{"id":1550,"date":"2022-06-16T08:34:38","date_gmt":"2022-06-16T08:34:38","guid":{"rendered":"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/?p=1550"},"modified":"2022-07-20T08:45:53","modified_gmt":"2022-07-20T08:45:53","slug":"miscarriage-there-is-hope-after-loss","status":"publish","type":"post","link":"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/miscarriage-there-is-hope-after-loss\/","title":{"rendered":"Miscarriage: There is Hope After Loss"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Miscarriage or spontaneous abortion refers to the loss of a pregnancy before the 20<\/span><span style=\"font-weight: 400\">th<\/span><span style=\"font-weight: 400\"> week of pregnancy. It is estimated by the <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK532992\/\" target=\"_blank\" rel=\"nofollow noopener\"><span style=\"font-weight: 400\">American College of Obstetricians and Gynecologists<\/span><\/a><span style=\"font-weight: 400\"> (ACOG) that, \u201cas many as 26% of all pregnancies end in miscarriage and up to 10% clinically recognized pregnancies. The difference between the two percentages is because many miscarriages happen very early in the pregnancy, before the woman is even aware she was pregnant. The risk of miscarriage decreases after 12 weeks.<\/span><\/p>\n<p><span style=\"font-weight: 400\">As OB-GYNs, we understand there is not necessarily comfort in numbers. We share those statistics is to give you hope and let you know most of our patients have rainbow babies, aka healthy normal babies after a loss.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Our goal is to explain the risk factors and provide you with the physical care and emotional support you need to grow your family when you are ready.<\/span><\/p>\n<h2><b>The Most Common Cause of Miscarriage<\/b><\/h2>\n<p><span style=\"font-weight: 400\">According to the <\/span><a href=\"https:\/\/www.parents.com\/pregnancy\/complications\/miscarriage\/top-7-causes-of-miscarriage\/#:~:text=According%20to%20the%20American%20Pregnancy,%2C%20drug%20abuse%2C%20and%20more.\" target=\"_blank\" rel=\"nofollow noopener\"><span style=\"font-weight: 400\">American Pregnancy Association (APA),<\/span><\/a><span style=\"font-weight: 400\"> the most common cause of miscarriage\u00a0 in the first trimester is a\u00a0genetic abnormality in the embryo<\/span><span style=\"font-weight: 400\">. <\/span><span style=\"font-weight: 400\">\u00a0About <\/span><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/pregnancy-loss-miscarriage\/symptoms-causes\/syc-20354298\" target=\"_blank\" rel=\"nofollow noopener\"><span style=\"font-weight: 400\">50 percent of miscarriages<\/span><\/a><span style=\"font-weight: 400\"> are associated with extra or missing chromosomes which result from errors that occur by chance as the embryo develops.<\/span><\/p>\n<h2><b>Other Potential Risk Factors for Miscarriage<\/b><\/h2>\n<p><img decoding=\"async\" class=\"lazyload size-full wp-image-1552 aligncenter\" src=\"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/07\/Other-Potential-Risk-Factors-for-Miscarriage.jpg\" data-orig-src=\"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/07\/Other-Potential-Risk-Factors-for-Miscarriage.jpg\" alt=\"Top View of Unhappy Depressed Young Woman Lying on Bed Suffer From Abortion or Miscarriage\" width=\"1000\" height=\"667\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271000%27%20height%3D%27667%27%20viewBox%3D%270%200%201000%20667%27%3E%3Crect%20width%3D%271000%27%20height%3D%27667%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/07\/Other-Potential-Risk-Factors-for-Miscarriage-200x133.jpg 200w, https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/07\/Other-Potential-Risk-Factors-for-Miscarriage-300x200.jpg 300w, https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/07\/Other-Potential-Risk-Factors-for-Miscarriage-400x267.jpg 400w, https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/07\/Other-Potential-Risk-Factors-for-Miscarriage-600x400.jpg 600w, https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/07\/Other-Potential-Risk-Factors-for-Miscarriage-768x512.jpg 768w, https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/07\/Other-Potential-Risk-Factors-for-Miscarriage-800x534.jpg 800w, https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/07\/Other-Potential-Risk-Factors-for-Miscarriage.jpg 1000w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p><span style=\"font-weight: 400\">Certain factors could increase the risk of having a miscarriage including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The mother\u2019s age<\/span><span style=\"font-weight: 400\"> is a risk factor. The older the mother is, the higher the risk of miscarriage. At age 35, there\u2019s a 20% risk of having a miscarriage, while that risk goes up to 80% at the age of 45.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">A history of previous pregnancies ending in miscarriages<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Suffering from chronic illnesses such as uncontrolled diabetes or thyroid disease<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Having weak cervical tissues or some other uterine problems also makes the risk of pregnancy loss higher<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Using illicit drugs, alcohol, and cigarettes during pregnancy<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Being either overweight or underweight\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">While most prenatal tests are safe, some can be invasive and pose a miscarriage risk, such as amniocentesis and chorionic villus sampling<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400\">\u201cWe also think it is important to share that physical activity, exercise and sex are considered safe during pregnancy and do not cause a miscarriage,\u201d explained <\/span><\/i><a href=\"\/south-miami-obgyn-associates\/thomas-horst\/\" target=\"_blank\" rel=\"noopener\"><i><span style=\"font-weight: 400\">OB-GYN Dr. Thomas D. Horst<\/span><\/i><\/a><i><span style=\"font-weight: 400\">.<\/span><\/i><\/p>\n<h2><b>Signs and Symptoms of a Miscarriage<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Common symptoms of a miscarriage include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Vaginal spotting or bleeding<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Pain or cramping in your abdomen or lower back<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Fluid or tissue passing from your vagina<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Most women who have vaginal spotting or bleeding in the first trimester go on to have successful pregnancies.<\/span><\/p>\n<h2><b>How an OB-GYN Diagnoses a Miscarriage<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Vaginal spotting or cramps during pregnancy does not definitively mean you are having a miscarriage. However, it is a sign that you should go see your gynecologist.\u00a0<\/span><\/p>\n<p><i><span style=\"font-weight: 400\">\u201cLight bleeding during the first trimester is very common and can be attributed to the implantation of the embryo in the womb. Most women who have spotting during their first trimester go on to have a normal pregnancy and a live birth, \u201cexplained OB-GYN Dr. Horst. \u201cBut with any sign of bleeding, you should see your OB-GYN, just to rule out any abnormal possibilities.<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400\">The most common tests and practices used to diagnose if you have had a miscarriage include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">A pelvic exam to check for potential cervical dilation<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ultrasound to check the progress of the embryo\u2019s development<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Blood tests to check for pregnancy hormone (HCG) levels<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Tissue tests to assess whether you have passed miscarriage tissue<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Chromosomal tests to identify whether your or your partner\u2019s chromosomes are an issue.<\/span><\/li>\n<\/ul>\n<h2><b>Different Types of Miscarriage Diagnosis<\/b><\/h2>\n<p><span style=\"font-weight: 400\">We often simply say, \u201cI had a miscarriage,\u201d but there are many types of miscarriages:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>Chemical pregnancy:<\/b><span style=\"font-weight: 400\"> Chemical pregnancies very often occur before you even know you are pregnant and are most likely the result of a chromosol abnormality.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Missed miscarriage:<\/b><span style=\"font-weight: 400\"> In a missed miscarriage, the fetus implants but never develops. Often the body does not expel the tissue so a D &amp; C is required.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Threatened miscarriage:<\/b><span style=\"font-weight: 400\"> Vaginal bleeding without a dilated cervix can be a sign of a threatened miscarriage. If the cervix opens, there is an increased possibility of a miscarriage.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Septic miscarriage:<\/b><span style=\"font-weight: 400\"> Essentially, any kind of uterine infection can lead to a septic miscarriage.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Inevitable miscarriage:<\/b><span style=\"font-weight: 400\"> If you\u2019re pregnant, but your cervix is dilated, and you\u2019re bleeding, pregnancy loss is inevitable.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Incomplete miscarriage<\/b><span style=\"font-weight: 400\">: In the event of passing only partial miscarriage tissue, with some remaining in the uterus, the diagnosis is an incomplete miscarriage.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Complete miscarriage.<\/b><span style=\"font-weight: 400\"> Opposite to incomplete pregnancy loss, complete miscarriage occurs when a woman passes all pregnancy tissues through the vagina. This usually happens within the first 12 weeks of pregnancy.<\/span><\/li>\n<\/ul>\n<h2><b>Treatment for a Miscarriage: Is there a way to stop the process once it has started?<\/b><\/h2>\n<p><span style=\"font-weight: 400\">In our <\/span><a href=\"\/south-miami-obgyn-associates\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">South Miami and Doral offices<\/span><\/a><span style=\"font-weight: 400\">, we are often asked if there is a way to stop a miscarriage.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Unfortunately, there is no treatment that can stop a miscarriage after it has already started. However, we can limit blood loss and prevent infection.<\/span><\/p>\n<p><span style=\"font-weight: 400\">If there is no pregnancy tissue left in the womb, no treatment is required.<\/span><\/p>\n<p><span style=\"font-weight: 400\">If there is residual tissue, you have three options:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>Expectant Management<\/b><span style=\"font-weight: 400\">&#8211; Your OB-GYN may suggest waiting for the pregnancy tissue to pass through your body naturally.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Medical management<\/b><span style=\"font-weight: 400\">&#8211; Some women prefer to take medication<\/span><span style=\"font-weight: 400\"> to speed up the process. The medication, which stimulates the uterus to shed the pregnancy tissue, is usually effective within 24 hours. Some medications are given orally and some are given vaginally.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Surgical management-<\/b><span style=\"font-weight: 400\"> For those who are experiencing heavy bleeding or show signs of infection, your OB-GYN may recommend a suction dilation and curettage. more commonly known as a D &amp; C. During this minor procedure, your OB-GYN will dilate the cervix and actively remove the remaining pregnancy tissue from the uterus.\u00a0<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400\">\u00a0<\/span><b>When to Call Your Doctor<\/b><\/h2>\n<p><span style=\"font-weight: 400\">\u00a0If you experience severe cramping that doesn\u2019t stop, heavy bleeding, fever, or an abnormal vaginal discharge, you should call your physician.<\/span><\/p>\n<h2><b>Physical and Emotional Recovery After Miscarriage<\/b><\/h2>\n<p><img decoding=\"async\" class=\"lazyload size-full wp-image-1553 aligncenter\" src=\"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/06\/Physical-and-Emotional-Recovery-After-Miscarriage.jpg\" data-orig-src=\"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/06\/Physical-and-Emotional-Recovery-After-Miscarriage.jpg\" alt=\"Close up View of Couple Holding Hands, Loving Caring Man Supporting Comforting Woman\" width=\"1000\" height=\"667\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271000%27%20height%3D%27667%27%20viewBox%3D%270%200%201000%20667%27%3E%3Crect%20width%3D%271000%27%20height%3D%27667%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/06\/Physical-and-Emotional-Recovery-After-Miscarriage-200x133.jpg 200w, https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/06\/Physical-and-Emotional-Recovery-After-Miscarriage-300x200.jpg 300w, https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/06\/Physical-and-Emotional-Recovery-After-Miscarriage-400x267.jpg 400w, https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/06\/Physical-and-Emotional-Recovery-After-Miscarriage-600x400.jpg 600w, https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/06\/Physical-and-Emotional-Recovery-After-Miscarriage-768x512.jpg 768w, https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/06\/Physical-and-Emotional-Recovery-After-Miscarriage-800x534.jpg 800w, https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-content\/uploads\/sites\/55\/2022\/06\/Physical-and-Emotional-Recovery-After-Miscarriage.jpg 1000w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p><span style=\"font-weight: 400\">There is no one-size-fits-all timetable for your body to recover. Your recovery may depend on how far along you were in your pregnancy. Some women recover within a few days; for others, it may take a few weeks, particularly if it was a late miscarriage. Generally, your period should resume within four to six weeks. You can start using contraceptives immediately after the pregnancy loss, but it is preferable to avoid having sex, douche, or use tampons for the first two weeks after a miscarriage since your uterus is more prone to infection.<\/span><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The emotional toll after experiencing a miscarriage can be more challenging than the physical recovery. You may experience a multitude of emotions, from shock to sadness and even guilt, which may be compounded by the hormonal shift of not being pregnant. Coping with a pregnancy loss is very individual and we often forget to give ourselves the time and space to heal.\u00a0 Some of our patients have found it comforting to join a support group. Others seek individual counseling with a trained therapist.<\/span><\/p>\n<h2><b>What About Future Pregnancies?<\/b><\/h2>\n<p><span style=\"font-weight: 400\">It may be four to six weeks before you start having your period. Physically, you may be able to try to conceive again. But before you jump into another pregnancy, consider your emotional readiness. While the reality is that while most women have a healthy baby after miscarriage, sometimes waiting a cycle or two can be emotionally beneficial.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We are here to support you and talk you through the process, helping you weigh the pros of cons of waiting vs. trying to conceive right away. <\/span><a href=\"\/south-miami-obgyn-associates\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Book your appointment<\/span><\/a><span style=\"font-weight: 400\"> with <\/span><a href=\"https:\/\/www.zocdoc.com\/doctor\/thomas-horst-md-176697?LocIdent=-1&amp;isNewPatient=false&amp;reason_visit=-1&amp;referrerType=Widget&amp;utm_medium=JSWidget&amp;utm_source=ProviderWebsite&amp;widget=true\" target=\"_blank\" rel=\"nofollow noopener\"><span style=\"font-weight: 400\">Dr. Horst<\/span><\/a><span style=\"font-weight: 400\"> today and let\u2019s begin your journey to have another baby together.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Miscarriage or spontaneous abortion refers to the loss of a pregnancy before the 20th week of pregnancy. It is estimated by the American College of Obstetricians and Gynecologists (ACOG) that, \u201cas many as 26% of all pregnancies end in miscarriage and up to 10% clinically recognized pregnancies. The difference between the two percentages is because  [&#8230;]<\/p>\n","protected":false},"author":3,"featured_media":1551,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[98],"tags":[277,283,281,279,282,280,278],"class_list":["post-1550","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pregnancy","tag-cause-of-miscarriage","tag-incomplete-miscarriage","tag-miscarriage-tissue","tag-missed-miscarriage","tag-septic-miscarriage","tag-threatened-miscarriage","tag-what-is-a-miscarriage"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-json\/wp\/v2\/posts\/1550","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-json\/wp\/v2\/comments?post=1550"}],"version-history":[{"count":0,"href":"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-json\/wp\/v2\/posts\/1550\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-json\/wp\/v2\/media\/1551"}],"wp:attachment":[{"href":"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-json\/wp\/v2\/media?parent=1550"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-json\/wp\/v2\/categories?post=1550"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.toplinemd.com\/south-miami-obgyn-associates\/wp-json\/wp\/v2\/tags?post=1550"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}