LATE MISCARRIAGE
A late miscarriage is consider to be between the end of the first trimester and the 20th week of pregnancy. When this does happen it is called a Spontaneous Expulsion of the Fetus.
If you were to start to have a late
miscarriage after the 20th week the doctors might be able to deliver the Fetus. If they were able to do this safely and your baby survived your baby might be able to live with the help of Neonatal Intensive Care Nursery, their equipment along with their expertises and experience, when you do have an early birth like this one it is then called Preterm Birth.
If your baby is born not breathing and unable to be resuscitated after the 20th week, the birth may be recorded as a stillbirth in stead of a miscarriage, this also depends on which state and country you live in.
Sometimes there are no warning signs and the miscarriage is discovered only during a routine antenatal visit, when the doctor or midwife can't find the baby's heartbeat. This is called a silent miscarriage or an intra-uterine death.
When we have an late miscarriage there could be a few reasons behind it like;
- mother’s health,
- the condition of the your cervix or uterus,
- problems with your placenta,
- exposure to certain drugs or other toxic substances,
If you believe you are having a early or late miscarriage please call your doctor or go straight to their office and if you can’t speak to them then go straight to the hospital emergency department or to your maternity ward.
Some of the signs and symptoms for a LATE MISCARRIAGE
With everyone women it can be very different, but the most common signs and symptoms of a threatening late miscarriage are;
- pink discharge for a few days without pain,
- scant brown discharge for a few weeks without pain,
- heavier bleeding with cramping, sometimes you can get the cramping before the bleeding,
Another reason as to why there could be bleeding is that there could be a small tear in either the placenta or the uterine lining, but it is always best and important to get any bleeding of any kind in pregnancy checked straight away by a doctor in order for them to try and prevent anything from happening.
Ways your doctor might treat a LATE MISCARRIAGE
The treatment for a late miscarriage can depend on the you and your body and what the doctors are about to find out when they check you and your baby over. The test that they may run and the scans that they will do, will also help with their decision as to what is happening.
If your doctor feels that you are have a threatened miscarriage they will try and do everything that they can to prevent it;
- total bed rest to try and stop all spotting and bleeding,
- if your cervix has started to dilate, the doctors may then want to perform a cervical cerclage in order to try and prevent a miscarriage or preterm birth,
If these haven’t helped and you do continue to miscarriage your doctor may then do the following;
- when your heavy bleeding has started your doctor will admit you into hospital to protect your health, by doing this they are trying to prevent haemorrhaging
- if cramping and bleeding still continue after your miscarriage your doctor will do a ultra sound to check your uterus, and will then want to perform a D&C to remove any of the remaining fetal matter
How you may be feeling
When this is happening or has happened we feel a great sadness come over us which is totally normal and you might both feel this but in most cases we take it harder than our partners, as we have just lost our baby or babies, we need the time to grieve for them, we need the time to feel sad and to go through all the emotions of a loss.
With this time if you are up to it is best if you can talk to your doctor about how you are feeling and what you are feeling, so that they can keep an eye on you and help where and if they can.
As this grieving time can be both emotionally and physically debilitating for us. But not only us, as our hubbies are going through the simular feelings, but as they don’t all show us their feelings it is best to talk to them also and get them to come to any doctors or let them to make their own as they can also slip into depression just as fast as we can.
Ways your doctor might try to prevent a LATE MISCARRIAGE
These days doctors are able to work out what might have been the cause of your previous miscarriage/s.
The following are some preventions that your doctor may do to try and prevent a late miscarriage;
- incompetent cervix - if this is the reason as to why you miscarry then your doctor will do a cerclage early in your pregnancy before the cervix begins to dilate,
- hormonal insufficiency - if your body was unable to produce the needed amount of hormones for your pregnancy then your doctor may look at hormone replacement to allow your future pregnancies to progress to full term,
- chronic disease - like diabetes and or hypertension, these should be brought under control by your doctor before you try to fall pregnant again,
I hope that this can help anyone that is going through the grief of a miscarriage or know of someone that is.