal bleeding due to miscarriage will stop. But there may also be complications that occur longer.
1. Why do miscarriages occur?
Scientifically, miscarriage is the death of a fetus in the womb before 20 weeks of pregnancy. Up to 15% of miscarriages occur before the 12th week of pregnancy. The remaining 5% occur during the second trimester (weeks 13 to 19). Women can have this condition without knowing they are pregnant. About 20% of pregnancies end in miscarriage – about 1 in 5. However, the reasons for miscarriage can vary from person to person.
1.1 Chromosomal miscarriage
About 50% of miscarriages are caused by problems with chromosomes . Chromosomes are structures within cells that contain genes. Miscarriages occur when there is the wrong number of chromosomes or occur by chance rather than genetics.
Chromosomal problems that can lead to miscarriage during pregnancy include:
Ovulation failure: The embryo fails to develop into a baby despite implanting in the uterus. Symptoms include dark brown bleeding at the beginning of pregnancy.
Stillbirth in the uterus: The embryo stops developing and dies.
Molar pregnancy : Uterine tissue changes into a tumor at the beginning of pregnancy.
Translocation: Part of one chromosome moves and attaches itself to another chromosome. This is the main cause of recurrent miscarriages.
1.2 Problems with the uterus or cervix
Complications in the uterus or cervix can also lead to miscarriage. Some of the problems to watch out for include:
Uterine septum: A tissue (septum) divides the uterus into two segments. Doctors recommend surgery before trying to get pregnant to reduce the chance of miscarriage in cases of this congenital uterine abnormality (meaning you were born with it).
Asherman’s syndrome: Scar tissue damages the inner lining of the uterus (endometrium). The recommended treatment usually involves hysteroscopy — which is used to remove the scars.
Fibroids inside the uterus: Can restrict space for an embryo to grow and also interrupt blood supply. The surgical procedure to remove them is called a myomectomy.
Incompetent cervix: The cervix dilates much before the normal period. Dilation often occurs without any pain or contractions, leading to miscarriage, usually in the second trimester. Doctors often recommend a cervical cerclage to keep the cervix closed.
2. Health problems of pregnant women
Underlying health conditions and illnesses often have a negative impact on fetal development. Lifestyle habits can also be a factor. Contrary to popular belief, exercise or sexual intercourse do not cause miscarriage. Factors that can cause miscarriage include malnutrition, drug or alcohol use, obesity, maternal age, thyroid disease, uncontrolled diabetes, infection, trauma, and hormonal imbalances. These can all lead to miscarriage.
STDs and Listeriosis (food poisoning during pregnancy) can lead to premature birth , miscarriage, or stillbirth. Prompt testing with appropriate medication can protect both you and your baby from STDs such as syphilis and genital herpes. For Listeriosis, your doctor will likely prescribe antibiotics for both of you.
2.1 Pregnancy after miscarriage
Miscarriage can leave a mother feeling devastated and depressed. Women who have had previous miscarriages recall experiencing a roller coaster of emotions, often multiple at once. Some women report a complete loss of libido or sexual desire. Take your time to heal so that all hope is not lost.
About 65 out of 100 women successfully conceive after an initial miscarriage. Only 1% of women report having a repeat miscarriage.
Depending on how far along the pregnancy was before the miscarriage, it can take anywhere from a few weeks to a month for conception to return. Menstrual periods return within 4 to 6 weeks in most women.
2.2 Mental or emotional state
According to most women, mental and emotional turmoil makes sex after miscarriage unsatisfactory. Rapidly changing hormone levels cause feelings of sadness and disappointment. The hurt is compounded by remembering small details like the baby’s name (which you had decided on). Mood swings and crying spells during this time. Uncontrollable grief is the result of never having met the baby.
2.3 Recovering for a new pregnancy
Ovulation usually resumes about 2 weeks after a miscarriage. The timing can vary slightly.
The body begins its recovery process first by changing its reproductive habits. This means that ovulation occurs before your next period . Therefore, you can get pregnant before your period returns.
In fact, many studies have shown a positive outcome for getting pregnant within one to three months after a miscarriage. A 2017 study actually found that getting pregnant within the first three months after a miscarriage has a higher chance of success than waiting longer. For other concerns, talk to your doctor or a mental health counselor. Testing is recommended for those who have had multiple miscarriages. Doctors recommend waiting for a menstrual cycle after a miscarriage if you want to conceive right away. This helps to accurately estimate ovulation and your due date. However, factors such as mental and emotional stress are also important to consider when trying to conceive a new pregnancy.
The American College of Obstetricians and Gynecologists recommends conceiving within six months of a miscarriage. This reduces the risk of miscarriage or premature birth. There is no increased risk of stillbirth or preeclampsia .
However, the World Health Organization (WHO) recommends waiting at least six months before conceiving. According to WHO research, conceiving before six months increases the risk of anemia, premature birth, and low birth weight.
