Early pregnancy miscarriage

Early pregnancy miscarriage is also known as early pregnancy loss or spontaneous abortion. Miscarriage refers to the loss of a pregnancy within the first 23 weeks of gestation. Miscarriage most commonly occurs during the first trimester of pregnancy, typically within the first 12 weeks.

It’s natural to feel frightened if you notice bleeding in early pregnancy but the Miscarriage Association says that around one in four women has some bleeding in the early stages of pregnancy and most go on to have a normal, healthy baby.

At this challenging time, the highly qualified and experienced health professionals at The Amara Clinic can provide expert guidance and treatment, sensitive support and a beautiful, calm and serene environment in which to recover.

What are the types of miscarriage?

We classify miscarriage into different types based on your symptoms and the clinical features. The commonly recognised types of miscarriage include:

Threatened miscarriage

A threatened miscarriage is said to happen if you have vaginal bleeding when the neck of the womb is still closed. The bleeding may be light, like a period, or heavier with clots and you may also feel crampy lower abdominal pain. In threatened miscarriage, there is a potential risk of miscarriage, but many pregnancies continue successfully.

If you have a threatened miscarriage, your Consultant Gynaecologist will usually organise blood tests to assess your hormone levels and a specialist ultrasound scan, in house at The Amara Clinic, to confirm that your pregnancy is still ongoing. If the scan result is normal the chances are very high, as much as 95%, that the pregnancy will continue without there being any further problems.

Inevitable miscarriage

A miscarriage is referred to as being inevitable if you experience bleeding and the neck of your womb is found to be open. At this stage, when the cervix has opened, a miscarriage is likely to occur, and sadly the pregnancy cannot be saved.

If you receive the upsetting news that a miscarriage is inevitable, your Consultant Gynaecologist will support and guide you through the way the loss of your pregnancy will be expertly managed.

Often the pregnancy tissue will pass out naturally over the next couple of weeks. Sometimes you will be given medication to help this process or you may prefer to choose a small operation to remove it if you would prefer not to wait. Throughout this time, the health practitioners at The Amara Clinic will be there to offer support, specialist care and a listening ear.

What causes miscarriage?

There are lots of reasons for a miscarriage, although frustratingly we often don’t understand the precise cause for an individual woman.

In general, early pregnancy miscarriage is often due to chromosomal abnormalities in the developing embryo or foetus; these are the building blocks of our genes and problems with chromosomes can mean that a baby is unable to develop normally. Other factors that can increase the risk of miscarriage include maternal age, certain medical conditions (such as diabetes, thyroid and autoimmune disorders ), hormonal imbalances, uterine abnormalities, infections, and lifestyle factors such as smoking or drug use.

Although it is not a consolation for your loss, it can be reassuring to know that most women who have experienced a miscarriage go on to have successful pregnancies in the future.

Recurrent miscarriage

Recurrent miscarriage is diagnosed when a woman experiences three or more consecutive miscarriages. The distress of losing a baby can make you fear for future pregnancies- but although miscarriage is common, recurrent miscarriage is not. Around fifteen per cent of pregnant women experience the loss of a pregnancy. But only two per cent of pregnant women experience two pregnancy losses in a row, and only about one in a hundred will sadly suffer three consecutive pregnancy losses.

Recurrent miscarriage can be a result of various factors, including genetic abnormalities, hormonal imbalances, uterine abnormalities and autoimmune disorders. If you are concerned about recurrent miscarriages, the consultant Gynaecologists at The Amara Clinic can offer investigations, analysis and support and, where indicated, refer you to a specialist unit for further evaluation and specialised care.

What are the symptoms of miscarriage?

Some common signs and symptoms of early pregnancy miscarriage include:

  • Vaginal bleeding: Light to heavy vaginal bleeding is a common symptom of early pregnancy miscarriage. However, not all vaginal bleeding during early pregnancy indicates a miscarriage; you may have spotting or light bleeding without pregnancy loss.
  • Abdominal pain or cramping: Women experiencing a miscarriage may have abdominal pain or cramping, which can range from mild to severe. The intensity and duration of pain can vary.
  • Passage of tissue or blood clots: some women may pass tissue or blood clots from the vagina during a miscarriage.
  • Loss of pregnancy symptoms: some women may lose pregnancy symptoms, such as breast tenderness or morning sickness before the onset of bleeding or other signs of miscarriage.

It is emotionally challenging for individuals and couples going through early pregnancy loss. The Amara Clinic Team will offer expert treatment, emotional support and recommend resources to help you recover physically, cope with the grief of a miscarriage and look toward the future.

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