Pregnancy Loss - The Aftermath

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Did You Know..? Recurrent miscarriage or the loss of 3 or more consecutive pregnancies affects about 1% of women.
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Pregnancy Loss - The Aftermath
 
There are no set rules as to how and what you will feel after miscarrying. Whether you feel numb or guilt or grief, allow yourself to succumb to those feelings and try to work through them. After all your hopes for the future have been dashed, never mind the duration of the pregnancy.
 
Understanding Miscarriage Facts..

• When you miscarry early it is largely because of genetic abnormalities in the growing cells; the condition of the growing fetus and embryo is incompatible with normal life. Over 50% of miscarriages are due to abnormal chromosomes.

• Faulty conception is the culprit: the fertilized egg may fail to implant in the uterus, fail to undergo cell division or the cell division is somehow all wrong. Besides the genes and conception factors, an embryo or fetus can be defective because of maternal infection, environmental issues such as radiation or drugs or in relatively small numbers, due to unknown reasons.

• The reasons enumerated above then cause the fetus or embryo to become terribly malformed or simply incapable of surviving. Nature takes over and terminates the process. (As cruel as it may sound, this act of nature happens for the best)

• A miscarriage often goes unnoticed in many instances because it happens early on within a fortnight of conception and is mistaken for a late period.

• The issue that baffles many experts is why does conception progress to fertilization stage, only to fail at the subsequent step or two. One theory in support of this question is that a normal egg may have been fertilized by an abnormal sperm. In such a situation the fertilized egg is termed 'blighted ovum'.

• Most miscarriages occur in the first three months.

• Nearly 2% of miscarriages happen because of an incompetent cervix.

• Miscarriages do not happen because of minor emotional disturbances, minor falls, normal lifting and other physical activities, moderate exercise, sexual intercourse, and the occasional stress.

Emotional Recovery

For a lot of couples pregnancy loss is never handled lightly since it was a much awaited event. Having said that, don't go on a guilt trip and wallow in self-pity but do allow yourself to grief - it is a natural part of healing. Chances of putting the blame on yourselves are high. Most women feel they could have prevented the loss; they blame it on something they did or didn't do or on their partners: maybe they didn't eat or drink right or they didn't manage their physical activity well or didn't handle themselves emotionally, and many other reasons. A miscarriage is not your fault. Give yourself time to repair emotionally. Focus on your needs rather than on any misplaced guilt. Emotional recovery can take longer than physical recovery for a lot of women - many would have already bonded with the baby growing inside even at the very early stage of pregnancy. So it becomes hard to let go, but let go you must, and you will.
 
Stages of Grief

It is an important loss - there is no denying there. Although many would think that another pregnancy is the answer you will have to wait a bit before you decide on anything. Be prepared to face certain emotional changes which may engulf you.

Shock and denial:


People often go into denial and grow numb as a result. This is normal. As reality sets in, these feelings change.

Anger and guilt:


Women often blame themselves. Bear in mind however guilt-ridden you may be, pregnancy loss is rarely preventable. It is very unlikely that the loss occurred due to anything you did or could have done. You may also feel resentment with yourself, your partner, family and friends or circumstances. It may take you a while to come to terms.

Depression:

This feeling is often hard to pinpoint. Poor appetite and sleeping patterns change overnight causing you to become restless, fatigued and tearful over minor issues.

Acceptance:


What may seem impossible now is you ever coming to terms with your loss but it will happen eventually. You will probably not get over it completely but you will go on with life as time goes by.
There is no set timetable for emotional stages; some take longer to heal than others. Don't be surprised by feelings of sadness visiting you on memorable occasions such as your baby's due date or when you become pregnant again. If you find the emotional pain unbearable it is best to seek professional help. Counseling helps to an extent. Seek assurance from your health care provider on your mental and physical health, on your future plans of becoming pregnant again. Join a support group if you know of one; anything to help you internalize your pain and get on with your life.


 
Physical Recovery

• It generally takes one normal menstrual cycle for a woman to recover. Your period will take about 4-6 weeks to resume. Once vaginal discharge and bleeding has ceased, you feel physically well and have had one menstrual period you can consider trying for another baby. This will make it easier to determine your pregnancy stage when you manage to conceive.

• Conception is quite possible right after your miscarriage and before your first menstrual cycle; it is advisable to use some form of birth control such as a condom during this time.

• According to medical experts it is best to wait for 2-3 months before trying to conceive again. Before deciding on the baby-making agenda, discuss your plans with your doctor. Your health care provider will be able to provide you with the tips on optimizing your chances of a healthy pregnancy and delivery.
 
Types of Pregnancy losses

A single miscarriage is usually considered a random occurrence. Subsequent pregnancy is usually problem-free and chances of a healthy pregnancy are virtually the same as someone who has never had a miscarriage. If becoming pregnant soon after a pregnancy loss is on your timetable, it is usually considered safe and hassle-free.

Recurrent pregnancy loss is a situation where the woman has suffered three or more pregnancy losses and would therefore require medical advice and supervision. Several tests and evaluations may be necessary to identify the cause before she can go ahead with future pregnancy plans. If a problem is identified e.g. cervical incompetency, several treatment options will be made available. Up to 80% of women who have had recurrent miscarriages will go on to have successful pregnancies with supportive treatments such as early scans and a series of scans thereafter for monitoring purposes. No specific treatment is necessary.
After a previous ectopic pregnancy, chances of a successful pregnancy outcome lowers; if both the fallopian tubes are intact there is a 60-80% chance of conceiving. However there is also a 15% chance of a repeat situation i.e. occurrence of another ectopic pregnancy. In such cases the woman will be monitored very closely the next time she conceives.
 
Future Pregnancies

There are certain things you can do to prevent a pregnancy loss although you still have to remember that a pregnancy loss is not preventable. Apply the same approach and attitude as you would for any other time when you are planning to make a baby. The rules are

• Eat healthy, rest adequately, drink lots of water and exercise regularly

• Don't forget your daily dose of folic acid and any other necessary vitamin or mineral (specifically advised by your doc) either in a supplement or multivitamin

• Get preconception and prenatal care

• Avoid abusive stuffs: alcohol, cigarettes, and drugs

• Get checked and if necessary, treated for STDs

• Control your caffeine intake, abstain if possible

• Maintain a positive mental frame. Keep stressful situations at bay through proper management

• Work and cooperate with your health care provider. Together you can keep yourself and your baby in good health
 
 
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