list the different types of miscarriages and management for each
Ans) Threatened Miscarriage: Some degree of early pregnancy
uterine bleeding accompanied by cramping or lower backache. The
cervix remains closed. This bleeding is often the result of
implantation.
Inevitable or Incomplete Miscarriage: Abdominal or back pain
accompanied by bleeding with an open cervix. Miscarriage is
inevitable when there is a dilation or effacement of the cervix
and/or there is a rupture of the membranes. Bleeding and cramps may
persist if the miscarriage is not complete.
Complete Miscarriage: A completed miscarriage is when the embryo or
products of conception have emptied out of the uterus. Bleeding
should subside quickly, as should any pain or cramping. A completed
miscarriage can be confirmed by an ultrasound or by having a
surgical curettage (D&C) performed.
Missed Miscarriage: Women can experience a miscarriage without
knowing it. A missed miscarriage is when embryonic death has
occurred but there is not any expulsion of the embryo. It is not
known why this occurs. Signs of this would be a loss of pregnancy
symptoms and the absence of fetal heart tones found on an
ultrasound.
Recurrent Miscarriage (RM): Defined as 3 or more consecutive first
trimester miscarriages. This can affect 1% of couples trying to
conceive.
Blighted Ovum: Also called an embryonic pregnancy. A fertilized egg
implants into the uterine wall, but fetal development never begins.
Often there is a gestational sac with or without a yolk sac, but
there is an absence of fetal growth.
Ectopic Pregnancy: A fertilized egg implants itself in places other
than the uterus, most commonly the fallopian tube. Treatment is
needed immediately to stop the development of the implanted egg. If
not treated rapidly, this could end in serious maternal
complications.
Molar Pregnancy: The result of a genetic error during the
fertilization process that leads to the growth of abnormal tissue
within the uterus. Molar pregnancies rarely involve a developing
embryo, but often entail the most common symptoms of pregnancy
including a missed period, positive pregnancy test and severe
nausea.
Treatments for Miscarriage
The main goal of treatment during or after a miscarriage is to
prevent hemorrhaging and/or infection. The earlier you are in the
pregnancy, the more likely that your body will expel all the fetal
tissue by itself and will not require further medical procedures.
If the body does not expel all the tissue, the most common
procedure performed to stop bleeding and prevent infection is a
dilation and curettage, known as a D&C. Drugs may be prescribed
to help control bleeding after the D&C is performed. Bleeding
should be monitored closely once you are at home; if you notice an
increase in bleeding or the onset of chills or fever, it is best to
call your physician immediately.
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