How to prevent recurrent miscarriages

Author: Ellen Moore
Date Of Creation: 19 January 2021
Update Date: 29 June 2024
Anonim
Recurrent miscarriages: A doctor explains causes and precautions
Video: Recurrent miscarriages: A doctor explains causes and precautions

Content

Up to 20 percent of pregnancies end in miscarriages. Various factors, both biological and external, can contribute to miscarriage. Although doctors believe that some miscarriages can be avoided by making lifestyle changes, most cases are biological and do not depend on women. There are no proven methods to prevent recurrent miscarriages, and treatment options are limited. However, working closely with a doctor, coupled with a healthy lifestyle and informed choices, can help carry a baby.

Steps

Method 1 of 3: How to interact with your doctor

  1. 1 Make an appointment with your doctor before conception. Before trying to conceive a child, talk to your gynecologist about problems you may have had during previous pregnancies. Ask your doctor if you need tests and tests for chromosomal abnormalities, elevated androgen levels, and other factors that can cause miscarriage.
    • Since there are many possible causes of miscarriage, there is no clear set of tests that would identify all the dangers. Tell your doctor about your medical history, inherited factors, and attempts to conceive so that the doctor can find the right tests and treatment options.
    • You can say this: "I have suffered a number of diseases, so I want to understand if these diseases can affect the attempts to conceive and bear a child."
    • If you have had polycystic ovary disease, endometriosis, uterine fibroids or other diseases of the reproductive system, tell your doctor about it: “I am taking medications that allow me to fight diseases of the reproductive system. How might this affect my ability to carry a baby? "
  2. 2 Find out your blood type. If you have a negative Rh factor, you may be given a small dose of anti-Rh immunoglobulin. This can avoid pregnancy problems caused by Rh incompatibility.
    • Anti-Rhesus Immunoglobulin is administered by injection.Typically, these injections are only given to women with a negative Rh factor who are carrying a child with a positive Rh factor.
  3. 3 Pay attention to hormonal imbalances. These disorders can manifest in a variety of ways, including polycystic ovary disease and endometriosis. If you know you have had these conditions in the past, or if you suspect that you may have problems with your thyroid or adrenal glands, ask your doctor to order hormone tests.
    • Signs of hormonal imbalance include weight gain, irritability, abnormally heavy periods, irregular periods, missing periods, headaches, back pain, and other symptoms.
    • Some disorders can be treated with medications or under medical supervision.
    • Ask your doctor about taking synthetic hormones. One of the factors that provoke miscarriage is a lack of progesterone. In the first three months of pregnancy, progesterone can be given in injections or pills, but this therapy is based on old research data. Current research does not confirm the effectiveness of this method.
  4. 4 Eliminate the possibility of chromosomal abnormalities. Recurrent miscarriages can be due to chromosomal abnormalities. There are a number of chromosomal abnormalities that can affect pregnancy, but not all problems of this type are easy to manage. Ask your doctor if you need a chromosome test to find out if repeated miscarriages are related to chromosomal abnormalities. You and your partner can take the analysis.
    • Remember that in some cases, tests require a sample of the fetus that was lost through a miscarriage.
    • Be aware that many chromosome problems are inevitable, unpredictable, and untreatable.
  5. 5 Tell your doctor about the medications you are taking. Tell your gynecologist what medications other doctors have prescribed for you, as well as what other medications, supplements, and vitamins you are taking. Make sure all of these medications can be taken before and after conception.
    • Don't wait for the doctor to ask you questions himself. Say this: “I am taking drugs prescribed by my therapist and drugs that I buy without a prescription. Can any of these drugs affect the course of pregnancy? "
    • Do not take non-steroidal anti-inflammatory drugs (such as acetylsalicylic acid or ibuprofen) if you are trying to conceive or if you are already pregnant. Take acetaminophen for pain relief.

Method 2 of 3: How to Change Your Lifestyle

  1. 1 Give up smoking and alcohol. Smoking and drinking alcohol is not recommended not only during pregnancy, but also during the period when a woman is trying to conceive a child.
    • Women should also refrain from drug use during pregnancy.
    • Quitting smoking is a long-term process, but many women benefit from a combination of nicotine replacement therapy (such as chewing gum or nicotine patch) and support groups, either online or in person.
  2. 2 Take certain vitamins and nutrients. Certain supplements may be indicated during pregnancy. Talk to your doctor before you start taking these, or ask your doctor for a dosage recommendation.
    • Pregnant women can take folic acid, prenatal vitamins with folate, calcium, iron, and vitamin D.
    • It is not recommended to take a multivitamin that is not intended for pregnant women, as they may not supply the substances that they need to the mother and child.
  3. 3 Get plenty of rest. Rest is essential during pregnancy. Sleep as much as your body needs and stay in bed if recommended by your doctor. If you suspect that you may develop complications from being overly active, especially if you have had miscarriages before, see your doctor as soon as possible.
    • During the first trimester of pregnancy, it is recommended that you sleep 45-60 minutes more than usual every day.
    • During the second trimester, you should sleep for at least eight hours straight. This can be tricky, as nighttime stomach upset and sleep disturbances are common.
    • During the third trimester, women should rest whenever they feel tired, as sleep can become intermittent due to discomfort associated with late pregnancy. Sleep regularly during the day or just lie down.
  4. 4 Cut back on caffeine. When trying to conceive and during pregnancy, you should not consume more than 200 milligrams of caffeine per day. This applies to coffee, tea and sugary carbonated drinks. Try decaffeinated versions of your favorite drinks or even herbal “coffee” (a decaf tea drink that mimics the taste of coffee).
    • If you are trying to get pregnant, cut out caffeine gradually so that your body does not experience shock.
    • Remember, caffeine is not found in drinks only. It can also be found in chocolate and even in some over-the-counter headache medications.

Method 3 of 3: Taking Care of Your Mental Health

  1. 1 Don't blame yourself. Don't provoke unnecessary stress by blaming yourself and feeling guilty. Many of the factors that affect pregnancy are unpredictable and inevitable. Know that you are innocent.
    • From 10 to 30% of pregnancies end in miscarriage (the number depends on the research criteria). A miscarriage does not mean that there is something wrong with your body or that you will not be able to bear the pregnancy in the future.
  2. 2 Seek support from other people. Repeated miscarriages can provoke stress and anxiety, which can lead a woman to resort to stress relieving methods that have a negative effect on the body in the long term. Instead, seek support from other people to help you deal with stress and pain in a healthier way.
    • Look for support groups for mothers who have miscarriages and are trying to conceive.
    • Read the forums and websites of women who find themselves in the same situation. There you can share your story and read the stories of others, as well as get valuable advice.
    • If you have funds available, work with a family planning therapist.
  3. 3 Talk to friends and family. Some people find it difficult to talk to loved ones about miscarriages, but talking to loved ones can help you feel uplifted. Friends and family can also give you information to help you cope with the situation.
    • Tell your friends that you are having a difficult time and ask them to be understanding. You can say this: "I am experiencing the psychological consequences of a miscarriage, and I really need your company and support."
    • Ask friends if they have experienced similar situations, and if so, what helped them get through it.
    • Tell the family about your situation and ask if the family has had any miscarriages. You may find out that your problem has genetic causes and is not related to the characteristics of your body or your lifestyle.
  4. 4 Reduce the amount of stress in your life. While there is no evidence that stress alone can cause miscarriages, it does affect hormone levels, which can affect the overall health of a baby in utero.
    • Get rid of stressors. If the person is causing you unnecessary stress, tell them that you cannot do it now. If your job makes you very anxious, tell your manager like this: “I am afraid that stress in the workplace may affect my health. I would like to talk to you about how you could make the company environment less stressful. "
    • To calm down in a stressful situation, breathe deeply for ten minutes, or try focusing on each part of your body in turn.Relax the muscles in your toes first, then work your way up and up your body until you reach the crown of your head.
    • Don't be afraid to get out of stressful situations. You should focus all your energy on the unborn child, so do not hesitate to say that you cannot cope with something or do not want to do it in the current environment. If something makes you worry, leave.
  5. 5 Be aware that you may develop depression and anxiety. Women who have had multiple miscarriages are at risk of developing depression and anxiety, two mental health conditions that can affect their desire to become a mom. If you notice signs of these disorders, see your doctor as soon as possible to see if you need to talk to a psychotherapist or psychiatrist.
    • Symptoms of depression include: sadness, feelings of emptiness and hopelessness, outbursts of rage, loss of interest in daily activities, changes in appetite, guilt, problems with concentration, and others.
    • Symptoms of anxiety include the following signs: increased nervousness and anxiety, a feeling of impending trouble, rapid heart rate and breathing, increased sweating, trembling, fatigue, sleep problems, uncontrollable experiences, and others.

Tips

  • Remember that the cause of recurrent miscarriages can only be determined in about half of the cases. But just because you don't have the answers doesn't mean you won't be able to get pregnant. If you have had multiple miscarriages, the chance of a successful pregnancy is 65%.
  • If you have a curvature of the uterus, lie on your stomach for 10-15 minutes in the morning, afternoon and before bed.