Every woman dreams of having children. This instinct is inherent in nature. But life doesn't always work out the way you want. Many representatives of the weaker sex have to deal with pathologies such as missed pregnancy or miscarriage. After such a disappointing diagnosis, it seems that the whole world has collapsed. But don't give up. Today's article will tell you what to do after a miscarriage and how to restore your strength with he alth. It is worth recalling that the data below should not encourage you to self-medicate or refuse medical help. If you are faced with a similar problem, then without doctors you will not be able to cope with it.
General concept of miscarriage
Spontaneous abortion is called a miscarriage. In this case, the fetal membranes can leave the uterus completely (often this happens in the early stages) or remain partially in it. Such an event can occur at any time. If an abortion occurs in the first 12 weeks, then they talk about an early miscarriage. Harder businessThis is the case with the development of a similar condition in the second trimester. After 25 weeks, we are already talking about preterm birth, since at this time the embryo can be viable (if the right conditions are organized).
Do I need a purge after a miscarriage?
If this happened, then there is nothing to fix. There is no need to withdraw into oneself and refuse medical help. The consequences of such renunciation can be very dangerous. It is not uncommon for women to need cleansing after a miscarriage. How to find out about such a need?
Contact a gynecologist and visit an ultrasound diagnostic room. During the study, the physician will determine the condition of the uterus and its inner lining. If the remains of the fetal egg (even the smallest ones) are visible in it, then you will definitely be prescribed curettage. It is impossible to delay in such a situation, since lost time is fraught with unpleasant consequences and even sepsis. When no remains of the membranes are found in the reproductive organ, you can safely proceed to the next steps.
Currettage after a miscarriage is done more often if the interruption occurred after 6-7 weeks. Manipulation is carried out exclusively within the walls of a medical institution using intravenous anesthesia. It lasts no more than 10-15 minutes. After that, the patient remains under the supervision of doctors for several hours and, if she feels well, can go home. A miscarriage in the second trimester requires the woman to be hospitalized for several days for medical supervision.
WhatNeed medication first?
If the termination of pregnancy was spontaneous with the complete removal of the fetal egg, then no medications are prescribed after that (with the exception of some situations). When curettage was carried out after a miscarriage, the gynecologist prescribes the appropriate medications. Among them, the most popular are the following:
- Antibiotics (preference is given to penicillins and macrolides, less often other groups are prescribed). Bacteriostatic and bactericidal drugs are prescribed to prevent infection. Often such consequences arise from cleaning. Take antibiotics for 3-10 days as recommended by your doctor.
- Uterine remedies (often use "Oxytocin" or medicines based on it). These drugs increase the contractility of the myometrium. Due to this, the mucous layer is quickly rejected, preventing extensive bleeding and speeding up the recovery process.
- Immunomodulators ("Isoprinosine", "Derinat"). These drugs increase the body's resistance, they are also designed to eliminate viral infections received during or after curettage.
Any medication after a miscarriage should be prescribed by a doctor. Self-administration of drugs can be fraught with unpleasant consequences. Don't listen to old friends. Trust only your gynecologist.
Recovery period for the reproductive organ
The uterus after a miscarriage recovers quickly enough. Even if spontaneous interruptionpregnancy occurred at a long time, the reproductive organ returns to its usual size within a few days. If this does not happen, then, again, the patient is prescribed appropriate contractile medications.
Sex after a miscarriage should be excluded completely until the arrival of the first natural menstruation. Despite this warning, many couples rush to have another sexual encounter. The consequence of this may be infection, inflammation, bleeding and other troubles. It is categorically contraindicated for the patient to have sexual intercourse without a condom! Even if you are used to other methods of contraception, now they need to be replaced with barrier ones. The fact is that condoms protect well from genital infections. And your women's he alth is especially vulnerable right now.
First period after miscarriage
What does the first period look like after a miscarriage? Many patients confuse discharge after cleansing with the first menstruation. In fact, this is not entirely correct. In fact, the doctor cleared the cavity of the genital organ from the endometrium. It turns out that the doctor did in a few minutes what usually lasts 3-7 days. From this moment, you can start a new cycle. But postoperative discharge should not be confused with menstruation. The next bleeding occurs normally after 3-5 weeks. It is preferable to use gaskets with it. Tampons can cause a bacterial infection.
The first menstruation after an abortion can be scanty or, on the contrary, abundant. Sooccurs due to hormonal changes. An important role in this matter is played by the period at which the miscarriage occurred. If the cessation of embryo development occurred before 8 weeks, then the woman's body has not yet had time to fully tune in to pregnancy. The recovery of the cycle will happen quickly and with minimal consequences. When a miscarriage occurs after 12 weeks, the placenta is already functioning with might and main. Here everything is more complicated. The woman's body needs more time to restore normal functioning. There are cases when hormonal diseases (mastopathy, endometriosis, ovarian tumors) became a consequence of a late miscarriage.
Find cause and treat
Is it possible to establish the cause of such an outcome of events after a miscarriage? Is it possible to find out why the abortion happened? After all, awareness of the problem is already half the way to its solution.
The cause of a miscarriage can be reliably established only after curettage. The materials obtained during the manipulation are sent for histological diagnostics. Its result helps to determine why such a situation arose. But even this is not always enough. The patient must be tested. Depending on the state of he alth and obstetric history, the doctor prescribes appropriate studies: a blood test, the definition of genital infections, the establishment of genetic abnormalities. Be sure to visit such specialists as a urologist, cardiologist, therapist, endocrinologist. These doctors may find pathologies in their area that contributed to the miscarriage. Comprehensiveexamination will allow you to prescribe the most correct treatment.
Organize your meals properly
Many women complain of pain after a miscarriage. If gynecological pathology is excluded, then the matter may be in digestion. Often the described condition causes stress, which, in turn, leads to constipation, increased flatulence. That is why it is so important to establish proper nutrition in the first months after a miscarriage. It will promote normal metabolism and good digestion.
Fill your diet with protein and fiber rich foods. Eat lean meats and fish. Be sure to eat greens, vegetables and fruits. Drink plenty of water. After gynecological curettage, the likelihood of thrombosis increases. To prevent this from happening - thin the blood in a natural way: drinking water. Avoid any alcoholic drinks. They are actually contraindicated for you, since there is a restorative drug therapy.
If constipation persists even after changing the diet, then it is necessary to eliminate it with the help of medicines. Poor bowel movement contributes to stagnation of blood in the cavity of the reproductive organ. This is fraught with its consequences, for example, inflammation. What drugs to use to soften the stool - the doctor will tell you. Usually safe Guttalax, Duphalac for long-term use or Glycerol, Microlax medicines for quick action, but single use are prescribed.
Psychological side
After an early miscarriage, patients often withdraw into themselves. If spontaneous abortion occurred in the second trimester, then the situation is even worse. Women get depressed. There are cases when patients after this decided to take their own lives. It's not easy to stay like this. This can be very dangerous. We need to talk about this issue. Such topics are rarely discussed with a partner. Therefore, the most correct decision would be to contact a psychologist.
During the consultation, the specialist will listen to your complaints and concerns. It is this doctor who will help you cope with negative emotions after a miscarriage. After a few sessions, you will already feel much better. If necessary, your doctor will prescribe sedatives and antidepressants for you. Only the right approach to the problem will help solve it once and for all.
When can I plan my next pregnancy?
Absolutely all women for whom pregnancy was desired ask the question: is it possible to plan a new one immediately after a miscarriage? Any doctor will tell you not to do this. Even if the interruption occurred for a short time and did not have negative consequences, your body needs time to restore strength and hormonal levels. You also need to find out what exactly caused such a tragic outcome. Otherwise, the situation may repeat itself.
If everything is fine with the woman’s he alth, and the cause of the miscarriage is not in the presence of pathologies(the interruption occurred due to taking some kind of medication or injury, a nervous breakdown), then doctors are allowed to plan in 3-6 months. In this case, the menstrual cycle should be restored completely.
When the cause of the problem is found, treatment is given. It can be short or long. Planning for a subsequent pregnancy is postponed indefinitely. Remember that patients are often prescribed antibiotics. After a miscarriage, you can start planning only for the next cycle, counting from the completion of antibiotic therapy. But practically you can conceive a new life already in the same cycle. Therefore, the entire designated time period must be carefully protected.
Medical recommendations: step by step instructions
What reminder can be given to a woman in a similar situation? What to do after a miscarriage? Doctors give the following step-by-step instructions.
- Go for an ultrasound and find out if there are remnants of membranes in the uterus. With the result, go to the gynecologist.
- If the doctor prescribes curettage, then be sure to go through this manipulation. Otherwise, complications await you.
- Strictly adhere to the doctor's recommendation: take medications, follow the regimen, adjust the diet.
- Find out the cause of the miscarriage with your doctor, after which the doctor will develop a treatment plan for you. Observe it, do not plan a new pregnancy at this time.
- If there are mental anguish, depression and stress - consult a psychologist, do not withdraw into yourself.
- Proceed to new planning when the specialist allows. At the same time, try not to remember the negative moments, set yourself up for the positive.
Summarize
From the article you were able to find out a step-by-step recovery plan after spontaneous abortion. If a miscarriage occurs in the early stages, it is often not possible to establish its cause. Be sure to take care of your he alth. If the vaginal discharge after a miscarriage acquires a strange color and an unpleasant odor, then an infection has probably occurred. Don't think that everything will go away on its own. The sooner you see a doctor, the less negative consequences will be for you. Gynecologists categorically do not recommend trying to solve the problem on their own. Do not take any drugs on the advice of girlfriends. This can only exacerbate the current situation. Have a speedy recovery!
