home-Haircuts and hairstyles-Pregnancy after miscarriage: how much and how to prepare? Is it possible to plan a pregnancy immediately after a late miscarriage or early miscarriage? How to get pregnant immediately after a miscarriage.

Pregnancy after miscarriage: how much and how to prepare? Is it possible to plan a pregnancy immediately after a late miscarriage or early miscarriage? How to get pregnant immediately after a miscarriage.

In our lives, we are not always able to control the course of things and sometimes it happens that situations occur that we prefer not to even think about. This also applies to spontaneous miscarriage - a difficult loss for expectant parents in most cases.

This is especially difficult for couples who have been trying to conceive a child for a long time or have undergone long-term treatment for infertility. But life goes on, over time, the pain of loss is replaced by humility and calmness, the desire to live and build your own happiness arises. Today we will look at planning a pregnancy after a miscarriage.

Miscarriage concept

Doctors understand miscarriage as a spontaneous abortion that occurs during the early stages of pregnancy (first and second trimester). In this case, the embryo or fetus is rejected for some reason and leaves the uterine cavity, losing viability.

Depending on the period at which the termination of pregnancy occurred, early miscarriage (up to 12 weeks) and late miscarriage (up to 22-28 weeks of gestation) are distinguished. Moreover, most spontaneous abortions occur in the first 5-8 weeks of pregnancy, and sometimes the woman is not even aware of her situation, citing heavy periods or their delay.

Unfortunately, miscarriage is not uncommon. According to statistics, every 5th pregnant woman (about 20% of all pregnancies) faces this problem. The numbers are very serious, but regulating them is quite problematic, because a lot depends on the woman herself.

However, situations arise when arbitrary abortion becomes a pattern when trying to get pregnant again and another new life ends before it even begins. This condition is characterized as recurrent miscarriage. The phenomenon is extremely rare, but it does happen. In this case, with each unsuccessful attempt to carry a fetus, the chances of a successful completion of pregnancy tend to zero, i.e. The more miscarriages a woman has, the lower her chances of becoming a mother.

However, the question is: “Is it possible to get pregnant after a miscarriage?” may be relevant for a woman. We can safely say that it is POSSIBLE to get pregnant after a miscarriage, because even after two or three unsuccessful attempts, the chances of becoming a mother are quite good - about 50%. Therefore, you should not give up on your motherhood, but rather pull yourself together and approach planning a new stage in your life with full responsibility.

Reasons for arbitrary termination of pregnancy

As for the reasons for such a sad outcome, there can be a great many of them, but the vast majority lie precisely in some disturbances in the mother’s body or in the development processes of the fetus.

Many doctors are skeptical of the popular belief that miscarriage can be caused by severe emotional stress or physical stress. Of course, it is necessary to avoid unwanted effects, but in extremely rare cases they directly affect the termination of pregnancy. Often, excessive loads only trigger a long chain of changes that develop into something more if there are disturbances in the mother’s body. If everything is fine with the health of the expectant mother, then it makes no sense to talk about such risk factors.

So, let's look at what is the possible cause of a miscarriage:

Genetic abnormalities of fetal development

When female and male gametes combine, a fertilized egg is formed, which grows every day using the division mechanism at the cellular level. Chromosomes, unique carriers of genetic information, also undergo division. As a result of their division (mitosis), anomalies are formed that cause multiple mutations in the fetus that are incompatible with life. Thus, nature “corrects” its mistakes through natural selection, striving to create viable children with pure genetic material.

It is malformations at the genome level that cause half of the miscarriages in the first trimester. Most often this happens at 5-6 weeks of the gestational period, and sometimes the woman has not even had time to understand that she was carrying a baby under her heart.

In such situations, the possibility of studying the rejected fertilized egg is practically negligible due to its small size and the woman’s possible ignorance of her situation. But, if the embryo was nevertheless preserved for research, this is very good, since using cytogenetic analysis it is possible to determine the possible cause of miscarriage and take appropriate measures in the future.

Hormonal imbalances

In this case, the reason for abortion without medical intervention is the woman’s unstable hormonal background, which is the cause of malfunction of the ovaries or chronic diseases associated with hormone-producing organs. In such cases, a miscarriage is expected if the woman did not take appropriate measures to normalize the synthesis of hormones.

The reason for this development of events is a decrease in the concentration of hormones responsible for pregnancy: progesterone and estrogens. In some cases, the corpus luteum of the ovary in the early stages does not produce enough progesterone to maintain pregnancy, while in others, male sex hormones predominate in the woman’s body (hyperandrogenism).

In any case, a miscarriage does not occur unexpectedly; first, there is a long-term threat of termination of pregnancy in the form of aching pain in the lumbar region, bleeding of varying degrees. At the initial stages, the embryo can be preserved in a hospital setting, but pronounced hormonal imbalances and untimely assistance lead to such a sad outcome.

Pathologies of female genital organs

They are a very common cause of miscarriages at any stage. These include, most often, anomalies of the development of the uterus in the form of its atypical shapes and sizes (bicornuate, sickle-shaped, infantile) or nonspecific structures in the cavity (fibroids, polyps, septa).

The fact is that in such a uterus it is very difficult for the fertilized egg to gain a foothold when leaving the fallopian tubes, and if this is still possible, then the anatomical features and foreign formations interfere with the growth and development of the fetus. A rapidly growing baby becomes cramped and the body simply cannot cope, solving the problem by terminating the pregnancy.

In such cases, resolving the issue for the better, unfortunately, is not always possible. With congenital defects of the uterus in the form of its abnormal shape, bearing a child is impossible under any circumstances. In other cases, all benign formations and septa are removed surgically.

Isthmic-cervical insufficiency

Possible causes of miscarriage include cervical incompetence (isthmic-cervical insufficiency). A weak and loose cervix simply does not hold the amniotic sac with the developing baby; the child literally falls out of the uterus. This is complicated by the fact that due to the leakiness of the uterus through the cervix, infection with pathogenic microflora from the vagina can occur and, as a result, extensive infection and miscarriage in the future (mainly in the second trimester). The cause of this condition may be previous abortions with curettage, mechanical injuries and an excess of male hormones.

This problem can be solved if measures are taken in time to preserve the pregnancy. Appropriate treatment is prescribed in case of infection or hormonal imbalance; in some cases, minor surgical intervention is necessary in the form of sutures on the neck to secure it or a special ring - a pessary.

Women's blood clotting disorder

It happens that a woman’s blood tends to clot faster than normal, which is a risk of microthrombi occurring in the capillaries of the placenta. As a result, the nutrition of the fetus is disrupted, which dies from hypoxia and exhaustion. This condition can become a possible cause of spontaneous abortion, but can be corrected in the future.

Incompatibility of partners and Rh conflict

Our immune system is designed to protect the body from foreign agents that threaten its normal functioning. But it happens that the system works “against its owner” and fails. Yes, yes, even in the human body, as in high-precision technology, malfunctions can occur. As a result of such “problems,” the woman’s immune system perceives the fetus as a foreign body, which it tries with all its might to get rid of.

This condition can occur when spouses are incompatible or, conversely, due to their excessive “similarity” at the cellular level. In this case, the mother’s body perceives the future baby as its own cells, with which “something is wrong.”

The cause may also be Rh conflict - a condition in which the Rh factor of the mother and the Rh factor of the child are incompatible, for this reason antibodies are produced that destroy the red blood cells of the fetus and lead to the development of pathologies or death in the womb.

The conflict arises only in those women whose Rh factor is negative (“Rh-”, meaning the absence of antigen D on the surface of red blood cells). If the embryo has Rh+, then the mother’s body accumulates antibodies to it, which reject the “foreign” organism. As a rule, there are no complications in the first pregnancy, however, if the pregnancy is the second or there was a miscarriage before, the likelihood of complications increases. In this case, the conflict develops ONLY with negative Rh in the mother and positive in the child.

Intrauterine infections

Well, the final cause of interruption of the gestational period is intrauterine infections. This is why it is so important to monitor your health during pregnancy and, if possible, reduce the risk of infectious diseases. One cannot help but pay attention to STIs (gonorrhea, chlamydia, herpes, etc.), which can penetrate the uterine cavity and then infect the membranes and amniotic fluid. As a result of any type of infection, mutations and abnormalities of fetal development occur that are incompatible with life.


When can we start over?

Regardless of the reasons for the sad end of your previous pregnancy, you should not give up trying to become parents. But it is also not recommended to approach the issue thoughtlessly. This time it is necessary to do everything possible so that the baby is not only born alive, but also absolutely healthy.

“How long before you plan to get pregnant after a miscarriage?”- this thought arises in the parents’ heads some time after the sad event. From a physiological point of view, this is possible already during the period of the first ovulation, literally 2-3 weeks after a spontaneous abortion. There have been cases where women found themselves in a position almost immediately, giving birth to healthy babies. But it is very frivolous to rely on “maybe”, because it is important to take into account not only the woman’s physical readiness, but also the moral aspect.

Some couples take the loss so hard that it takes months or even years to recover. Experts advise not to rush into trying to conceive a child and wait about a year. During this time, the woman’s body will recover in all respects, and at the same time there will be enough time to undergo a full examination and thoroughly prepare for parenthood.

Restoring the body's functions and its ability to bear a child is also extremely important. Therefore, planning a pregnancy after an early miscarriage (with or without a cleanse) and trying to get pregnant after a second trimester miscarriage are somewhat different.

If the abortion occurs in the early stages, the body recovers faster. Brushing or curettage removes dead tissue to prevent infection if it has not left the uterine cavity on its own. But this is fraught with mechanical damage. The need for cleaning after a miscarriage is determined after the results of the ultrasound. Termination of pregnancy in the period from 12 to 28 weeks requires long-term restoration of hormonal levels, normal size of the uterus, menstrual cycle, etc.

Often, new attempts to get pregnant immediately after a miscarriage end similarly sadly, after which the woman only exposes herself to more stress and finds herself in a severe depressive state; moreover, each unsuccessful attempt minimizes the possibility of a favorable pregnancy outcome. So what to do?Let's take a closer look.

  • Survive the difficult moment for as long as necessary. When thinking about planning a pregnancy after a miscarriage, it is important to be prepared for a new stage in your life, to try to become parents, without fear of previous failures. It is after you have overcome all your fears and let go of the past that you can think about the baby again.
  • Reconsider your lifestyle. Sometimes we do not take into account that some factors, insignificant in our opinion, can indirectly affect health and the course of pregnancy as well. Go in for sports, yoga, learn the art of meditation, learn to relax, this will only be beneficial.

Healthy is the key to the flawless functioning of the body. You will be surprised at the surge of vitality after giving up fast food, canned food and processed foods. At the same time, proper nutrition in no case means limiting yourself in food, counting calories or anything else. It is the quality of nutrition that matters.

Get positive emotions, do what you have long dreamed of: travel, go to an exhibition, to the theater. Endorphins – hormones of joy – are a key point in preparing for a new stage.

Alcohol, and especially tobacco, should not be in your life. There are many scientific works about the harmful effects of smoking and drinking alcohol during pregnancy, so why step on the same rake again?

  • You need to undergo a full examination, together with your husband, to make sure that the future parents are completely healthy. Blood and urine tests and ultrasound examinations are routinely prescribed; sometimes there is a need for additional diagnostic methods.

Be that as it may, the examination should be comprehensive and involve both spouses. It is important to exclude the possibility of repeated situations that led to a miscarriage the last time. Therefore, a consultation with a gynecologist is indispensable. In some cases, in-depth research and consultations with an endocrinologist, surgeon and third-party specialists are necessary.

To stop possible genetic disorders and identify the causes of termination of pregnancy, special studies of the chromosomal set of the parents may be required, as a result of which subsequent recommendations may be given.

If the cause of a previous unsuccessful attempt to carry a baby was hormonal changes in the body (polycystic ovary syndrome, diabetes mellitus, dysfunction of the ovaries, thyroid gland, etc.), hormonal therapy and correction of hormone synthesis may be prescribed, and subsequently correction of hormonal levels if necessary .

For abnormalities in the development of a woman's genital organs, surgical treatment methods can be used if they are possible.

If the cause of the previous miscarriage was immunological problems, then special immunotherapy is prescribed, depending on the type of disorder. In some cases, correction of the woman’s body’s defense system is possible when planning the next pregnancy.

If infectious diseases are identified during pregnancy planning, they are treated before conception, even if they were not the cause of the previous abortion. If a woman has chronic diseases, appropriate therapy is carried out aimed at eliminating the acute form of the disease and subsequent monitoring of the remission stage.

Let's sum it up

In our lives, we never know what will happen to us tomorrow; we cannot be sure that all misfortunes will pass us by. But it is within our power to reduce this probability to a minimum by making certain efforts. Even if at some point life has “beaten” us, as it seems to us, quite a lot, it is worth asking ourselves: “Why is that so?” And think not about how sinful or unhappy we are, but about the fact that we may be doing something wrong. Life, through bitter mistakes, guides us on the right path and protects us from the worst even with such harsh methods.

Experiencing the loss of an unborn baby is a heavy burden, but even this should not slow down or become an obstacle to achieving your goal. On the contrary, it is an impetus to new achievements with even greater self-confidence and a responsible approach! You will succeed, and the reward for your efforts will be a new emerging life under your heart! Good luck!

Miscarriage is one of the most painful and unpleasant situations that can happen to a woman. Many women, after suffering a spontaneous abortion, become depressed, they have thoughts that they will never be able to have children, and so on. Some women are afraid of a possible pregnancy, while others, on the contrary, strive to become pregnant as soon as possible after a miscarriage. Is this step justified and what is the danger of pregnancy occurring immediately after a miscarriage? Or maybe you should listen to the doctors’ recommendations and postpone a new pregnancy for some time?

Miscarriage and its causes

A miscarriage is the spontaneous termination of pregnancy up to 28 weeks, and according to new data up to 22 weeks (a child at this stage can already survive outside the mother’s womb with special equipment). On this basis, there are early miscarriages, that is, those that occurred before 14 weeks, and late ones, from 14 to 28 weeks.

By the way, miscarriages also include frozen pregnancies. A frozen pregnancy is said to occur when the fetus died in utero, and the uterus for some reason was unable to push it out (failed miscarriage).

Causes of miscarriage:

  • genetic and chromosomal abnormalities of the fetus (in this case, nature itself is in a hurry to get rid of the non-viable little person);
  • acute infectious diseases of the mother (influenza, rubella, chickenpox and others);
  • severe chronic genital and extragenital diseases of women;
  • malformations of the uterus;
  • sexually transmitted infections;
  • pregnancy due to an intrauterine device;
  • immunological reasons;
  • taking certain medications (glucocorticoids, anticonvulsants, antibiotics);
  • Rhesus conflict;
  • isthmic-cervical insufficiency (cervical incompetence);
  • hard physical work.

Why are doctors against pregnancy immediately after a miscarriage?

Many women who become pregnant immediately after a miscarriage receive a certain portion of reproaches, dissatisfaction, and sometimes even threats from the doctor at the antenatal clinic. As women write on forums, they say that doctors do not understand anything about how you want to give birth to a child. Well, yes, where should they go?

And gynecologists swear not out of malice, but out of fear for the woman’s health and her pregnancy. In such a short time (usually a month or two after a miscarriage), the body has not yet had time to recover and gain strength before the next pregnancy.

As you know, during pregnancy there are severe hormonal changes, and sudden termination of pregnancy leads to hormonal disruptions. So, against the background of an unstable hormonal balance, the risk of repeated spontaneous abortion is very high.

In addition, miscarriages are often accompanied by massive blood loss, which leads to the development of posthemorrhagic anemia, and a pregnancy developing against the background of a lack of hemoglobin will not receive the necessary amount of oxygen and nutrients, which can lead to retardation of fetal growth and development. The possibility of ectopic pregnancy (infections, chronic diseases of the uterus and appendages) cannot be ruled out.

Also, during this period - from the day of the miscarriage to the new pregnancy - the woman simply does not have time to undergo the necessary examination to find out the cause of the termination of pregnancy and, if possible, eliminate it.

What to do?

If this happens, and a woman intentionally or accidentally becomes pregnant immediately after a miscarriage, first of all, you should not be upset, especially if the pregnancy is desired. Pregnancy after its previous spontaneous termination must be maintained, no matter whether it is desired or not. Each new abortion reduces a woman's chances of becoming pregnant again and bearing a healthy child.

First of all, during pregnancy immediately after a miscarriage, it is necessary to limit physical activity and heavy lifting (as they say, do not lift anything heavier than a spoon).

Secondly, the diet should consist of fresh fruits and vegetables, and as soon as a woman finds out she is pregnant, she should immediately start taking folic acid (prevention of neural tube defects). The doctor at the antenatal clinic will recommend preventive therapy (possibly in a hospital) in order to maintain pregnancy.

There is no point in refusing hospitalization, because a woman’s first task is to maintain and carry the pregnancy to term. Preventive treatment includes antispasmodic drugs that relax the muscle tone of the uterus (no-shpa, spazgan, papaverine).

A drug such as Magne-B6 is very effective. It contains magnesium, which has an antispasmodic effect, and vitamin B6, which serves as a conductor of magnesium into the cell. Hormonal drugs (progesterone analogues) Duphaston and Utrozhestan are also prescribed (both for enteral administration and for insertion into the vagina). Courses of preventive therapy are carried out repeatedly throughout pregnancy, at critical periods: 6 - 8 weeks, 10 - 12 weeks, 14 - 16, 18 - 20, 22 - 24 and so on.

Anna Sozinova


According to statistics, spontaneous miscarriage accounts for 10 to 20% of all diagnosed pregnancies. After failure, many women try to conceive again. How does a new pregnancy proceed after a miscarriage?

Causes of miscarriage

Spontaneous miscarriage is the termination of pregnancy before the fetus reaches a viable period (22 weeks). The birth of a baby after 22 weeks is called premature birth. In the latter case, the newborn is given all the necessary assistance so that the child can survive outside the mother's womb. For up to 22 weeks, resuscitation measures are not carried out.

Possible causes of miscarriage:

  • chromosomal pathology of the fetus;
  • intrauterine infection;
  • pathologies of the blood coagulation system;
  • immunological disorders;
  • malformations of the uterus;
  • endocrine disorders.

According to statistics, about 80% of all miscarriages occur for up to 12 weeks. The first trimester is considered the most dangerous for the embryo, because at this time any impact can be fatal for it. Miscarriages that occur in very early stages are associated primarily with chromosomal abnormalities of the fetus. After 6 weeks, the likelihood of infections and hormonal disorders increases as possible causes of termination of pregnancy. If a miscarriage occurs after 12 weeks, the cause should be sought in the hemostatic system.

It is not always possible to find out the exact cause of a miscarriage. It is believed that early termination of pregnancy is the result of natural selection. The woman’s body is trying to get rid of the initially defective embryo in the only way available to it. That is why in European countries it is not customary to continue pregnancy in the early stages. Domestic specialists adhere to different tactics and fight for every life, regardless of the stage of pregnancy.

In most cases, during a miscarriage, the already dead embryo is rejected. It happens that the fetus dies in utero, but it is not expelled. A malfunction occurs, as a result of which the uterus does not contract, and the dead embryo remains inside for a long time. This condition is called regressive (non-developing) pregnancy and occurs in 20% of all cases of successful conception.

Factors that provoke spontaneous miscarriage:

  • the age of the woman (after 35 years the risk of miscarriage is 20%, after 40 years – 40%);
  • number of births and abortions (women with two or more pregnancies in the past have a greater risk of miscarriage);
  • spontaneous abortions in the past;
  • hormonal disorders;
  • bad habits (smoking more than 10 cigarettes per day increases the risk of miscarriage in the first trimester);
  • injuries;
  • fever (an increase in body temperature above 37.5 degrees increases the risk of spontaneous miscarriage);
  • taking medications (especially anti-inflammatory drugs);
  • lack of folic acid;

When does pregnancy occur after a miscarriage?

For most women, a new pregnancy occurs 3-12 months after the miscarriage. The likelihood of a successful conception increases if the miscarriage occurs without complications. In the absence of other health problems, pregnancy can occur again in the next month.

Spontaneous miscarriage is a condition accompanied by large blood loss. Bleeding is a direct threat to a woman’s life, so doctors do not recommend waiting for the fertilized egg to come out on its own. The chance that the embryo and membranes will come out completely is not that great. If bleeding develops against the background of a miscarriage, vacuum aspiration of the fertilized egg and curettage of the uterine cavity is performed.

The procedure for removing the embryo along with the membranes is not always successful. After manipulation, the following complications are possible:

  • massive bleeding;
  • infection of the uterus;
  • hormonal disbalance;
  • retention of parts of the fertilized egg.

After the procedure, some women experience menstrual irregularities. Against this background, the onset of a new pregnancy may be delayed. It may take more than 6 months for the body to recover. In some cases, a woman may need to undergo reparative therapy before thinking about conceiving a child. If pregnancy does not occur within 12 months, you should definitely be examined by a specialist.

Planning pregnancy after miscarriage (pre-pregnancy preparation)

Doctors advise not to rush into conceiving a child immediately after a spontaneous abortion. The minimum period for which the body has time to recover and prepare for pregnancy is 3 months. Some recommendations call for a period of at least 6 months. The duration of this interval depends on how the operation to remove the fertilized egg went. If complications develop after the procedure, you should wait at least six months before thinking about another pregnancy.

Before conceiving a child, a woman should be sure to undergo examination by a specialist:

  • STI tests;
  • blood hormones;
  • hemostasiogram;
  • autoimmune antibodies;
  • karyotype;
  • Ultrasound of the pelvic organs;
  • genetic consultation.

Testing for STIs includes testing for the main pathogens that cause infection of the reproductive system. These include:

  • chlamydia;
  • mycoplasma and ureaplasma;
  • gardnarella;
  • herpes simplex virus;
  • cytomegalovirus;
  • gonococci;
  • Trichomonas;
  • yeast-like fungi;
  • other opportunistic flora.

To identify pathogens, it is enough to take a bacteriological culture from the cervical canal and a smear from the vagina and urethra. With the help of bacterial culture, the state of the normal microflora of the genital tract can be assessed. The doctor may also recommend donating blood for antibodies to the herpes virus, cytomegalovirus, rubella and toxoplasma. Antibodies are determined by ELISA when collecting venous blood.

Hormonal examination includes:

  • luteinizing hormone (LH);
  • follicle-stimulating hormone (FSH);
  • prolactin;
  • estradiol;
  • progesterone;
  • testosterone;
  • 17-OPK;
  • cortisol;
  • DHEA-S.

These hormones must be given to those women who have had problems conceiving or bearing a child in the past. Sex hormones are taken on days 1-3 of the menstrual cycle in the morning on an empty stomach. The exception is progesterone, which is given on days 21-22 of the cycle (with a regular cycle of 28 days). If your menstrual cycle is not regular, you should check with your gynecologist for the exact time of testing.

According to indications, tests for other hormones are prescribed:

  • thyroid hormones (TSH, T3, T4);
  • antibodies to TSH receptors;
  • 17-ketosteroids;
  • other hormones as directed by specialists.

An analysis of the blood coagulation system is of great importance in diagnosing the cause of miscarriage. All women whose pregnancy was terminated in the early stages should undergo a hemostasiogram. If any deviations are detected, you must consult a hemostasiologist. Based on the analysis data, the doctor will give his recommendations on planning a new pregnancy. You may need to undergo treatment or take blood-altering drugs throughout your next pregnancy.

Identifying autoimmune antibodies is an important step in preparing for conceiving a child. We are talking about identifying APS (antiphospholipid syndrome). This disease is one of the common causes of miscarriages after 10 weeks. If a woman has had 2 or more spontaneous abortions in the past, testing for antibodies to APS is mandatory.

Fetal karyotyping is an analysis for which material must be taken directly during surgery for a miscarriage. During the procedure, the doctor not only removes elements of the fertilized egg, but also takes embryonic tissue for examination. Based on the results of the analysis, the doctor can confirm or refute various chromosomal abnormalities of the fetus.

If a chromosomal pathology is detected during karyotyping, a woman must visit a geneticist. This should also be done if 2 or more miscarriages have occurred (even without a karyotype study). The doctor will draw up an individual genetic map and assess the possible risks for a subsequent pregnancy. You should know that all geneticist’s conclusions are advisory in nature only. A woman will have to make a decision about the possibility of a new pregnancy on her own, taking into account all the examination results obtained and the existing risks.

For women with Rh-negative blood, tests for Rh antibodies are added to the examination. An immunological conflict occurs if an Rh-negative woman becomes pregnant with a fetus with an Rh-positive blood type. When antibodies appear in a woman’s blood, there is a high risk of spontaneous miscarriage. It is necessary to find out if there are dangerous antibodies in the blood before a new pregnancy occurs.

A pelvic ultrasound is performed for all women 7 days after a spontaneous miscarriage. If indicated, a repeat ultrasound examination may be required in a month. If a year or more has passed since the miscarriage, it makes sense to have another ultrasound done by a good specialist. If any pathology is detected, you need to undergo examination and treatment by a gynecologist.

Further examination and treatment will depend on the detected pathology. If hormonal problems are identified, it is recommended to visit a gynecologist-endocrinologist. In case of disorders of the blood coagulation system, a woman has a direct route to a hemostasiologist. In some cases, before planning a new pregnancy, you need to undergo surgical treatment by a gynecologist.

The cause of spontaneous miscarriage may be an exacerbation of chronic diseases (hypertension, diabetes mellitus, etc.). In this case, even before conceiving a child, it is worth visiting an appropriate specialist and achieving remission. When a new pregnancy occurs, you will also have to periodically visit the doctor so as not to miss an exacerbation of the disease. With proper supervision from a specialist, a woman has every chance of maintaining her pregnancy and giving birth to a healthy child on time.

Course of pregnancy

A new pregnancy after a spontaneous abortion in the past is a great joy for any woman. Unfortunately, this period does not always go well. A woman who has experienced a miscarriage once is at risk for developing a variety of complications. If the expectant mother has had 2 or more pregnancy terminations in the past, the risk of an unfavorable outcome increases several times.

In the early stages, there is a high risk of repeat miscarriage. The risk of spontaneous abortion increases in women who have not undergone the necessary preparation before conceiving a child. Often, a repeat miscarriage occurs at the same time as the previous one. When the first signs of a threatened miscarriage appear, the woman should immediately see a doctor and begin maintenance therapy.

In the second half of pregnancy, the risk of spontaneous miscarriage is significantly reduced. Here other problems arise that can significantly affect the course of the second and third trimesters. Many expectant mothers experience fetoplacental insufficiency, as a result of which the baby suffers from a lack of oxygen and nutrients. In severe cases, fetal development may be delayed and a child may be born with low body weight and various health problems.

Women who have had a miscarriage in the past have several increased risk of premature birth. The birth process also does not always go well and may end in a caesarean section. The likelihood of such an outcome is impossible to predict. For many expectant mothers, pregnancy proceeds quite well, and nothing prevents the baby from being born at the time programmed by nature.

The prognosis for a new pregnancy after a single miscarriage is quite favorable. The risk of another fetal loss increases by 20%, but even in this situation, many women safely carry and give birth to healthy children. Competent preconception preparation significantly increases the chance of a successful outcome, even in the case of multiple miscarriages in the past.

According to statistics, exactly half of all pregnancies end in miscarriage. Moreover, often a woman does not even suspect that a child has developed inside her. Involuntary termination of pregnancy occurs within a period of several days to several weeks from the moment of conception. Several factors contribute to this.

Causes of miscarriage

  • "Natural selection". The mother's body expels the embryo, which develops with defects incompatible with life. This usually occurs in the first weeks of pregnancy.
  • Venereal diseases. Gonorrhea, chlamydia, mycoplasmosis, herpes infection - these and other sexual diseases cause severe inflammatory processes. During pregnancy, they become aggravated, melt the mucous plug of the uterus and activate inflammation of the uterine endometrium, on which the fertilized egg is attached. Sexually transmitted diseases lead not only to involuntary termination of pregnancy, but also to situations where, after a miscarriage, it is not possible to become pregnant.
  • Abortions and genital surgeries, mechanical damage to the uterus, its deformations, adhesions. The cause of miscarriage is a weakened cervix, which is unable to hold the fertilized egg inside. Sometimes it can interfere with pregnancy due to abnormalities in the structure of the organ.
  • Hormone imbalance. The course of pregnancy is influenced by hormones produced by the pituitary gland, adrenal glands, and thyroid gland. They can provoke a miscarriage at any stage.
  • Chronic diseases. These include problems of the cardiovascular system, metabolism, and body weight disorders. The likelihood of becoming pregnant after a miscarriage is higher in women who do not suffer from anorexia and obesity.

Pregnancy after miscarriage

How long after spontaneous miscarriage and cleansing can you get pregnant? To plan a pregnancy, you need to consult with an obstetrician. According to obstetricians and gynecologists, planning a pregnancy after a miscarriage is possible within 3-6 months. Some experts say it is necessary to wait a year.

But only a doctor who knows about your problem should help you answer the question of how to get pregnant better and faster. After all, what matters is not how long it took you to become pregnant after a miscarriage, but whether you were able to carry a new pregnancy.

To prevent a recurrence of the situation, it is necessary to eliminate the reasons that caused the miscarriage. To do this, you and your spouse will need to be tested. Typically it includes the following.

  • Testing a woman’s blood for hormonal levels and urine for ketosteroids. The object of the study will be the concentration of male sex hormones in the body of the expectant mother. You can also notice their excess visually by excessive hair growth on the legs, arms, the presence of “antennae” on the face and dark hair in the lower abdomen.
  • Analysis of the functioning of a woman’s adrenal glands and thyroid gland. Pregnancy after an early miscarriage is possible only in the absence of their dysfunction.
  • Examination of both parents for the presence of sexually transmitted diseases. If detected, treatment is mandatory.
  • Ultrasound of the uterus and appendages, which allows you to see anomalies in the structure of the organ, growing tumors, and the condition of the endometrium.

How to get pregnant after a miscarriage if everything is normal

If diseases are detected, the doctor will prescribe treatment for you. And within a few months you can become pregnant and successfully carry a child to term. But what if the doctors found nothing? Then focus on your lifestyle.

  1. No nerves. After a miscarriage, you can get pregnant immediately if you follow an important rule: “I am calm. I am absolutely calm." Eliminate from your environment everything that causes nervousness. Go with your husband to a resort, change the scenery. Your mental state has a direct impact on your physical state. If your nerves continue to be naughty, drink soothing teas made from leaves and mint.
  2. No bad habits. Moreover, both parents need to give up alcohol and nicotine. They deteriorate the quality of male sperm, which is why pregnancy may not occur for a long time, and the fetus may be formed with defects.
  3. Minimum medications. Reduce your intake of all medications to the minimum possible. Be sure to consult your doctor if you take any of them regularly. Perhaps some things can be replaced with dietary supplements or avoided altogether.
  4. Proper nutrition. You must eat well. If you have a thin physique, eat more protein foods and the right fat (valuable varieties of fish, flax seeds, olives, avocados). It is protein-fat metabolism that has a direct impact on the production of sex hormones. If you have problems with excess weight and it is not a matter of hormonal imbalances, include as many vegetables and fruits in your diet as possible. They should make up more than half of your daily diet, and 60% of them should be consumed raw.
  5. Taking vitamin E and folic acid. These substances will prepare your body for pregnancy and help the proper development of the fetus in the first weeks, the most dangerous for the risk of miscarriage.

So, is it possible to become a mother after a miscarriage? Of course you can. Approach your future pregnancy responsibly. And the second time you will definitely succeed!



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