Pregnancy

A miscarriage, and then ?

A miscarriage, and then ?


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Sometimes a pregnancy stops spontaneously, most often during the first trimester. Experienced with sadness and anxiety by couples, miscarriage or spontaneous early abortion is a fairly common accident that should not be dramatized.

The explanations of Philippe David, gynecologist-obstetrician, head of the maternity unit of the Jules Verne Mutual Clinic in Nantes.

Miscarriage, quite common and often traumatic

  • Miscarriage or spontaneous early abortion is the stop during the first trimester of a pregnancy that started normally.
  • Most often experienced as a traumatic experience, miscarriage is a fairly common natural phenomenon since it concerns 16% of pregnancies and it is important not to dramatize. First of all because a pregnancy has started, sign that the couple is fertile.
  • Then, if the pregnancy does not evolve, it is most often that there is a chromosomal problem, a missing link, which prevents the embryonic development. "It's a chance for the human species to have a selection of eggs," says Philippe David. "Miscarriage is a natural selection and has nothing to do with irresponsible behavior of the pregnant woman." The woman must not feel guilty. That's not because she went skiing or cycling. If it happens, it must happen. This is genetic programming, so it is not possible to prevent a miscarriage. It must be considered an accident of life. "

How is miscarriage managed?

  • When a pregnant woman begins to bleed - Be careful bleeding during pregnancy is not always synonymous with miscarriage, but are reasons for emergency consultation - or again during an ultrasound examination, it may be noted that the pregnancy has stopped.
  • Depending on different factors: term of pregnancy, age, desires and expectations of the couple, psychological state of the woman, the practitioner will either propose to wait for the natural expulsion of the egg, which may take several days; to accelerate the evacuation process by practicing aspiration. "It has to be discussed on a case-by-case basis, according to each woman, and she has to be accompanied in this situation, which, even if it is not dramatic, is not trivial," adds Dr. Philippe David.

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