The threat of termination of pregnancy is often referred to as simply "threat" by both doctors and patients. Will this state lead to sad events or can they be avoided? Most often, it depends not only on the timeliness and literacy of the doctors' actions, but also on the behavior of the expectant mother herself.

The threat of termination can occur throughout the pregnancy; its reasons can be varied. If this condition occurs on the term before, talking about the threat of spontaneous abortion (miscarriage), and on terms from - about the threat of premature birth.

Symptoms of threatened miscarriage

Stomach ache... Regardless of the gestational age, a sign of trouble is cramping or pulling pain in the lower abdomen in the center. In the first trimester, discomfort often occurs in the lateral parts of the abdomen. They are associated with changes in the ligaments of the uterus and have no relation to the threat of termination of pregnancy.

Tension of the muscles of the uterus, which is often referred to as hypertonia... Here it is necessary to distinguish between hypertonicity, diagnosed by ultrasound, and hypertonicity, which the patient herself feels.

Pathological course of pregnancy may be one of the reasons for its interruption. Most often, we are talking about gestosis of pregnant women, in which blood pressure rises, edema appears, protein in the urine. The reason for termination of pregnancy can be placenta previa, when the placenta is attached in the area of ​​the exit from the uterus: the conditions for the blood supply to the fetus in this case are worse than if the placenta is attached in the middle or upper part of the uterus. These conditions lead to premature birth in the second half of pregnancy.

Acute inflammatory and general infectious diseases, such as tonsillitis, flu, viral hepatitis, appendicitis, pyelonephritis, causing fever, impaired blood circulation between the mother and the fetus under the influence of toxins, can lead to termination of pregnancy at any time.

Chronic diseases of the expectant mother, which she has even before pregnancy, especially diseases of the cardiovascular system (hypertension, heart defects), diseases of the kidneys and other organs can cause termination of pregnancy at any time. In these cases, the likelihood of complications depends on the severity of the chronic disease.

Trauma, such as bruises, fractures, concussions, especially abdominal trauma, can lead to termination of pregnancy. In this regard, head injuries deserve special attention. Even those concussions and bruises of the brain, which a woman suffered even before pregnancy, can lead to the threat of miscarriage and premature birth. This is due to the fact that one of the structures of the brain is the main endocrine gland - the pituitary gland, which regulates the work of other organs that ensure the normal course of pregnancy. With "fresh" and chronic injuries to the brain, blood circulation and the pituitary gland can be disrupted, which will lead to a failure in ensuring pregnancy.

Stress, to which many are inclined to attribute a fatal role during pregnancy, in themselves, as a rule, are not a reason for the threat of termination of pregnancy: they can only become a predisposing factor in the presence of the above reasons.

Treatment of threatened miscarriage

With the threat of termination of pregnancy, a woman is recommended to stay in bed, that is, her physical activity is reduced to a minimum. Sometimes a pregnant woman is not allowed to get out of bed at all.

Naturally, the probability of losing a child causes anxiety and fear in a woman, which does not contribute to the preservation of pregnancy. Therefore, at any time, with the threat of termination of pregnancy, sedatives are prescribed - valerian or motherwort. You can help yourself to calm down. To do this, you need to try to relax, in whatever position you are (lying or sitting), and think about something pleasant, even if it seems that there is nothing good in life at the moment. For example, you can imagine a baby.

If the threat of termination of pregnancy occurs in the first trimester, then, as a rule, hormonal drugs are prescribed that contribute to the normal course of pregnancy. These include drugs that have the effect of progesterone (dyufaston, urozhestan, etc.), as well as drugs used for and immune causes of the threat of termination of pregnancy (dexamethasone, metipred).

If, during examination and ultrasound examination, a failure is found, then stitches are applied to the cervix, which "do not release" the ovum. The operation is performed under general anesthesia. At the same time, the woman is injected with drugs that relax the uterus.

Since the threat of interruption, drugs have been used to relax the uterus. These are drugs from different pharmacological groups, but they are united by the fact that they relieve spasm of the uterine muscles (sulfate, ginipral, partusisten, etc.). Medicines are most often given with a dropper.

In the presence of bloody discharge in a pregnant woman, hemostatic drugs are used. If necessary, treatment of infectious, inflammatory, chronic diseases of internal organs is carried out.

In conclusion, I would like to say that most situations in which there is a threat of termination of pregnancy can be avoided. To do this, before pregnancy or at the very beginning, you need to determine if there are any reasons that can lead to this complication of pregnancy. But you should not take the diagnosis "threatened abortion" as a sentence. By contacting a doctor in time, you will provide your baby with favorable conditions for further growth and development.

Valentina Remizova,
obstetrician-gynecologist

By the middle of the third month of waiting for the baby, the expectant mother is already quite accustomed to her position and takes all the changes that are happening to her for granted. Outwardly, no special changes were noticed compared to the previous week, but for the baby they are quite significant. What happens to him at the 10th week of pregnancy, and what does mom feel?

Fetus at 10 weeks gestation

The 10th obstetric week is 9 full obstetric weeks or 7 full fetal weeks. Very soon, the gynecologist will begin to call the embryo a fetus, but for the expectant mother this is insignificant: for her, a "baby" lives in the tummy from the first days.

Size and weight

The child has already grown significantly. In length, it can reach 3-4 centimeters and weigh about 4 grams. Now there is an intensive growth and development of the future man, the formation of internal organs, functional systems of the body continues.

What is developing in the tenth week?

The placenta is already intensively forming, and "on the fly" takes over the reproduction of hormones. The heart of the baby now has 4 chambers, the main blood vessels are practically formed. The brain grows, eyes, arms, legs continue to develop. The development of the intestines and the respiratory system continues. The baby already has an anus, and the kidneys produce urine.

10 obstetric week is important in that this is the moment the formation of the reproductive organs (ovaries or testicles) begins. And now the baby is moving inside the mother, however, she still does not feel it.

What does a baby look like?

The child is becoming more and more like a man. The rudiment-tail has already disappeared from him, the arms and legs are "unstuck" from the body, bend at the joints, fingers are formed on them. On the face, the tip of the nose stands out and there are already the rudiments of the eyelids. It is not yet possible to find out the sex of the child. However, the next screening at 12 weeks is already able to show who the mother is wearing under her heart - a son or a daughter.

Sensations at the 10th week of pregnancy

What's new about 10 obstetric week of pregnancy for a woman?

Physiological changes in a woman

The beginning of the third month of pregnancy is not yet noticeable changes in the appearance of the expectant mother for every look. But she herself notices these changes. Veins in the legs and abdomen may become visible due to the increased volume of blood circulating. However, red blood cells are not produced as quickly as plasma, and due to the lack of the former, the woman feels weak and quickly gets tired.

If the toxicosis is not very exhausting, and the appetite does not decrease, then by week 10 a woman can gain up to 2 kilograms in weight. The belly is still not very noticeable, and a special “pregnant” wardrobe is not required.

How does the uterus react in the tenth week of pregnancy?

At 9 full weeks of obstetric term, the uterus has noticeably increased in size. Now she is 8-10 centimeters high. Now the baby in the uterus is reliably protected from external influences by a cork - a clot of mucus that closes the cervix. The cork will stay in place until delivery.

You can already start doing Kegel exercises - this will prepare the uterus for childbirth, make the muscles of the vagina elastic and elastic. However, with hypertonicity of the uterus, such activities are prohibited!

Breast 10 weeks pregnant

Some women notice that their chest pains stopped at 10 weeks of pregnancy. This is due to the fact that the hormonal "boom" slowed down somewhat. The breasts may become noticeably larger and heavier. The nipples and areolas take on a darker shade. Large veins may come out. Now is the time to start preparing for lactation: "harden" the breast, otherwise the sensitivity of the nipples can cause severe pain when the baby starts eating. The chest should be washed with water at room temperature and the nipples should be rubbed with a waffle towel.

Nauseous at 10 weeks of gestation

Nausea is still troubling in the morning on an empty stomach. The culprit is hormones that have a relaxing effect on the intestinal muscles. To avoid unpleasant sensations, it is worth eating often and in small portions; it is better to take breakfast in bed. It is recommended to lie down for a while after each meal. Drinking will help from frequent nausea - water or sour fruit drinks, juices, tea with mint saves well. Many women benefit from frequent brushing or mouthwash with breath fresheners. Vomiting more than 5-10 times a day is a possible reason for hospitalization, as it can provoke dehydration.

Discharge at 10 weeks of gestation

Normally, at the 10th week of pregnancy, vaginal discharge can change color and consistency - it becomes thinner or thicker than usual. This is due to hormonal effects. However, there should be no blood impurities in them.

An unpleasant odor and cheesy consistency of vaginal discharge can be symptoms of vaginosis or thrush. This is a reason for a premature visit to the doctor! Fortunately, there are enough safe drugs for these ailments today, and the doctor will select the optimal course of treatment.

Sometimes it can be intimidating to quickly get wet laundry or panty liners. The reason is urine leakage. The pressure on the bladder increases due to the growing uterus, and the muscles of the bladder itself weaken. Sneezing or laughing aggravates the hypotonia of the muscles, and urine may leak slightly.

Features of IVF pregnancy

IVF is an assisted reproductive technology that has helped many couples with infertility. The main difference between IVF and normal pregnancy is that conception occurs outside the female body, and the embryo is transferred to the uterus at the age of 2 to 5 days. But according to statistics, only a third of women carry IVF babies before delivery.

7 full embryonic weeks of IVF pregnancy are characterized by the same intensity of development of the embryonic organs as in natural pregnancy, however, with hormonal support with progesterone-containing drugs. If there are no complications, a woman can register with an antenatal clinic, although many expectant mothers prefer observation by their reproductive specialists.

Features of multiple pregnancy

Multiple pregnancies - pregnancy with twins or more - are diagnosed at the first ultrasound scan, however, if it has not yet been performed, the doctor can detect it during a manual examination of the patient - the uterus is usually larger in size than it should be for a period of 9-10 weeks. The hCG test will also help to confirm the fact of multiple pregnancies - the hormone in the blood will be significantly higher than normal.

Pregnancy with more than one child is considered a high-risk pregnancy and requires special monitoring. The mother should be prepared that she will have to attend the consultation more often. In the first trimester, such a pregnancy carries few more complications than a singleton pregnancy.

Problems in the tenth week of pregnancy

Toxicosis

Symptoms of toxicosis may still not leave the pregnant woman. However, by this time the majority of women had already adapted to the peculiarities of their well-being and learned how to correct them.

Weakness and dizziness are due to a drop in blood pressure (hypotension). If the pressure is low all the time, the baby does not receive enough oxygen. Against the background of hypotension, migraine may develop. There are only a limited number of medications that can be treated for headaches, and these should be recommended by a doctor. The best remedy for migraines is sleep, at least for a short time.

Toxicosis usually goes away after 12 weeks of pregnancy.

Diarrhea and constipation

Constipation often plagues pregnant women. They pose a danger, and a very significant one. So, for example, against the background of constipation, it is possible to develop hemorrhoids, painful cracks in the rectum, and even the threat of miscarriage.

For constipation, the main and safe remedy is an adequate intake of fluids and food rich in dietary fiber. A laxative can only be recommended by a doctor, since it is difficult to independently choose a drug without contraindications. In no case should you resort to enemas - they cause contraction of the uterus! Sometimes you can use glycerin suppositories - this remedy is safe.

But there is also the opposite problem - diarrhea.

If diarrhea is a manifestation of an eating disorder, it is quite simple to eliminate it, "fixing" products will help:

• crackers;
• millet, rice porridge;
• baked apples;
• lean meat broth soups;
• low-fat cottage cheese.

From folk remedies, a decoction or jelly blueberry and bird cherry, a compote of their dry pears, an infusion of pomegranate peel help well. At the same time, it is important to control the water-salt balance: you need to drink a rehydration solution prepared from a liter of water, 6 teaspoons of sugar and half a teaspoon of salt. It is possible to take prebiotics. If diarrhea is caused by infectious diseases, you must go to a hospital.

Heartburn

Many pregnant women suffer from heartburn, and not only at the 10th week of pregnancy. Heartburn occurs due to the effect of gastric juice on the lining of the esophagus, resulting in a burning sensation behind the breastbone - a rather unpleasant sensation.

Heartburn can be due to the effects of hormones during pregnancy, and it is also caused by certain foods (sour foods, pickles, fried, brown bread, and others). It is necessary to adjust nutrition, a gynecologist can give practical advice, but you may need to consult a gastroenterologist, since sometimes heartburn is a symptom of very serious gastrointestinal diseases.

Stomach hurts and pulls

Abdominal pain during pregnancy in the first trimester is different. Small stretching at the bottom with rebound on the sides can be caused by the stretching of the uterus. Such pains are of a fickle nature, without bleeding and a general deterioration in the condition of the expectant mother. Sometimes an eating disorder can be the cause.

But the stomach at 10 weeks of gestation sometimes hurts for more serious reasons, for example, when:

• hypertonicity of the uterus;
• threatened miscarriage;
• ectopic pregnancy;
• trauma to the abdomen.

If the pain is persistent, accompanied by bleeding, fever, fainting - this is a reason for immediate medical attention!

Bleeding at 10 weeks gestation

Why does it bleed at 9 obstetric weeks? It is no longer possible to confuse bleeding with menstruation, the embryo has long been entrenched in the uterus, therefore, implantation bleeding is already a thing of the past. What are the possible reasons?

Sometimes it can slightly “smear” after a gynecological examination in a chair or an ultrasound scan with a vaginal sensor. Such discharge is caused by minor damage to the inner layer of the vaginal epidermis. In addition, it can bleed if a woman has not healed the previously formed erosion before pregnancy. The presence of polyps or cysts in the vagina is another possible cause of bleeding. As a rule, this does not pose a threat of termination of pregnancy. But the reasons can be more serious. For instance:

• cystic drift is the degeneration of chorionic cells into vesicles, in which the embryo dissolves, however, pregnancy symptoms persist, but abdominal pain, increased pressure and bleeding are symptoms when an ultrasound scan is required;
• frozen pregnancy;
• ectopic pregnancy;
• threatening abortion.

Any suspicious vaginal discharge is a reason for immediate medical attention!

Ectopic pregnancy

A fairly common pathology is an ectopic pregnancy, in which the embryo does not attach to the wall of the uterus, but in the fallopian tube, less often in the ovary, in the abdominal cavity or in the cervical canal of the uterus. At seven embryonic weeks, the embryo is already quite large, it grows, and the fallopian tube expands, which can cause severe pain and fainting in a woman. If measures are not taken in time, it can result in pipe rupture. In this case, the woman has no chances of having a child; the extraction of the embryo is a prerequisite for the preservation of her life and further reproductive capacity.

Threat of miscarriage at 10 weeks of gestation

The middle of the third obstetric month of pregnancy is still a rather disturbing period of gestation. The threat of miscarriage mainly arises from a lack of progesterone or from an increased tone of the uterus. An experienced gynecologist will certainly notice if there is a threat, but the woman herself should not be silent about suspicious symptoms.

Another reason for the threat of miscarriage at the beginning of the fourth obstetric month is ICI - isthmic-cervical insufficiency. With this diagnosis, the cervix becomes shorter and opens slightly, and the lower region of the ovum lends itself to infection, the elasticity of the membranes is lost, which can lead to fetal death. In this case, a woman is able to not experience pain at all. The doctor should detect the problem during examination, and ultrasound allows to confirm or exclude the diagnosis. Timely diagnosis of ICI increases the chance of delivering a baby and giving birth to him without pathologies. Treatment consists of conservative or surgical methods. Surgical treatment is carried out either by suturing or by placing a special ring on the cervix.

The mother's age is an important indicator for the normal course of pregnancy. The older the woman, the higher the risk of miscarriage. However, the obstetric 10th week of pregnancy (from conception - the eighth) is a kind of milestone, when it is left behind, the risk of natural termination of pregnancy is sharply reduced.

Frozen pregnancy at 10 weeks

When a pregnancy is desired, its termination is a real psychological blow for a woman. One of the indications for medical termination is a frozen pregnancy. With such a diagnosis, the initially normally developing gestation stops for any reason, the fetus stops growing and dies. However, a spontaneous miscarriage may not happen. Sometimes a woman carries a dead fetus inside for quite a long time, unaware of it, because the symptoms of a progressive pregnancy can persist.

However, the diagnosis can be confirmed by:

• blood test for hCG - the indicator of the concentration of the hormone will be low for the expected duration of pregnancy and its growth will stop;
• Ultrasound, which will show the lack of dynamics of the development of the embryo.

The most likely causes of pregnancy fading are genetic mutations or infections. The likelihood of a successful pregnancy in a subsequent pregnancy increases after a thorough examination of both partners and, if necessary, appropriate treatment.

Termination of pregnancy at 10 weeks

The risk of termination of pregnancy haunts women from 5 obstetric weeks, and it still exists at 9 full fetal weeks. According to statistics, up to 25% of planned pregnancies end with natural termination. Sometimes the reasons lie in the wrong lifestyle of a woman who abuses alcohol, nicotine or drugs. A miscarriage can occur due to physical overload, stress, due to an infectious disease suffered by a pregnant woman.

But most often a spontaneous abortion occurs due to:

• gross malformations of the embryo;
• anomalies in the development of a woman's uterus;
• dysfunction of the endocrine system of the mother;
• lack of progesterone.

An abortion can be prescribed by a gynecologist if there are good indications for that. Some women are able to make the decision to terminate a pregnancy on their own, resorting to medical or surgical abortion, and for a period of 9 full weeks they are fully entitled to this. There are still debates about the ethical and religious side of this issue, but it is illegal to condemn a failed mother for this step.

Colds. SARS, fever, flu. Can antibiotics be used?

Antibiotics are, of course, irreplaceable drugs, but they have many contraindications. Pregnancy is one of them for most drugs. And especially this taboo applies to the first trimester, but since it is not known for certain when the formation of fetal organs is completed, antibiotics are not recommended until the end of the fifth month of pregnancy. But what if the disease attacked - drinking decoctions recommended by traditional medicine to no avail, and then dealing with complications, or taking a risk and taking a pill?

The table below shows the most famous antibiotic therapy that has indications and absolute contraindications for admission during the first trimester of pregnancy.

Indications for use at the 10th obstetric week of pregnancy	Name of the drug (active ingredient)	Possible complications
Safe according to indications	Penicillin	not identified
	Ampicillin
	Cephalosporin
Prescribed for obvious indications	Erythromycin	not known
	Azithromycin
	Vancomycin
	Fusidic acid
Not recommended	Rifampicin	impaired liver function of the mother and fetus
	Tetracycline	violation of the fetal skeletal system
	Sulfamylanide (for Streptocid tablets)	possible violation of embryonic development, mutations (studies were carried out on animals)

In fact, the 10th obstetric week of pregnancy is not a reason to jeopardize a woman's health by refusing effective drugs. There are antibiotics allowed for this period. But there is one condition: their reception is possible only according to indications!

Food poisoning - what to do?

Despite the fact that during pregnancy a woman must carefully monitor her diet, no one is immune from food poisoning. But if under normal circumstances you can use a whole list of drugs for poisoning, what should the expectant mother do?

You should definitely seek medical help, because vomiting and diarrhea that have opened due to poisoning can cause dehydration, and intoxication is dangerous for a child. Before the ambulance arrives, it is necessary to rinse the stomach, take sorbents and ensure bed rest.

Toxoplasmosis at 10 weeks of gestation

With intrauterine infection at 10 weeks, there is a risk of developing pathologies that are incompatible with life. The chance that the fetus will become infected is approximately 30% of all maternal cases.

Analyzes and examinations

Ultrasound at 10 weeks of gestation

An ultrasound scan at 10 weeks of obstetric time can be prescribed for:

• pathology of pregnancy;
• threatened miscarriage;
• multiple or IVF pregnancy.

However, unscheduled ultrasounds, according to some experts, can carry a potential risk to the fetus, therefore, without special instructions, one should not engage in diagnostics once again.

HCG at 10 weeks gestation

Perhaps, right now, hCG has reached its peak, and from this week its level will gradually decline. The maximum concentration of the hormone in the blood at week 10 is 290,000 mIU / ml.

If the hormone is still growing, this may indicate:

• multiple pregnancies;
• Down syndrome in a child;
• overstated pregnancy.

The situation is clarified by ultrasound and additional laboratory blood tests.

Progesterone rate

Progesterone is an essential hormone that helps support the development of your baby. Lack of progesterone leads to pathologies of pregnancy, and, as a rule, causes a threat of miscarriage or spontaneous abortion.

By the 10th week of obstetric term, the progesterone content is normally 23-28 ng / ml.

The lack of progesterone is compensated by the additional intake of hormonal drugs: Utrozhestan (orally and / or intravaginally) or Duphaston and their analogues.

Endometrium at 10 weeks of gestation

If, for successful implantation, the embryo needs the endometrium to be at least 7 millimeters thick, but as the embryo grows, the endometrium must also thicken. In the first trimester, its thickness is normal - 15-20 millimeters.

However, the endometrium thickens not only with a normal pregnancy - with some pathologies, for example, with an ectopic pregnancy, the endometrium still continues to grow.

The tenth week of pregnancy can bring a mother both satisfaction from her appearance and upset.

Mom's beauty and health: skin care, hair, nails

Now, under the influence of hormones, the skin of a pregnant woman becomes smooth and elastic. However, acne breakouts are not uncommon. Acne often accompanies the mother until the very birth. According to popular belief, the deterioration in appearance is due to the fact that a girl develops in the mother's belly, "stealing" her beauty. However, from a medical point of view, the cause of acne is exactly the opposite: when carrying a boy due to an excess of male hormones, the body reacts with skin rashes.

The mother's skin now needs special care: to prevent stretch marks that especially attack the breasts, thighs and abdomen, it is worth using special creams or ordinary cosmetic oils. It is not recommended to visit the solarium!

Hair now delights mom more than ever - they have become softer and more obedient, they stopped falling out and chopped at the ends. Many are afraid to visit a hairdresser, however, the harm from hair coloring to the fetus has not been proven.

If in doubt, you can replace the usual dyes with natural ones, basma or henna, or even postpone the dyeing. But the perm should be abandoned!

Manicure at the 10th week of pregnancy is not contraindicated, but it is better not to do nail extension. It is worth visiting only trusted, trustworthy masters - there are often cases of infection with a fungus and even HIV precisely through manicure tools.

Sex at 10 weeks pregnant

Despite the fact that a woman may be more attracted to a man, at 10 weeks of pregnancy, sex is dangerous if:

• there is a threat of miscarriage (especially with IVF or multiple pregnancy);
• the uterus is in good shape;
• there is a doctor's prescription.

If all is well with the health of the expectant mother, then intimacy will benefit her - positive emotions are very important now.

Sometimes couples experience some embarrassment at the realization that someone else is present during their lovemaking. However, in fact, the child practically does not feel any hesitation - it is protected by the amniotic fluid and the wall of the uterus. And during an orgasm that a woman experiences, due to the flow of blood to the pelvic organs, the baby receives more oxygen.

Sports at 10 weeks of gestation

Sports other than swimming are a risk factor for termination of pregnancy at 10 weeks. Strength exercises and sports such as wrestling (karate, boxing, and so on), running, and jumping pose a particular threat.

Relaxation exercises and breathing techniques have a positive effect on pregnancy. You can use static stretching exercises for the muscles (especially the dorsal).

Travel: removals and flights

Due to the woman's still unstable condition and the high risk of miscarriage, it is better to postpone long and tiring trips until at least 18 weeks of pregnancy. If the expectant mother suffers from toxicosis and hypotension, flights can adversely affect the course of pregnancy.

The best options for recreation at this time are sanatorium or resort ones without a noticeable change in climate and time zones.

Diet in the tenth week of pregnancy

Due to the manifestation of toxicosis, the expectant mother sometimes does not want to eat at all, but it is still necessary to take food. And the opposite problem may arise - an excessively high appetite. Overeating is not worth it! It is best to take food often (every 3-4 hours) in portions of about 150-250 grams.

What you can't eat

So that there are no problems with digestion and the baby does not get "harmful", and the mother feels good, it is worth excluding or limiting from the diet:

• coffee;
• milk chocolate;
• smoked meats;
• marinades and pickles;
• blue cheeses, smoked and very salty;
• soda;
• whole milk;
• meat and fish products of insufficient heat treatment: sushi, lightly salted fish, steak with blood, and so on;
• citruses.

Do not eat foods with carcinogens, artificial colors and flavors, or high in preservatives.

What you can eat

A balanced diet is the key to the well-being of both mother and child. How should mom eat?

The basis of the food pyramid of a pregnant woman at 10 weeks should be cereals and cereals (cereals, bread, pasta). Vegetables and fruits, vegetable proteins (nuts, seeds) are the next "floor" of the pyramid: there should be enough of them in the mother's daily menu. A slightly smaller part should be seafood, fish, meat and poultry. This is followed by dairy products, preferably fermented milk and cottage cheese. In general, the daily food requirement of a pregnant woman can be traced from the table.

Supplements, vitamins

The end of the ninth, the beginning of the tenth week of pregnancy is a period of special need for both the mother's body and the fetus for vitamins and minerals. Even the most balanced diet is not able to cover the need for them. So, for example, iodine, which is important for the endocrine system of mothers and children, is not enough for all pregnant women, unless, of course, they live on the seaside. And folic acid from food is practically not absorbed, and in fact it is necessary for the formation of the nervous system of the fetus. Calcium also comes from food in an insignificant amount, and the skeletal system of the mother and the baby suffers from its lack. Vitamin C is also needed, which is important in the hematopoietic system and the immune system, and it is destroyed during the heat treatment of fruits and vegetables. How to be?

Vitamin and mineral complexes for pregnant women will help. It is rather difficult to choose them because of the variety of manufacturers and prices. However, the doctor will advise the best option, taking into account the needs and requirements of each patient in the first trimester of pregnancy.

Is alcohol allowed?

Do you think a little beer or a sip of wine early in your pregnancy is safe? This is not true!

Alcoholic embryophetopathy affects up to 50% of newborns born to mothers who abuse alcohol.

“For a child, the very conception in a state of alcoholic intoxication is already dangerous,” warns the author of a textbook on neonatology, professor Shabalov L. P. “These children have lower intelligence, neuroses, visual and hearing impairments, and high aggressiveness are more common.”

Children, whose mothers consumed alcohol in the first weeks after conception, already in utero suffer from a deficiency of folic acid and vitamin E, zinc and oxygen. As a result, the synthesis of proteins and DNA is inhibited, the development of the brain slows down, and pathologies of the cardiovascular system and internal organs develop. In addition, such children are more prone to deformities: they can be born with an asymmetry of the face, a cleft palate or cleft lip, with underdeveloped fingers (spliced) or with muscle hypotonia. The risk of cerebral palsy and oligophrenia increases. At the same time, the mother is not always to blame - it is often enough that the father was drunk at the time of conception.

The tenth obstetric week of pregnancy is a relatively calm stage in a woman's life. Now there is still no particular fatigue from work, the body has not undergone significant changes that require a change of wardrobe, toxicosis is slowly receding. You should beware of physical overload, reconsider your diet and enjoy every day that brings new sensations and joy from the realization of the upcoming motherhood.

Related Videos

By the middle of the third month of waiting for the baby, the expectant mother is already quite accustomed to her position and takes all the changes that are happening to her for granted. Outwardly, no special changes were noticed compared to the previous week, but for the baby they are quite significant. What happens to him at the 10th week of pregnancy, and what does mom feel?

Fetus at 10 weeks gestation

The 10th obstetric week is 9 full obstetric weeks or 7 full fetal weeks. Very soon, the gynecologist will begin to call the embryo a fetus, but for the expectant mother this is insignificant: for her, a "baby" lives in the tummy from the first days.

Size and weight

The child has already grown significantly. In length, it can reach 3-4 centimeters and weigh about 4 grams. Now there is an intensive growth and development of the future man, the formation of internal organs, functional systems of the body continues.

What is developing in the tenth week?

The placenta is already intensively forming, and "on the fly" takes over the reproduction of hormones. The heart of the baby now has 4 chambers, the main blood vessels are practically formed. The brain grows, eyes, arms, legs continue to develop. The development of the intestines and the respiratory system continues. The baby already has an anus, and the kidneys produce urine.

10 obstetric week is important in that this is the moment the formation of the reproductive organs (ovaries or testicles) begins. And now the baby is moving inside the mother, however, she still does not feel it.

What does a baby look like?

The child is becoming more and more like a man. The rudiment-tail has already disappeared from him, the arms and legs are "unstuck" from the body, bend at the joints, fingers are formed on them. On the face, the tip of the nose stands out and there are already the rudiments of the eyelids. It is not yet possible to find out the sex of the child. However, the next screening at 12 weeks is already able to show who the mother is wearing under her heart - a son or a daughter.

Sensations at the 10th week of pregnancy

What's new about 10 obstetric week of pregnancy for a woman?

Physiological changes in a woman

The beginning of the third month of pregnancy is not yet noticeable changes in the appearance of the expectant mother for every look. But she herself notices these changes. Veins in the legs and abdomen may become visible due to the increased volume of blood circulating. However, red blood cells are not produced as quickly as plasma, and due to the lack of the former, the woman feels weak and quickly gets tired.

If the toxicosis is not very exhausting, and the appetite does not decrease, then by week 10 a woman can gain up to 2 kilograms in weight. The belly is still not very noticeable, and a special “pregnant” wardrobe is not required.

How does the uterus react in the tenth week of pregnancy?

At 9 full weeks of obstetric term, the uterus has noticeably increased in size. Now she is 8-10 centimeters high. Now the baby in the uterus is reliably protected from external influences by a cork - a clot of mucus that closes the cervix. The cork will stay in place until delivery.

You can already start doing Kegel exercises - this will prepare the uterus for childbirth, make the muscles of the vagina elastic and elastic. However, with hypertonicity of the uterus, such activities are prohibited!

Breast 10 weeks pregnant

Some women notice that their chest pains stopped at 10 weeks of pregnancy. This is due to the fact that the hormonal "boom" slowed down somewhat. The breasts may become noticeably larger and heavier. The nipples and areolas take on a darker shade. Large veins may come out. Now is the time to start preparing for lactation: "harden" the breast, otherwise the sensitivity of the nipples can cause severe pain when the baby starts eating. The chest should be washed with water at room temperature and the nipples should be rubbed with a waffle towel.

Nauseous at 10 weeks of gestation

Nausea is still troubling in the morning on an empty stomach. The culprit is hormones that have a relaxing effect on the intestinal muscles. To avoid unpleasant sensations, it is worth eating often and in small portions; it is better to take breakfast in bed. It is recommended to lie down for a while after each meal. Drinking will help from frequent nausea - water or sour fruit drinks, juices, tea with mint saves well. Many women benefit from frequent brushing or mouthwash with breath fresheners. Vomiting more than 5-10 times a day is a possible reason for hospitalization, as it can provoke dehydration.

Discharge at 10 weeks of gestation

Normally, at the 10th week of pregnancy, vaginal discharge can change color and consistency - it becomes thinner or thicker than usual. This is due to hormonal effects. However, there should be no blood impurities in them.

An unpleasant odor and cheesy consistency of vaginal discharge can be symptoms of vaginosis or thrush. This is a reason for a premature visit to the doctor! Fortunately, there are enough safe drugs for these ailments today, and the doctor will select the optimal course of treatment.

Sometimes it can be intimidating to quickly get wet laundry or panty liners. The reason is urine leakage. The pressure on the bladder increases due to the growing uterus, and the muscles of the bladder itself weaken. Sneezing or laughing aggravates the hypotonia of the muscles, and urine may leak slightly.

Features of IVF pregnancy

IVF is an assisted reproductive technology that has helped many couples with infertility. The main difference between IVF and normal pregnancy is that conception occurs outside the female body, and the embryo is transferred to the uterus at the age of 2 to 5 days. But according to statistics, only a third of women carry IVF babies before delivery.

7 full embryonic weeks of IVF pregnancy are characterized by the same intensity of development of the embryonic organs as in natural pregnancy, however, with hormonal support with progesterone-containing drugs. If there are no complications, a woman can register with an antenatal clinic, although many expectant mothers prefer observation by their reproductive specialists.

Features of multiple pregnancy

Multiple pregnancies - pregnancy with twins or more - are diagnosed at the first ultrasound scan, however, if it has not yet been performed, the doctor can detect it during a manual examination of the patient - the uterus is usually larger in size than it should be for a period of 9-10 weeks. The hCG test will also help to confirm the fact of multiple pregnancies - the hormone in the blood will be significantly higher than normal.

Pregnancy with more than one child is considered a high-risk pregnancy and requires special monitoring. The mother should be prepared that she will have to attend the consultation more often. In the first trimester, such a pregnancy carries few more complications than a singleton pregnancy.

Problems in the tenth week of pregnancy

Toxicosis

Symptoms of toxicosis may still not leave the pregnant woman. However, by this time the majority of women had already adapted to the peculiarities of their well-being and learned how to correct them.

Weakness and dizziness are due to a drop in blood pressure (hypotension). If the pressure is low all the time, the baby does not receive enough oxygen. Against the background of hypotension, migraine may develop. There are only a limited number of medications that can be treated for headaches, and these should be recommended by a doctor. The best remedy for migraines is sleep, at least for a short time.

Toxicosis usually goes away after 12 weeks of pregnancy.

Diarrhea and constipation

Constipation often plagues pregnant women. They pose a danger, and a very significant one. So, for example, against the background of constipation, it is possible to develop hemorrhoids, painful cracks in the rectum, and even the threat of miscarriage.

For constipation, the main and safe remedy is an adequate intake of fluids and food rich in dietary fiber. A laxative can only be recommended by a doctor, since it is difficult to independently choose a drug without contraindications. In no case should you resort to enemas - they cause contraction of the uterus! Sometimes you can use glycerin suppositories - this remedy is safe.

But there is also the opposite problem - diarrhea.

If diarrhea is a manifestation of an eating disorder, it is quite simple to eliminate it, "fixing" products will help:

• crackers;
• millet, rice porridge;
• baked apples;
• lean meat broth soups;
• low-fat cottage cheese.

From folk remedies, a decoction or jelly blueberry and bird cherry, a compote of their dry pears, an infusion of pomegranate peel help well. At the same time, it is important to control the water-salt balance: you need to drink a rehydration solution prepared from a liter of water, 6 teaspoons of sugar and half a teaspoon of salt. It is possible to take prebiotics. If diarrhea is caused by infectious diseases, you must go to a hospital.

Heartburn

Many pregnant women suffer from heartburn, and not only at the 10th week of pregnancy. Heartburn occurs due to the effect of gastric juice on the lining of the esophagus, resulting in a burning sensation behind the breastbone - a rather unpleasant sensation.

Heartburn can be due to the effects of hormones during pregnancy, and it is also caused by certain foods (sour foods, pickles, fried, brown bread, and others). It is necessary to adjust nutrition, a gynecologist can give practical advice, but you may need to consult a gastroenterologist, since sometimes heartburn is a symptom of very serious gastrointestinal diseases.

Stomach hurts and pulls

Abdominal pain during pregnancy in the first trimester is different. Small stretching at the bottom with rebound on the sides can be caused by the stretching of the uterus. Such pains are of a fickle nature, without bleeding and a general deterioration in the condition of the expectant mother. Sometimes an eating disorder can be the cause.

But the stomach at 10 weeks of gestation sometimes hurts for more serious reasons, for example, when:

• hypertonicity of the uterus;
• threatened miscarriage;
• ectopic pregnancy;
• trauma to the abdomen.

If the pain is persistent, accompanied by bleeding, fever, fainting - this is a reason for immediate medical attention!

Bleeding at 10 weeks gestation

Why does it bleed at 9 obstetric weeks? It is no longer possible to confuse bleeding with menstruation, the embryo has long been entrenched in the uterus, therefore, implantation bleeding is already a thing of the past. What are the possible reasons?

Sometimes it can slightly “smear” after a gynecological examination in a chair or an ultrasound scan with a vaginal sensor. Such discharge is caused by minor damage to the inner layer of the vaginal epidermis. In addition, it can bleed if a woman has not healed the previously formed erosion before pregnancy. The presence of polyps or cysts in the vagina is another possible cause of bleeding. As a rule, this does not pose a threat of termination of pregnancy. But the reasons can be more serious. For instance:

• cystic drift is the degeneration of chorionic cells into vesicles, in which the embryo dissolves, however, pregnancy symptoms persist, but abdominal pain, increased pressure and bleeding are symptoms when an ultrasound scan is required;
• frozen pregnancy;
• ectopic pregnancy;
• threatening abortion.

Any suspicious vaginal discharge is a reason for immediate medical attention!

Ectopic pregnancy

A fairly common pathology is an ectopic pregnancy, in which the embryo does not attach to the wall of the uterus, but in the fallopian tube, less often in the ovary, in the abdominal cavity or in the cervical canal of the uterus. At seven embryonic weeks, the embryo is already quite large, it grows, and the fallopian tube expands, which can cause severe pain and fainting in a woman. If measures are not taken in time, it can result in pipe rupture. In this case, the woman has no chances of having a child; the extraction of the embryo is a prerequisite for the preservation of her life and further reproductive capacity.

Threat of miscarriage at 10 weeks of gestation

The middle of the third obstetric month of pregnancy is still a rather disturbing period of gestation. The threat of miscarriage mainly arises from a lack of progesterone or from an increased tone of the uterus. An experienced gynecologist will certainly notice if there is a threat, but the woman herself should not be silent about suspicious symptoms.

Another reason for the threat of miscarriage at the beginning of the fourth obstetric month is ICI - isthmic-cervical insufficiency. With this diagnosis, the cervix becomes shorter and opens slightly, and the lower region of the ovum lends itself to infection, the elasticity of the membranes is lost, which can lead to fetal death. In this case, a woman is able to not experience pain at all. The doctor should detect the problem during examination, and ultrasound allows to confirm or exclude the diagnosis. Timely diagnosis of ICI increases the chance of delivering a baby and giving birth to him without pathologies. Treatment consists of conservative or surgical methods. Surgical treatment is carried out either by suturing or by placing a special ring on the cervix.

The mother's age is an important indicator for the normal course of pregnancy. The older the woman, the higher the risk of miscarriage. However, the obstetric 10th week of pregnancy (from conception - the eighth) is a kind of milestone, when it is left behind, the risk of natural termination of pregnancy is sharply reduced.

Frozen pregnancy at 10 weeks

When a pregnancy is desired, its termination is a real psychological blow for a woman. One of the indications for medical termination is a frozen pregnancy. With such a diagnosis, the initially normally developing gestation stops for any reason, the fetus stops growing and dies. However, a spontaneous miscarriage may not happen. Sometimes a woman carries a dead fetus inside for quite a long time, unaware of it, because the symptoms of a progressive pregnancy can persist.

However, the diagnosis can be confirmed by:

• blood test for hCG - the indicator of the concentration of the hormone will be low for the expected duration of pregnancy and its growth will stop;
• Ultrasound, which will show the lack of dynamics of the development of the embryo.

The most likely causes of pregnancy fading are genetic mutations or infections. The likelihood of a successful pregnancy in a subsequent pregnancy increases after a thorough examination of both partners and, if necessary, appropriate treatment.

Termination of pregnancy at 10 weeks

The risk of termination of pregnancy haunts women from 5 obstetric weeks, and it still exists at 9 full fetal weeks. According to statistics, up to 25% of planned pregnancies end with natural termination. Sometimes the reasons lie in the wrong lifestyle of a woman who abuses alcohol, nicotine or drugs. A miscarriage can occur due to physical overload, stress, due to an infectious disease suffered by a pregnant woman.

But most often a spontaneous abortion occurs due to:

• gross malformations of the embryo;
• anomalies in the development of a woman's uterus;
• dysfunction of the endocrine system of the mother;
• lack of progesterone.

An abortion can be prescribed by a gynecologist if there are good indications for that. Some women are able to make the decision to terminate a pregnancy on their own, resorting to medical or surgical abortion, and for a period of 9 full weeks they are fully entitled to this. There are still debates about the ethical and religious side of this issue, but it is illegal to condemn a failed mother for this step.

Colds. SARS, fever, flu. Can antibiotics be used?

Antibiotics are, of course, irreplaceable drugs, but they have many contraindications. Pregnancy is one of them for most drugs. And especially this taboo applies to the first trimester, but since it is not known for certain when the formation of fetal organs is completed, antibiotics are not recommended until the end of the fifth month of pregnancy. But what if the disease attacked - drinking decoctions recommended by traditional medicine to no avail, and then dealing with complications, or taking a risk and taking a pill?

The table below shows the most famous antibiotic therapy that has indications and absolute contraindications for admission during the first trimester of pregnancy.

Indications for use at the 10th obstetric week of pregnancy	Name of the drug (active ingredient)	Possible complications
Safe according to indications	Penicillin	not identified
	Ampicillin
	Cephalosporin
Prescribed for obvious indications	Erythromycin	not known
	Azithromycin
	Vancomycin
	Fusidic acid
Not recommended	Rifampicin	impaired liver function of the mother and fetus
	Tetracycline	violation of the fetal skeletal system
	Sulfamylanide (for Streptocid tablets)	possible violation of embryonic development, mutations (studies were carried out on animals)

In fact, the 10th obstetric week of pregnancy is not a reason to jeopardize a woman's health by refusing effective drugs. There are antibiotics allowed for this period. But there is one condition: their reception is possible only according to indications!

Food poisoning - what to do?

Despite the fact that during pregnancy a woman must carefully monitor her diet, no one is immune from food poisoning. But if under normal circumstances you can use a whole list of drugs for poisoning, what should the expectant mother do?

You should definitely seek medical help, because vomiting and diarrhea that have opened due to poisoning can cause dehydration, and intoxication is dangerous for a child. Before the ambulance arrives, it is necessary to rinse the stomach, take sorbents and ensure bed rest.

Toxoplasmosis at 10 weeks of gestation

With intrauterine infection at 10 weeks, there is a risk of developing pathologies that are incompatible with life. The chance that the fetus will become infected is approximately 30% of all maternal cases.

Analyzes and examinations

Ultrasound at 10 weeks of gestation

An ultrasound scan at 10 weeks of obstetric time can be prescribed for:

• pathology of pregnancy;
• threatened miscarriage;
• multiple or IVF pregnancy.

However, unscheduled ultrasounds, according to some experts, can carry a potential risk to the fetus, therefore, without special instructions, one should not engage in diagnostics once again.

HCG at 10 weeks gestation

Perhaps, right now, hCG has reached its peak, and from this week its level will gradually decline. The maximum concentration of the hormone in the blood at week 10 is 290,000 mIU / ml.

If the hormone is still growing, this may indicate:

• multiple pregnancies;
• Down syndrome in a child;
• overstated pregnancy.

The situation is clarified by ultrasound and additional laboratory blood tests.

Progesterone rate

Progesterone is an essential hormone that helps support the development of your baby. Lack of progesterone leads to pathologies of pregnancy, and, as a rule, causes a threat of miscarriage or spontaneous abortion.

By the 10th week of obstetric term, the progesterone content is normally 23-28 ng / ml.

The lack of progesterone is compensated by the additional intake of hormonal drugs: Utrozhestan (orally and / or intravaginally) or Duphaston and their analogues.

Endometrium at 10 weeks of gestation

If, for successful implantation, the embryo needs the endometrium to be at least 7 millimeters thick, but as the embryo grows, the endometrium must also thicken. In the first trimester, its thickness is normal - 15-20 millimeters.

However, the endometrium thickens not only with a normal pregnancy - with some pathologies, for example, with an ectopic pregnancy, the endometrium still continues to grow.

The tenth week of pregnancy can bring a mother both satisfaction from her appearance and upset.

Mom's beauty and health: skin care, hair, nails

Now, under the influence of hormones, the skin of a pregnant woman becomes smooth and elastic. However, acne breakouts are not uncommon. Acne often accompanies the mother until the very birth. According to popular belief, the deterioration in appearance is due to the fact that a girl develops in the mother's belly, "stealing" her beauty. However, from a medical point of view, the cause of acne is exactly the opposite: when carrying a boy due to an excess of male hormones, the body reacts with skin rashes.

The mother's skin now needs special care: to prevent stretch marks that especially attack the breasts, thighs and abdomen, it is worth using special creams or ordinary cosmetic oils. It is not recommended to visit the solarium!

Hair now delights mom more than ever - they have become softer and more obedient, they stopped falling out and chopped at the ends. Many are afraid to visit a hairdresser, however, the harm from hair coloring to the fetus has not been proven.

If in doubt, you can replace the usual dyes with natural ones, basma or henna, or even postpone the dyeing. But the perm should be abandoned!

Manicure at the 10th week of pregnancy is not contraindicated, but it is better not to do nail extension. It is worth visiting only trusted, trustworthy masters - there are often cases of infection with a fungus and even HIV precisely through manicure tools.

Sex at 10 weeks pregnant

Despite the fact that a woman may be more attracted to a man, at 10 weeks of pregnancy, sex is dangerous if:

• there is a threat of miscarriage (especially with IVF or multiple pregnancy);
• the uterus is in good shape;
• there is a doctor's prescription.

If all is well with the health of the expectant mother, then intimacy will benefit her - positive emotions are very important now.

Sometimes couples experience some embarrassment at the realization that someone else is present during their lovemaking. However, in fact, the child practically does not feel any hesitation - it is protected by the amniotic fluid and the wall of the uterus. And during an orgasm that a woman experiences, due to the flow of blood to the pelvic organs, the baby receives more oxygen.

Sports at 10 weeks of gestation

Sports other than swimming are a risk factor for termination of pregnancy at 10 weeks. Strength exercises and sports such as wrestling (karate, boxing, and so on), running, and jumping pose a particular threat.

Relaxation exercises and breathing techniques have a positive effect on pregnancy. You can use static stretching exercises for the muscles (especially the dorsal).

Travel: removals and flights

Due to the woman's still unstable condition and the high risk of miscarriage, it is better to postpone long and tiring trips until at least 18 weeks of pregnancy. If the expectant mother suffers from toxicosis and hypotension, flights can adversely affect the course of pregnancy.

The best options for recreation at this time are sanatorium or resort ones without a noticeable change in climate and time zones.

Diet in the tenth week of pregnancy

Due to the manifestation of toxicosis, the expectant mother sometimes does not want to eat at all, but it is still necessary to take food. And the opposite problem may arise - an excessively high appetite. Overeating is not worth it! It is best to take food often (every 3-4 hours) in portions of about 150-250 grams.

What you can't eat

So that there are no problems with digestion and the baby does not get "harmful", and the mother feels good, it is worth excluding or limiting from the diet:

• coffee;
• milk chocolate;
• smoked meats;
• marinades and pickles;
• blue cheeses, smoked and very salty;
• soda;
• whole milk;
• meat and fish products of insufficient heat treatment: sushi, lightly salted fish, steak with blood, and so on;
• citruses.

Do not eat foods with carcinogens, artificial colors and flavors, or high in preservatives.

What you can eat

A balanced diet is the key to the well-being of both mother and child. How should mom eat?

The basis of the food pyramid of a pregnant woman at 10 weeks should be cereals and cereals (cereals, bread, pasta). Vegetables and fruits, vegetable proteins (nuts, seeds) are the next "floor" of the pyramid: there should be enough of them in the mother's daily menu. A slightly smaller part should be seafood, fish, meat and poultry. This is followed by dairy products, preferably fermented milk and cottage cheese. In general, the daily food requirement of a pregnant woman can be traced from the table.

Supplements, vitamins

The end of the ninth, the beginning of the tenth week of pregnancy is a period of special need for both the mother's body and the fetus for vitamins and minerals. Even the most balanced diet is not able to cover the need for them. So, for example, iodine, which is important for the endocrine system of mothers and children, is not enough for all pregnant women, unless, of course, they live on the seaside. And folic acid from food is practically not absorbed, and in fact it is necessary for the formation of the nervous system of the fetus. Calcium also comes from food in an insignificant amount, and the skeletal system of the mother and the baby suffers from its lack. Vitamin C is also needed, which is important in the hematopoietic system and the immune system, and it is destroyed during the heat treatment of fruits and vegetables. How to be?

Vitamin and mineral complexes for pregnant women will help. It is rather difficult to choose them because of the variety of manufacturers and prices. However, the doctor will advise the best option, taking into account the needs and requirements of each patient in the first trimester of pregnancy.

Is alcohol allowed?

Do you think a little beer or a sip of wine early in your pregnancy is safe? This is not true!

Alcoholic embryophetopathy affects up to 50% of newborns born to mothers who abuse alcohol.

“For a child, the very conception in a state of alcoholic intoxication is already dangerous,” warns the author of a textbook on neonatology, professor Shabalov L. P. “These children have lower intelligence, neuroses, visual and hearing impairments, and high aggressiveness are more common.”

Children, whose mothers consumed alcohol in the first weeks after conception, already in utero suffer from a deficiency of folic acid and vitamin E, zinc and oxygen. As a result, the synthesis of proteins and DNA is inhibited, the development of the brain slows down, and pathologies of the cardiovascular system and internal organs develop. In addition, such children are more prone to deformities: they can be born with an asymmetry of the face, a cleft palate or cleft lip, with underdeveloped fingers (spliced) or with muscle hypotonia. The risk of cerebral palsy and oligophrenia increases. At the same time, the mother is not always to blame - it is often enough that the father was drunk at the time of conception.

The tenth obstetric week of pregnancy is a relatively calm stage in a woman's life. Now there is still no particular fatigue from work, the body has not undergone significant changes that require a change of wardrobe, toxicosis is slowly receding. You should beware of physical overload, reconsider your diet and enjoy every day that brings new sensations and joy from the realization of the upcoming motherhood.

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You can still easily fit into tight jeans, you have not yet encountered morning sickness, age spots, stretch marks on your stomach. But you already have a test with two red stripes - the main proof of your belonging to the happy class of pregnant women.

Your treasure is still very tiny. Only the most sensitive equipment can record its presence in your womb. But that doesn't stop you from coming up with a name for him, talking to him and stopping at shops with baby clothes to look after something for the unborn, but already existing baby. But this joyful prospect, this rainbow illusion can be interrupted overnight by a terrible and inexorable word.

According to statistics, 15-20% of all pregnancies end in miscarriages.... In most cases, this happens when the woman does not yet realize that she is pregnant. But sometimes this happens to those who have already become attached to their belly-resident and fell in love with him. How to console a woman in this case? Only the next pregnancy. But those who have had such a misfortune in their lives, and those who have not yet learned the bitterness of loss, should go through a small educational program on issues related to miscarriage. The most important thing is to know what factors can cause abortion and what can be done to prevent miscarriage.

A small embryo develops in the uterus, invading its mucous membrane, within nine months. If for some reason he is expelled from the uterus before 22 weeks of pregnancy, then they talk about spontaneous abortion. Or, as it is more commonly called, miscarriage.

Miscarriage is early - for up to 12 weeks, and late - from 12 to 22. Expulsion of the fetus from the uterus at 23 to 37 weeks - is considered premature birth. From 37 to 42 weeks - urgent delivery, that is, normal. But if childbirth occurs after 42 weeks, then they are called belated and in this case they say that the woman is “overdue”.

There is also, if I may say so, the classification of newborns. If childbirth occurred before 22 weeks, doctors talk about the expulsion of the fetus from the uterus. But a fetus born at a period of 22 to 37 weeks is already considered a premature newborn. At the same time, he should weigh at least 500 grams and have a height of at least 25 cm. In recent years, doctors have finally come to a consensus that the border between miscarriage and premature birth should be considered the sixth month, or rather -22-27 weeks pregnancy. Experience shows that from the twenty-eighth week of pregnancy, the newborn has a chance to survive. Along with miscarriage (spontaneous abortion), occurring without outside intervention, there is also a so-called artificial abortion (from lat.abortus artificialis \ in which pregnancy is terminated deliberately by prescribing drugs or a small surgical intervention. Approximately 10% of pregnancies end in miscarriage. The first symptoms of miscarriage are cramping pains in the lower abdomen and bleeding.When examining the blood released during a miscarriage, in more than 50% of cases, the fetus either could not be detected at all, or it had pathologies. Thus, a spontaneous miscarriage is a natural termination of pregnancy, which regulates the body itself women.

Symptoms:
Cramping pains in the lower abdomen.

Bleeding in the first 22-27 weeks of pregnancy.

Rules and exclusions

Typically, a baby born before six months is not viable. Only in one case out of a hundred doctors manage to save the life of this tiny creature. As an example, consider one 5 month old Danish girl who was born with a chicken weight of 675 grams! There were practically no chances for her salvation, such crumbs are not able to “mature” in an ordinary jail. But the doctors put the baby in ... a bath with a nutrient solution, creating for her a kind of maternal womb. And the girl survived! Seven-month-old babies survive quite easily, naturally, with proper care and medical supervision. But in eight-month-old newborns - a paradoxical situation! - there is practically no chance to survive ...

Why do spontaneous abortions occur? What prevents the fetus from developing normally inside the uterus? What forces drive him out of his mother's womb ahead of time?

Miscarriage - symptoms

If you notice the first signs of an impending disaster in time, it is usually possible to save the pregnancy. Symptoms vary, but bleeding of any kind should be considered a dangerous signal.

Pain in the lower abdomen or lower back, especially cramping nature, spotting, bleeding - if any of these symptoms appear, immediately consult a doctor, call an ambulance. In such situations, every minute counts. Bleeding with pieces of tissue indicates that a miscarriage has already occurred.

Although bleeding is not always a threat. A miscarriage begins with bleeding, progressing from mild to severe, as well as possible spasms. Sometimes it is very small, no more than a drop. Sometimes blood is bright red, sometimes dark brown. The bleeding may be very mild, but last for several weeks.

A woman may feel abdominal cramps or other discomfort similar to those experienced with menstruation. Some women experience pain, but not all. Then all this can completely stop, and then resume again. If treatment is started immediately, the embryo in some cases can be saved and the pregnancy can be brought to its logical end - childbirth.

Or it may be that after becoming pregnant, a woman feels quite normal for several weeks or months. And suddenly, all of a sudden, she starts having contractions and bleeding.

If, among the secretions, she finds something similar to particles of the embryo, then a miscarriage has occurred, and the pregnancy has ended. Usually, the fetus dies a few days or weeks before nature removes it from the uterus. Therefore, parts of it are small and they may not be noticed among the blood secretions. In fact, a miscarriage resembles an inflated gray-white balloon.

This is if the placenta is not ruptured. Or you can see pearly white particles in the blood clots. Then you need to see a doctor as soon as possible.

The conversation will focus on early miscarriages occurring up to 12 weeks, because the vast majority of them occur during this period. So, the most common causes of miscarriages in early pregnancy:

1. Genetic disorders in the fetus
   According to statistics, about 73% of miscarriages occur for this reason. As a rule, these genetic defects are not hereditary, but are the result of single mutations that have occurred in the germ cells of the parents under the influence of harmful environmental factors (radiation, occupational hazards, viruses, etc.). Termination of pregnancy for this reason is a kind of natural selection - getting rid of weak, unviable offspring. It is almost impossible to prevent such a miscarriage; you can only reduce the risk of genetic abnormalities even before conception, by protecting yourself as much as possible from the effects of mutagenic factors. But in modern ecology, the likelihood of mutations still remains, therefore, miscarriages that occur for this reason can be honored for the good, because they save a woman from many problems and troubles in the future.


2. Hormonal Disorders
   If the balance of hormones in a woman's body is imbalanced, an early termination of pregnancy often occurs. Most often this happens with a lack of the main hormone of pregnancy - progesterone. With early detection of this problem, pregnancy can be saved with the help of progesterone drugs. An excess of male sex hormones can also cause early miscarriage - they suppress the production of estrogen and progesterone. Androgens are often the cause of recurrent (habitual) miscarriages. The hormones of the adrenal glands and the thyroid gland also influence the formation and development of pregnancy. Therefore, dysfunction of these glands can also cause miscarriage.


3. Immunological causes
   As a rule, this happens with Rh-conflict. The embryo inherits the Rh-positive organism from the father, while the Rh-negative organism of the mother rejects the foreign tissues of the embryo. For the prevention of miscarriage in case of immune conflict, progesterone preparations are used, which in this case has an immunomodulatory effect.
4. Sexually transmitted infections: Trichomoniasis, toxoplasmosis, syphilis, chlamydia, as well as herpes and cytomegalovirus infections often cause miscarriage.
   Pathogenic bacteria and viruses cause infection of the fetus, damage to the membranes, resulting in a miscarriage. To prevent this from happening, it is advisable to treat infections before pregnancy.


5. General infectious diseases and inflammatory diseases of internal organs.
   All diseases accompanied by intoxication and an increase in body temperature above 38 o C can lead to miscarriage. Rubella, viral hepatitis and influenza are in the lead in this list. Even a banal sore throat can become fatal at 4-10 weeks of pregnancy. And pneumonia, pyelonephritis, appendicitis are a serious risk to the fetus. Therefore, when planning a pregnancy, it is worth undergoing a complete medical examination, identifying and treating all foci of chronic infection.


6. History of abortion
   Abortion is not just a medical manipulation: it is a huge stress for the female body, which can cause dysfunction of the ovaries and adrenal glands; contributing to the development of inflammatory processes in the genitals. This can lead to infertility and recurrent miscarriages in the future.


7. Medicines and herbs
   In the first trimester of pregnancy, it is advisable to avoid taking medications altogether. Many of them can cause termination of pregnancy or cause the formation of developmental defects in the fetus. So, for example, narcotic analgesics or hormonal contraceptives are often the culprit in abortion. You also need to be careful with medicinal herbs: parsley, nettle, cornflower, St. John's wort, tansy - are contraindicated in early pregnancy.


8. Stress
   Severe fright or unexpected grief, resentment or prolonged mental stress are dangerous for the little creature in your womb. If you, by the will of fate, are forced to be under the influence of stress, discuss with your doctor the possibility of taking sedatives, at least the same valerian.


9. Unhealthy Lifestyle
   Alcohol, drugs, smoking, regular coffee consumption, unhealthy and inadequate nutrition are all allies of miscarriage. It is better to correct your lifestyle even before conception.


10. Falls, lifting weights, intercourse
    All this, although rare, can become a trigger for termination of pregnancy, therefore, take care of yourself, and therefore your baby!

Many are convinced that spontaneous abortion occurs due to a fall, bruise or some other physical shock. Any woman who has had a miscarriage can remember that shortly before she either fell or lifted something heavy.

And I am sure that I lost my unborn child precisely because of this. But the reason is not this, but in the violations of the pregnancy itself.

About half of spontaneous abortions occur due to abnormal genetic development of the fetus, which can be hereditary or accidental. The woman's body itself destroys the defective and non-viable fetus. But don't be afraid of it.

If there is a defect in one embryo, it does not mean at all that all the others will be the same.

The other half of spontaneous abortions of pregnancy are caused by various known and unknown factors, such as various kinds of acute infectious diseases suffered in the first trimester of pregnancy, poor ecology or difficult working conditions, excessive psychological or physical stress, abnormal development of the uterus, radiation, alcohol, drugs and some types of medicines.

Among infectious diseases, the leading role is played by influenza, which is the most common disease.

A miscarriage can occur with a sore throat, pneumonia, pyelonephritis, appendicitis and other acute inflammatory processes in various systems and organs. One of the reasons that spontaneous abortion can occur is very poor nutrition (malnutrition and hunger), as well as high blood sugar levels.

Common causes include prior induced termination of pregnancy.

The production of induced abortion during the first pregnancy is especially unfavorable. Women are often prescribed progesterone, since many abortions occur due to a lack of this particular hormone in the mother's body.

I must say that regardless of the reason for the miscarriage, doctors have identified a depressing pattern: with each spontaneous termination of pregnancy, the risk that the same will happen again in the next pregnancy increases.

There is a diagnosis: habitual miscarriage, which means that the woman had not one miscarriage, but several. This diagnosis is usually made when a woman has had three spontaneous abortions in a row without a normal pregnancy. But in no case should we forget that after a miscarriage, you can give birth to an absolutely healthy child.

It should be remembered: despite the fact that each miscarriage reduces the chance of a subsequent successful pregnancy, a woman can still give birth to a full-fledged healthy child.

The most serious and dangerous symptom of the possibility of miscarriage is uterine bleeding, even the smallest. Most often, spontaneous termination of pregnancy begins with a weak discharge of blood, which intensifies. It can be accompanied by cramps in the lower abdomen. The color of the discharge can vary from scarlet to brown. The discharge may be very weak, but it does not stop for several days.

The pain may or may not accompany the miscarriage. Often, symptoms appear, disappear for a while, then return again. A woman should use this period of time to go to a gynecologist's consultation. Often, an immediate visit to a doctor saves the life of an unborn child.
A woman's condition can deteriorate very sharply, without any precursors. In the event that pieces of tissue are present in the discharge, this usually means that a miscarriage has occurred.

Most often, the fetus died long before it began to be excreted from the body. Therefore, the withdrawal often occurs not in whole, but in parts. If the dead fetus is excreted entirely, then it looks like a grayish rounded bubble. Sometimes white particles are observed among the bloody discharge. Bleeding may persist for several more days, and pain may still be present.

In the case when the uterus has cleared itself after the termination of pregnancy completely and independently, the woman does not need treatment. But if fragments of the placenta or fetus remain in the uterus, they must certainly be removed.
The next menstrual period, as a rule, begins in a month and a half after a miscarriage.

The timing of the miscarriage

A miscarriage is a spontaneous termination of pregnancy when the embryo is rejected by the mother's body before twenty-two weeks.

Miscarriages are early - if they occur in the first 12 weeks of pregnancy. If the interruption occurred from 12 to 22 weeks, then it is called a late miscarriage.

In the case when spontaneous interruption occurred from 23 to 37 weeks of pregnancy, doctors will call it premature birth. Well, if the fetus is rejected from 37 to 42 weeks, this is called urgent delivery. In fact, this is already a normal situation in which an absolutely viable baby is usually born. In the same case, when a woman gives birth after forty-two weeks of pregnancy, labor is considered belated, which is not very good for both the baby's condition and the course of labor.

In the case when a baby is born before 22 weeks, from a medical point of view, this is a fetus. But if the birth occurred from 22 to 37 weeks, this is already a premature newborn. Such a crumb weighs about half a kilogram, and a little more than twenty-five centimeters in sprout.

It's amazing that now doctors have learned to care for babies born even with a weight of six hundred and seventy-five grams! Such cases are extremely rare, but the technique and capabilities of medicine are constantly evolving. Now it is practically not a problem to raise a baby who was born at seven months. Although such a crumb will cause quite a lot of trouble, especially in the first months of life.
Types of miscarriages

Doctors distinguish between several types of miscarriages or stages:

Inevitable or incomplete - this is pain in the lumbar region or lower abdomen, combined with an expansion of the cervical lumen or uterine hemorrhages. It is called inevitable when there is an increase in the lumen of the cervix, as well as when the fetal membrane bursts. With incomplete miscarriage, pain and discharge do not stop.

Complete miscarriage is the spontaneous termination of pregnancy when the embryo or fetus has completely left the uterus. With this course of the process, hemorrhages stop, as well as all unpleasant sensations.

Failed - the fetus or embryo dies, however, remains in the uterus. A similar condition is found at the consultation of a gynecologist while listening to the heartbeat.

Repeated - if a woman has at least three spontaneous early abortions in a row. A similar violation occurs in about one percent of families.

Anembryonia - fertilization with a similar course occurs, but the fetus is not formed. The egg is attached to the wall of the uterus, it is even possible to develop a gestational sac with a yolk bladder. However, there is no fetus in the uterus. Although pregnancy symptoms may be present.

Chorionadenoma - with such a violation, fertilization occurs with a violation of genetic information, as a result of which, instead of an embryo, just a piece of tissue is formed, which gradually increases in size. All these painful conditions end in spontaneous abortion or abortion for medical reasons.

Causes of miscarriage

According to statistics, 15-20% of all pregnancies end in miscarriages. In most cases, this happens when the woman does not yet realize that she is pregnant. But sometimes this happens to those who have already become attached to their belly-resident and fell in love with him. How to console a woman in this case? Only the next pregnancy. But those who have had such a misfortune in their lives, and those who have not yet learned the bitterness of loss, should go through a small educational program on issues related to miscarriage. The most important thing is to know what factors can cause abortion and what can be done to prevent miscarriage.

The conversation will focus on early miscarriages occurring up to 12 weeks, because the vast majority of them occur during this period. So, the most common causes of miscarriages in early pregnancy are:
Genetic disorders in the fetus
According to statistics, about 73% of miscarriages occur for this reason. As a rule, these genetic defects are not hereditary, but are the result of single mutations that have occurred in the germ cells of the parents under the influence of harmful environmental factors (radiation, occupational hazards, viruses, etc.). Termination of pregnancy for this reason is a kind of natural selection - getting rid of weak, non-viable offspring. It is almost impossible to prevent such a miscarriage; you can only reduce the risk of genetic abnormalities even before conception, by protecting yourself as much as possible from the effects of mutagenic factors. But in modern ecology, the likelihood of mutations still remains, therefore, miscarriages occurring for this reason can be honored for the good, because they save a woman from many problems and troubles in the future.
Hormonal Disorders
If the balance of hormones in a woman's body is imbalanced, an early termination of pregnancy often occurs. Most often this happens with a lack of the main hormone of pregnancy - progesterone. With early detection of this problem, pregnancy can be saved with the help of progesterone drugs. An excess of male sex hormones can also cause early miscarriage - they suppress the production of estrogen and progesterone. Androgens are often the cause of recurrent (habitual) miscarriages. The hormones of the adrenal glands and the thyroid gland also influence the formation and development of pregnancy. Therefore, dysfunction of these glands can also cause miscarriage.
Immunological causes
As a rule, this happens with Rh-conflict. The embryo inherits the Rh-positive organism from the father, while the Rh-negative organism of the mother rejects the foreign tissues of the embryo. For the prevention of miscarriage in case of immune conflict, progesterone preparations are used, which in this case has an immunomodulatory effect.

Sexually transmitted infections: trichomoniasis, toxoplasmosis, syphilis, chlamydia, as well as herpes and cytomegalovirus infections often cause miscarriage. Pathogenic bacteria and viruses cause infection of the fetus, damage to the membranes, resulting in a miscarriage. To prevent this from happening, it is advisable to treat infections before pregnancy. General infectious diseases and inflammatory diseases of internal organs. All diseases accompanied by intoxication and an increase in body temperature above 38 ° C can lead to miscarriage. Rubella, viral hepatitis and influenza are in the lead in this list. Even a banal sore throat can become fatal at 4-10 weeks of pregnancy. And pneumonia, pyelonephritis, appendicitis are a serious risk to the fetus. Therefore, when planning a pregnancy, it is worth undergoing a full medical examination, identifying and treating all foci of chronic infection.
History of abortion
Abortion is not just a medical manipulation: it is a huge stress for the female body, which can cause dysfunction of the ovaries and adrenal glands; contributing to the development of inflammatory processes in the genitals. This can lead to infertility and recurrent miscarriages in the future.
Medicines and herbs
In the first trimester of pregnancy, it is advisable to avoid taking medications altogether. Many of them can cause termination of pregnancy or cause the formation of developmental defects in the fetus. So, for example, narcotic analgesics or hormonal contraceptives are often the culprit in abortion. You also need to be careful with medicinal herbs: parsley, nettle, cornflower, St. John's wort, tansy - are contraindicated in early pregnancy.
Stress
Severe fright or unexpected grief, resentment or prolonged mental stress are dangerous for the little creature in your womb. If you, by the will of fate, are forced to be under the influence of stress, discuss with your doctor the possibility of taking sedatives, at least the same valerian.
Unhealthy Lifestyle
Consumption of alcohol, drugs, smoking, regular coffee consumption, improper and inadequate nutrition - all these are allies of miscarriage. It is better to correct your lifestyle even before conception.
Falls, lifting weights, intercourse
All this, although rare, can become a trigger for termination of pregnancy, therefore, take care of yourself, and therefore your baby!

Risk of miscarriage

If during pregnancy a woman feels heaviness in the lower abdomen, pain in this area or cramps, and also if spotting bleeding is observed, this may indicate a threat of miscarriage.
In the event that a woman does not go to the doctor and leaves the situation to chance, spontaneous abortion may occur. Often, with a timely visit to the doctor, a miscarriage can be prevented. But the woman will be under the close supervision of the attending physicians until the birth itself. If the threat was observed in the first weeks or months of pregnancy, this may indicate an abnormal development of the embryo. Therefore, an ultrasound examination is prescribed, which not only allows you to assess the condition of the fetus, but also to detect uterine hypertonicity or problems with the cervix. In addition, a blood test for hormone levels and a special urine test are prescribed.

Often the doctor considers it necessary to check the function of the thyroid gland. For this, a special blood test is also assigned. It is important to check if an infection, such as cytomegalovirus, toxoplasmosis, or herpes, is the cause of the abnormal pregnancy. In order to get a complete picture of the state of the body, there are two more analyzes: for antibodies to chorionic gonadotropin, and also for lupus anticoagulant.

Upon receipt of the test results, the doctor prescribes treatment. In the presence of blood discharge, a woman is placed in a hospital, but if her condition does not cause concern, the drug is taken at home.

After miscarriage

It is a natural desire of parents to conceive a new baby as soon as possible after a miscarriage. Although, after the experience, many are afraid that they will fail again. This is a completely normal reaction of the human psyche to a stressful situation. But couples who have experienced a miscarriage should focus primarily on the doctor's recommendations. And they generally boil down to the following:
It is advisable to take a break for six months before the next conception. According to doctors' calculations, if you become pregnant immediately after a spontaneous interruption, the risk of such an outcome increases by one and a half times.
During this "technical" break, you need to be very careful about the selection of contraceptives. Only a knowledgeable doctor can help with this.
Measures to prevent new failures must be discussed with the treating doctor.

Today there are medical institutions that specialize specifically in human reproduction. The specialists of these clinics can develop an individual action plan that will ensure a successful pregnancy in the future. Do not neglect the help of doctors. It is imperative to be examined and find the cause of the interruption. Since these reasons can further lead to serious illnesses, and also endanger the well-being of subsequent pregnancies.

When prescribing any drugs, it is important to check with the doctor how they can affect the work of the reproduction system and whether it is possible to become pregnant while taking these drugs, and also how long after the end of treatment conception is allowed.

Abortion is a difficult step for any woman. The procedure is carried out up to 28 weeks, but serious problems can be avoided only in the early stages. Termination of pregnancy affects both physical and mental health. Therefore, it is better to have an abortion before 10-12 weeks.

Methods

Each period has its own method of termination of pregnancy. Some options have virtually no consequences, others are accompanied by complications.

• Medication.
• Surgical.
• Vacuum.

By week 10, abortion is done more often with surgery. A timely terminated pregnancy in this way practically does not give complications. However, problems cannot be avoided.

Procedure

Experts use several methods. The method is chosen depending on the duration of pregnancy.

• Vacuum-excohleation.
• Surgical intervention.

The first option is applied until the end of the 10th week. Specialists use a vacuum excohler. It is a cylindrical tool with an oval socket at the end. A hose connected to a suction and a waste container is connected to the device.

With the help of the expander, the cervical canals are moved apart. A cannula is then inserted into the uterus and the pressure pump is activated. The method requires caution and is carried out exclusively by professionals. By rotating the instrument, the doctor destroys the ovum by processing the walls of the uterus. The waste is pumped into a tank. This method is considered safer than surgery.

After the procedure, a bag of cold liquid is placed on the woman's abdomen, and then drugs are injected to help contract the uterus. The recovery period after the procedure is different for each woman. The patient is discharged only after examination and permission from the doctor.

The second method is applied from 10 to 12 weeks. During surgical termination of pregnancy, the patient is under anesthesia. With the help of a special instrument, the cervix is ​​expanded. The doctor, using curettes, removes the destroyed tissue of the ovum.

The specialist completely cleans the walls of the uterus. In this case, vacuum aspiration can be used. The doctor, using an ultrasound scan, must make sure that all the contents are removed. After the successful completion of the intervention, the doctor observes the patient for a while. A woman needs to stay in bed, as well as take drugs that help to contract the uterus.

Complications

Like any surgery, abortion has some consequences. This is especially true for the procedure carried out at 10 weeks and later. Sometimes termination of pregnancy leads to irreversible complications. What should be feared during an abortion for such a period?

Complications after the surgical method:

1. After the intervention, bleeding is possible due to the use of sharp instruments. Damaged walls of the uterus are sometimes even fatal.
2. Bleeding accompanied by abdominal pain means that the curettage has not been completed. The remaining parts of the embryo in the uterus lead to inflammation.
3. Other complications appear in the patient within a month after the abortion. Inflammatory processes occur due to an infection, parametritis, salpingoopharitis, endometritis. These diseases are accompanied by pain, discharge, high fever.
4. The termination of pregnancy makes itself felt even after years. In women, hormonal levels are disturbed, menstruation is disrupted. There are problems such as miscarriage, problems with the patency of pipes.
5. It happens that as a result of an abortion, a woman becomes sterile.

Complications after the vacuum method:

• Pain in the genital area is possible.
• Bleeding.
• Infection.
• Pain in the abdomen.
• The appearance of unpleasant discharge.
• Vomit.
• Heat.
• Lack of menstruation.
• Hormonal disruptions.

Each method of terminating a pregnancy at week 10 has complications. Therefore, after the procedure, it is important to monitor your well-being, and if problems arise, immediately contact a specialist.

Consequences

Termination of pregnancy is accompanied by hormonal disruption. Unfortunately, it cannot be avoided. The body, tuned in to motherhood, produces certain hormones that, during an abortion, cause a breakdown. When interrupted at 10 weeks, the consequences are much more serious than in the early stages.

You need to contact a professional about an abortion. If it is easy to terminate a pregnancy in the early stages, unforeseen complications may occur at 10 weeks. Only a highly qualified doctor is able to cope with problems. Although even a specialist will not save the patient from the consequences.

Abortion leads to:

• Violation of blood pressure.
• Immunity problems.
• Impaired blood circulation.
• Kidney and liver problems.
• Microtrauma.
• Fatigue.
• Sleep disturbances.
• Irritability.
• Ovarian problems.

When scraping, only the latest equipment should be used. This will help to avoid damage to the walls of the uterus, the occurrence of scar tissue, and in the future, problems with the fetus.

Rehabilitation

There are some tips a woman should follow after an abortion. The rules are the same for any method of abortion.

1. Avoiding sex for at least 21 days.
2. Refraining from exertion. Do not lift weights and play sports.
3. After an abortion, you can not visit baths, saunas, swim in public water.
4. Pay particular attention to hygiene.
5. It is necessary to abandon the diet.
6. It is important to constantly monitor your well-being.
7. Refusal of alcohol for two weeks.

After an abortion, a woman should pay attention to her health. A correct lifestyle will help speed up rehabilitation, as well as avoid most complications. The woman needs more rest, and if the pregnancy is terminated at 10 weeks or later, the services of a psychologist may be needed. In addition, until the recovery is over, a new pregnancy should be avoided.

Pregnancy is great. But sometimes it happens that the body itself decides to get rid of the incipient new life, and then a miscarriage occurs. In most cases, this occurs early in pregnancy, in the first 12 weeks.

Statistics say that every fifth woman loses a child without even knowing that she is pregnant. From a gynecological point of view, a miscarriage is a spontaneous termination of pregnancy up to 22 weeks, since children born prematurely - after 22 weeks and weighing 500 grams, today's medicine has the ability to save. But, if the weight is below 500 grams, then the possibilities are zero.

As we have already said, in most cases it happens that the woman does not even suspect that she is pregnant and nothing bothers her. Waiting for the onset of menstruation, she simply registers that she has a delay, and after a few days, menstruation begins, but goes more profusely than usual and with pain.

Sometimes, an early miscarriage is characterized by only moderate pain in the lower abdomen and profuse bleeding, then a woman does not even consult a doctor if the bleeding stops soon. If the bleeding is profuse for several days, then going to the doctor cannot be avoided.

In some cases, such periods with a delay are very painful, and one day a blood clot comes out. Then it is already possible to say for sure about spontaneous miscarriage at an early date. Usually this clot resembles a bursting bubble of blood. This phenomenon always scares those who encounter it for the first time. After the release of a blood clot, it is imperative to consult a doctor: first, to undergo an examination and determine exactly what it was; secondly, to check if cleaning is necessary.

A miscarriage is a phenomenon that makes both the body and the soul suffer. Many people know that there is such a danger as spontaneous abortion, but not everyone knows about its causes, and how it can be prevented.

If we talk about early miscarriage up to 12 weeks, then basically it is a test and warning for parents. A miscarriage at this stage of development suggests that either the mother's body is not yet ready for the normal development of the baby inside it, or something is wrong with the health of both parents, and it needs to be strengthened so that the baby will develop healthy in the future, and the organism from unhealthy ones and in the future it will get rid of on its own.

Early miscarriage: causes

Genetic disorder in the fetus... Special attention is paid to the healthy laying of all organs of the future person, which requires equal 23 chromosomes from mom and dad. And if a mutating element suddenly appears in one of them, then it is recognized as incompetent, and a miscarriage occurs.

The presence of such elements is influenced by ecology, viruses, occupational hazards. It is very difficult to avoid these factors; you can only reduce the risk of their influence on the body by going on vacation: for fresh air and for a long time. Carrying out a miscarriage, thus, the body produces natural selection, characteristic of all life on earth.

Hormonal Disorders. It is known that hormones are responsible for the good vital functions of a woman's body, therefore, their incorrect balance in the body can lead to an early miscarriage. Also, a lack of the hormone progesterone or an excess of the male hormone causes this phenomenon. If such a problem in a woman is diagnosed in advance, then hormone therapy is prescribed to her before planning a pregnancy, which avoids a miscarriage.

Rhesus conflict. It is not for nothing that when planning a pregnancy, they are obliged to pass a blood test to determine the group of both the mother and the father (if the mother has a negative Rh factor). In this case, the father's Rh is important, since its opposite indicator can lead to the development of a Rh conflict, when the embryo inherits a positive Rh from the father, and the mother's body determines its tissues as foreign and rejects them, saving itself, as it seems to it.

If the father also has a negative Rh factor, then this problem does not arise. With the timely diagnosis of such a pathology, the hormone progesterone is used, which plays a protective role for the embryo and eliminates this cause of spontaneous miscarriage at an early stage.

Infections. Infection is bad anyway. If you know that you or your partner have a sexually transmitted infection, you need to get rid of it before you become pregnant. When pregnancy occurs with such a diagnosis, the fetus becomes infected and, again, the body will get rid of the embryo at an early stage.

Infectious and inflammatory diseases of internal organs. Any temperature rise up to 38 degrees, caused by a disease of the internal organs, can cause early miscarriage. Usually, such a temperature is accompanied by intoxication of the whole organism, and therefore it is unable to hold the embryo. This is why it is so important to undergo a full examination when planning a pregnancy, to detect and treat all chronic diseases and get vaccinated if necessary.

Abortion. As you know, this is an interference with the ordinary life of the female body. If an abortion has ever taken place, then it can lead either to habitual spontaneous miscarriages or to infertility.

Medicines. In the first trimester, the use of any medications is generally not recommended, which can lead to defects in the development of the fetus. There are also herbs that are contraindicated in early pregnancy: parsley, nettle, cornflower, St. John's wort, tansy.

Bad mood. More precisely, severe stress, grief, prolonged mental stress can negatively affect the emergence of a new life. In this case, only with the recommendation of a doctor, it is possible to take some sedatives.

Lifestyle. You need to change your habits right away when planning a pregnancy. Getting rid of bad habits, balanced and nutritious nutrition are the first conditions for the development of a healthy child, the opposite can lead to miscarriage.

Physical impact. Unsuccessful falls, heavy lifting are the starting point for miscarriage and contribute to it only if one of the above reasons is on the face. If the mother is healthy, then this effect must be very strong to cause a miscarriage.

Early miscarriage: symptoms

The most common signs of a miscarriage are lower abdominal pain and bleeding... Also, pain from the lower abdomen can indulge in the lower back. This pain is intermittent. Vaginal discharge talk about the threat of early miscarriage. If such discharge has a reddish or even brownish tint, then you should see a doctor to avoid miscarriage.

Often referred to as a symptom of miscarriage uterine tone, but only in cases where it is accompanied by discomfort for the mother and pain. If it is not accompanied by anything, then the recommendations of doctors stop at reducing physical exertion and reducing stressful situations.

In some cases, even after the above symptoms, the pregnancy proceeds normally in the future, only under the more careful supervision of doctors, then they talk about the threat of miscarriage.

The symptoms of a miscarriage at any stage of pregnancy are relatively similar. Only they can be accompanied by more severe pain and profuse discharge.

Second trimester: symptoms of miscarriage:

• the damage to the bag of amniotic fluid is indicated by the liquid that drips from the vagina, in this case, an appeal to the doctor should be instant;
• vaginal bleeding is a sign of miscarriage in any trimester of pregnancy;
• blood clots that appear during urination, accompanied by pain;
• internal bleeding, which can be indicated by very severe pain in the shoulder or in the stomach area.

How is a threatened miscarriage diagnosed?

If your pregnancy is planned, and you went through all the procedures necessary for the preparation, which the doctor told you about, passed all the tests and treated all the diseases found in the disease, then the possibility of miscarriage is reduced to a minimum. If some contraindications were discovered in advance, then great attention is paid to them already at the conception of the baby. In this case, the diagnosis of the threat of miscarriage takes place at the planning stage, and treatment is prescribed in advance.

If pregnancy occurs spontaneously, without prior treatment and examination, then any gynecologist can diagnose a miscarriage during a routine examination. Examining a woman who came with a delay problem, the doctor determines the expected gestational age.

• checks the conformity of the size of the uterus to the given period;
• checks for the presence of uterine tone;
• determines if the cervix is ​​closed;
• draws attention to the nature of the discharge (bloody or mucous).

The most reliable way to diagnose miscarriage or premature birth at a later date is transvaginal ultrasound, which is performed by an experienced doctor. When using this method, the length of the cervix and the condition of the internal os are checked.

Early miscarriage treatment

The most basic and first thing that a doctor advises in case of a threat of miscarriage at any stage of pregnancy is adherence to bed rest... In some cases, in order to maintain the pregnancy, the woman is even forbidden to get out of bed. It is clear that your physical activity should be reduced to zero when there is a threat of miscarriage.

It is also recommended to reduce the level of anxiety, bad news and thoughts. Already from the first weeks of existence, the nascent life feels you from the inside, any of your excitement can negatively affect its state. And disturbances in the condition can lead to its rejection by your body. To avoid these nervous tensions, your doctor may prescribe valerian or motherwort.

You yourself can use relaxation therapy: sit comfortably on a sofa or armchair and think about something good. The best in this case can be dreams of a future baby, choosing a name, mentally drawing his portrait. But all this after consulting a doctor.

If the threat of termination of pregnancy is more serious and just good thoughts cannot be dispensed with, then the first thing the doctor does is determine the cause of the threat. After determining the cause of the threat of miscarriage in the first weeks of pregnancy, prescribe hormonal drugs, which are designed to maintain a good course of pregnancy.

You may be prescribed progesterone (it is part of urozhestan, duphaston), drugs for hyperandrogenism (with a large amount of male hormones), as well as drugs when there is a threat of Rh-conflict, can be prescribed.

If the doctor deems it necessary, then an additional intrauterine ultrasound examination can be performed. If such an examination reveals a failure, then stitches are placed on the cervix that stop the fertilized egg inside the uterus. Such an operation is performed in a hospital and under anesthesia, while relaxing drugs are injected into the uterus.

Most cases of a threat of miscarriage in early pregnancy are treated in a hospital, sometimes women have to remain under the supervision of doctors until the very end of pregnancy, that is, before childbirth. In some cases, treatment begins in a hospital, and then goes to home conditions, subject to bed rest. Sometimes, having undergone treatment with a threat of miscarriage at an early stage, a woman does not return to him until the very birth.

Prevention of miscarriage

It is possible to avoid miscarriage in most cases. If a couple treats their decision in a balanced and responsible manner, then a doctor will be examined in time, which will reveal all kinds of deviations and inconsistencies in the organisms of a man and a woman. A preliminary examination will allow you to cure all kinds of infectious and hormonal diseases that can cause miscarriage later.

Six months before the planned conception, the couple's habits and lifestyle should be changed. Maintaining a healthy lifestyle can help reduce your risk of miscarriage.

Consequences after a miscarriage in the early stages

From a medical point of view, serious consequences after a spontaneous miscarriage in the early stages are extremely rare. Big problems can arise if this miscarriage is caused on its own with the help of medications or folk remedies, or if fetal particles remain in the uterus, which most often happens at a later date with miscarriages.

It is with the aim of avoiding such problems and in the early stages that gynecologists prefer to do preventive cleaning of the uterus after a miscarriage. If a woman seeks a doctor, she is always given a control ultrasound.

Many believe that the consequence of one miscarriage is subsequent spontaneous miscarriages. But in reality this is not the case. Subsequent miscarriages occur after the first only if the cause of the first miscarriage has not been identified or this cause has not been treated.

A miscarriage in early pregnancy does not bear serious consequences only with a timely visit to a doctor. If we neglect this fact, then severe uterine bleeding may occur, that is, a large loss of blood, which will lead to death, or blood poisoning, which is also extremely unpleasant and dangerous.

Even if the next menstruation does not go as usual (more abundant or with severe pain), it is better to consult a doctor with this, and suddenly you were pregnant and did not notice it. The answer to the question of what to do in case of early miscarriage is to consult a doctor, if it is very bad, then even call an ambulance.

It seems that quite recently there was still 3 weeks of pregnancy, when you just learned about a small miracle in your womb. But in the wake of her quickly came the 4th week of pregnancy, then 5th ... Time flies very quickly. And now there are special sensations in the stomach at the 6th week of pregnancy, which indescribably please the expectant mother. A little more - and already 10 weeks knocking on the door, the last in the embryonic stage of the baby's development. And after it comes the 11th week of pregnancy, then 12th, and there only six months - and the long-awaited birth.

It is the 10th week that ends one of the most dangerous periods of the intrauterine life of the embryo. The little lump in your belly is 8 weeks old, and very soon it will receive fetal status. Until then ...

Feelings of a future mother

Hormones make themselves felt: toxicosis, instability of the nervous system, desire to sleep, and fatigue are still possible. Be careful while driving: distraction can cause an accident. At this time, it may seem that pregnancy is an unbearable burden. Brace yourself. The vitality of the body and spirit will return - let the hormones stabilize. In the meantime, get more rest and watch your diet.

A "pregnant" belly is not growing yet, but many women notice changes in their waist: due to an increase in the level of progesterone, the muscles of the anterior abdominal wall of the growing uterus relaxed, the body began to strenuously lay fat on the belly, preparing a cozy warm house for the child.

During this period, the breast also swells, Montgomery nodules may have appeared around the nipples. The blood volume has increased. The size of the uterus this week is about the size of a large apple. At this time, it begins to rise. Some expectant mothers have a brown stripe on their belly.

You may start going to the toilet more often: some hormones make you urinate more often. If at the same time you are not worried about unpleasant sensations, burning sensation - everything is in order.

Many women have a stomach ache at 10 weeks of gestation.... It is necessary to analyze its nature in order not to miss dangerous signs and not bother yourself in vain if the cause of the pain is insignificant. So, pulling sensations in the groin area (similar to menstrual ones) are possible. This is a sign of a sprained uterus, which is quite natural.

Also, pains are often associated with impaired digestion, which is not uncommon for this period. Increased gas production, constipation - all this leads to specific pains, unpleasant for the mother, but safe for the unborn baby. An imbalance in the digestive system can also be felt with pain in the stomach: it is felt just below the ribs, in the middle.

Fetal development during this period

All of the baby's major organs are formed. The size of the fetus at 10 weeks of gestation is 31-41 mm, and its weight is 5 g. Ears, an upper sponge and even marigolds on tiny fingers have appeared. It is amazing, but the baby knows how to bend the arms and legs, pushes off the walls of the fetal bladder. The eye slits are cut - the baby opens his eyes. Grains of milk teeth appeared.

The internal organs are not lagging behind: the brain is actively developing, all layers of the cerebral hemispheres have formed. 250 thousand neurons appear every minute! Gill slits disappeared, vessels of the lungs appear. The heart has ventricles. The liver, kidneys, intestines are formed.

Ultrasound at this time

Routine ultrasound is usually prescribed at 12 weeks of gestation. But if you do an ultrasound at 10 weeks, it will be difficult to determine the sex of the child - the formation of the genitals is not over. A more accurate forecast will be made for you at 12 weeks. On ultrasound for 10 weeks, a very active (if not sleeping) large-headed humanoid with thin arms and legs will be visible.

The tiny alien already looks like a man, and not like a fish: the tail is already almost hidden between the buttocks that have appeared.

What if twins?

The average statistical time for determining whether to wait for twins is 10 weeks of pregnancy. The uterus in twins by this time is the same size as at 13-14 weeks of singleton pregnancy. Most often, the uterus with two embryos leaves the pelvic area by week 10.

Babies are smaller than their single peers: height from 27 to 35 mm, weight - about 3 grams. In this case, the size of the embryos can be different: one is larger, the other is smaller. This is not dangerous. Otherwise, they are developed in the same way as those that live in the mother's belly one by one.

Possible problems

The risk of miscarriage is still high this week. 30% of pregnancies are accompanied by bloody discharge. Red or brown discharge at 10 weeks of gestation, prolonged pulling sensations in the lower abdomen may be the beginning of a miscarriage. You must urgently seek medical attention.

A small amount of brown spotting is not a cause for panic. They can appear after sex or a pelvic exam. Just do not delay going to the gynecologist.

Ectopic pregnancy also accompanied by bleeding, profuse, with severe pain in the lower abdomen... Often, it is at 10 weeks that an undiagnosed ectopic pregnancy ends with a rupture of the fallopian tube due to the growth of the egg.

Normal for this period is the average amount of transparent or milky discharge. Discharge with an unpleasant odor, curdled, bubbly and other unusual - a reason to see a doctor.

An important indicator for determining the "normalcy" of the course of pregnancy is the level of hCG in the blood of the expectant mother. For 10 weeks, the average level of hCG is 60-65 thousand units. The reasons for the increase in this hormone are:

• Multiple pregnancy;
• Fetal malformations;
• Chromosomal pathology;
• Diabetes.

Causes of low hCG levels can serve:

• Ectopic pregnancy;
• Frozen pregnancy;
• Threatened abortion.

One test for hCG cannot be 100% judge of fetal pathology., so do not rush to get upset if the numbers deviate from the norm. Ask your doctor for clarification.

It is also possible a metabolic disorder, the symptoms of which are easy to overcome if you turn to a specialist in time.

Body temperature at this time may be slightly elevated.(37-37.5) - hormones go crazy. If the temperature rise is accompanied by signs of SARS, take urgent measures. Drink more, take preventive measures. At 38, start taking the antipyretic prescribed by your doctor. If it is not possible to urgently consult with a specialist - choose medicines based on paracetamol.

It will not be superfluous to learn more about other points related to the birth of a baby. Moms should study the article on how to breathe correctly during childbirth to relieve their condition. This and other knowledge will surely help you to easily give birth to a strong and healthy baby!

Frozen pregnancy at 10 weeks

Many mothers are afraid of pregnancy fading, especially if previous pregnancies ended in the same way. The period from 8 to 11 weeks is the most dangerous by the fading of the development of the embryo.

In Russia, pregnancy fading is usually attributed to genetic mutations in the fetus, “reassuring” the mother that it’s better when such a pregnancy froze — there was a chance to give birth to an unhealthy child.

In fact, very often the cause of the fading of pregnancy is a high level of TSH... This is due to individual characteristics or disorders of the mother's hormonal system and is corrected by taking a medication. It is worth insisting on a test for the level of TSH in the blood as early as possible - it is often not considered necessary to prescribe it.

Women with a frozen pregnancy in the past should additionally consult with an endocrinologist-gynecologist when the test indicators approach the extreme values.

Following these tips will surely help a young mom:

• Start prevention of varicose veins... At this time, the first problems with leg edema and varicose veins may begin. Having started this problem now, then you will not be able to cope with it;
• Don't get constipated... Digestive problems can lead to constipation, and constipation can worsen hemorrhoids. More than half of pregnant women face this problem. Watch your diet, move more - do not let the disease arise. If the problem still arises, consult your doctor on how to treat hemorrhoids in women;
• Get more rest... Now you feel very tired. It will pass. Try to postpone all non-urgent matters;
• With increased nervous excitability and anxiety, often accompanying the 10th week of pregnancy, try not to break down on loved ones... Drink soothing herbal teas.

• Start doing gymnastics for pregnant;
• Start moisturizing your belly skin daily and thighs with special anti-stretch marks.

Photo of the fetus at the 10th week of pregnancy

These photos show the results of an ultrasound scan at the 10th week of pregnancy. See what the future baby should be like during this period.

Ultrasound of fetal development at 10 weeks of gestation

At week 10, the head is quite clearly visible

Three-dimensional ultrasound of the fetus at 10 weeks

The fruit is seen from a different angle

Frozen pregnancy at 10 weeks

Ultrasound showed twins

Video for expectant mothers

This plot will show us what the fetus looks like during its ultrasound examination at 10 weeks of gestation.

And this video will tell us about what happens to the baby and mother during this period of pregnancy.

Basal temperature from A to Z

Girls who had a miscarriage at 8-10 weeks, please respond!

Girls who had a miscarriage at 8-10 weeks, at home, please respond!

please write HOW exactly everything happened, in detail (I'm not squeamish), it is important for me to know everything.
I had a miscarriage yesterday, at week 10. But it was all like this: before that, it was smeared for 3 days, yesterday, cramping pains in the lower abdomen, lasted 2, 5 hours. Then the blood began to flow, a lot and with clots, about 3 hours, no longer. During this time, a large piece came out that looked like a lung (I think it was the placenta), about 6-7 cm in diameter and half a cm thick. After that, the pain subsided and there was less blood. And today it only smears a little. And it doesn't hurt. This is fine? Or can it be repeated for several days and everything will come out? I have not seen the embryo because I suspect that maybe not everything has worked out yet ... the doctor said to him only on Friday, then we will see or everything worked out. I very much apologize for the details, of course, it's just very important for me to know, or you had the same, there is no detailed description anywhere on the Internet. Please do not delete this blog.

Read 59 comments:

Thank God, I didn’t have this, but I’m, shall we say, a little familiar with biology, and I can assume that it’s possible with just that piece that everything worked out. I just remember from blogs that your embryo froze more than a week ago, at such times it is still quite small, and with that piece of the placenta, it could somehow “merge” when it began to disintegrate. Hope it worked out. Get pregnant as soon as possible and give birth to a strong baby and forget it like a bad dream.

I had severe bleeding at a period of 8 weeks, they scraped it out ... but I did not see any large pieces - the ovum is still small 3 cm, the embryo is even smaller .. there is no placenta yet ... large clots are most likely the endometrium ... you definitely need to see a doctor

Don't worry - everything will be fine, I survived 2 ZB myself ... gave birth on the third try ...

Tanyushka87, thanks for the answer! Hopefully ... I do not think that it merged with the placenta ... On Friday, the ultrasound scan showed the embryonic patient 2 cm and was clearly visible ..

Lana1580, you will not see either a fertilized egg or an embryo for sure ... after freezing, everything is reduced very quickly ...

Adett73, the placenta is already there at this time, it is just not yet ripe enough. but there is. If you had a cleaning, you might not have seen it ...

Adett73, and it was not a blood clot ... but a piece of tissue, meat. I'm sorry…

Lana1580, I had a complete spontaneous miscarriage, at the time of admission to the hospital by ultrasound, there was no fetal egg, before that it was ... everything was too small and the endometrium debris cannot be distinguished from the fetal egg for sure ... especially as I said when freezing everything is very quickly reduced ...

Lana1580, the endometrium is a piece of tissue ...

Adett73, there is a placenta, just small. It is finally formed by 20 weeks. Up to 20, it seems, they do not even write the placenta, but the chorion. But I think there was just that piece where the placenta was forming, it just came out with a blood clot, so it seemed larger. It's just that at the place of attachment of the chorion to the uterus, the vessels grow especially. And the embryo, believe me, can be overlooked. God grant that everything will work out and this time it will be without cleaning!

Tanyushka87, there can be no placenta of a larger ovum, excuse me 3 cm-well, 4 cm at this time the edge ... well, not 7 cm

Adett73, well, maybe you’re right, maybe the egg didn’t come out entirely, but in parts ... and I placed the placenta in a jar with formalin, I’ll give it back if they take it for examination ... thanks for the answers! Now at least a little hope is that everything has cleared up. I really want a baby, but God won't give ...

Adett73, 6 cm. Just measured. A dense fabric, like leather, on the one hand, white and pink, on the other, all in small veins. On Friday I’ll give it to you for examination.

Lana1580, I am sure that you and your doctor will figure out what is the reason for your failures ...

Lana1580, damn scraping, in this regard, the option is still reasonable, I would not be able to collect the pieces myself ... the second time when they scraped out, I asked for histology and genetics to be done, so to speak ... after that they gave me the reason

I can tell my story, seven years have passed but I still don't know what it was. the term was 8 weeks. Was at work, pulled in the groin as if the mash should start, I went into the toilet to look at the tris, I bend over and as soon as blood rushes out of me, I squeezed my hand, then the muscles of the vagina, put the paper down and ran home, lived 300 meters from work. I went out to wash. relaxed the muscles and I got such a crap-size (diameter) a little less than a palm, 7-8 cm and a hole in the middle of 2 cm, shaped like a big donut with a thick edge of 2-3 cm and not a blood clot but as if under a transparent with a leather film there are all sorts of thin guts, the inclusions are darker and lighter. and I even washed the plump one under water, sorry for the details, but I shoveled the entire Internet and did not find anything. The doctor did not believe me and was like a cleaning, but they did not say anything after it.

How to prevent miscarriage at 10 weeks of gestation?

A miscarriage is a pathological spontaneous abortion. There are many recommendations on how to avoid miscarriage. According to the latest medical statistics, spontaneous abortion ends in 15 to 20% of cases of officially registered pregnancies, but it should be noted that many women in the early stages do not notice the onset of pregnancy and quite often mistake a miscarriage for heavy periods. In some cases, the threat of fetal loss is a painful deviation from the normal state and is subject to inpatient treatment. This sad outcome of the birth of a new life can occur at any stage of pregnancy from the moment of conception to obstetric week 20.

Why week 10 is dangerous. A miscarriage at 10 weeks of gestation can occur, as in any other period, for a variety of reasons. But its main danger is that a woman undergoes significant transformations during this period, one of which is the movement of the uterus from the pelvic area to the area above the pubic joint. A miscarriage at 10 weeks is associated with painful sensations of varying degrees of intensity, localized in the lower abdomen, due to the tension of the uterine ligaments. Against the general background of what is happening, a woman may not notice that there is a threat of miscarriage in her body. At 10 weeks, the risk of miscarriage is already much less than at earlier periods, but, nevertheless, it should be borne in mind that it is possible at any time up to 20 weeks. A miscarriage at 10 weeks can still occur.

What are the types of miscarriages. In modern medical practice, two types of spontaneous abortions are distinguished: Preclinical spontaneous abortion implies a biochemical pregnancy that has not yet reached the clinical stage and was determined only on the basis of the results of the analysis of chorionic gonadotropin (hCG) found in blood serum or urine. A miscarriage at 10 weeks of gestation does not apply to this type of abortion;

Spontaneous abortion or miscarriage is the spontaneous termination of a clinical pregnancy, within 18 weeks of fertilization, which corresponds to 20 weeks of obstetric gestational age. If it is impossible to determine the timing, spontaneous abortion is considered the loss of a child in the embryo or fetus, weighing up to 400 grams. A miscarriage at 10 weeks gestation refers to this type of spontaneous abortion.

Live or dead births between 20 and 37 weeks of gestational obstetric term are classified as premature births.

Classification of spontaneous abortion. The threat of miscarriage during pregnancy is always accompanied by bloody discharge of varying intensity, depending on the stage of abortion. At the beginning of a miscarriage, with the remaining vitality of the fetus, in some cases it can still be saved. In the case when there is reason that the pregnancy may soon be disrupted, the threat of miscarriage can be characterized as follows:

An empty sac or an empty fertilized egg is characterized by the normal development of the fetal bladder, while the embryo either stops growing or is initially absent;

An unavoidable abortion is a condition in which the cervix is ​​already open, but the fetus is still in the womb. This condition progresses to a complete abortion. The threat of such a miscarriage at 10 weeks is quite likely;

A complete abortion implies an exhaustive exit from the mother's body of all parts of conception, which include: the embryo, yolk, chorion, villi and trophoblast. In later periods, the umbilical cord, placenta, amniotic membrane and amniotic fluid join them, only at these times the embryo is already a fetus;

An incomplete abortion is one in which parts of the fetus remain in the womb. The threat of such a miscarriage at 10 weeks also exists;

A frozen pregnancy implies the death of a child at any stage of development and its retention in the womb. In this case, a miscarriage may occur at any time, or it may not occur indefinitely.

Ways to prevent spontaneous abortion. Duphaston is recommended by many gynecologists in case of a threat of miscarriage. This drug is widely known in Russia for how to avoid miscarriage. It is successfully used by women at different stages of pregnancy. Duphaston is prescribed when there is a threat of miscarriage as a prevention of miscarriage, but it is far from harmless. Side effects of this drug can manifest as liver dysfunctions, jaundice, headache, multiple edema, skin rash, and severe pain in the mammary glands. Experienced doctors, knowing how to avoid miscarriage, recommend to their patients another, less dangerous drug - urozhestan, which is a natural progesterone. Duphaston is also a progesterone, it is effective against the threat of miscarriage, but it is of synthetic origin, its advantage lies only in the fact that it is better absorbed than uterine.

Complications after spontaneous abortion. In addition to the fact that a miscarriage is a difficult condition for a woman both physically and morally, it can also have serious consequences and complications, such as:

Septic abortion occurs when parts of the fetus remain in the womb after an incomplete abortion becomes infected. Infection of the uterus has a huge risk of further spread of the infection and poses a very great danger to a woman's health and even to her life;

Repeated miscarriage or recurrent pregnancy loss is defined after three consecutive miscarriages. Doctors classify this condition as habitual abortion. However, this is not yet a verdict for a woman's reproductive function. The overwhelming majority - 85% of pregnant women after two miscarriages successfully carry healthy children. A miscarriage at 10 weeks gestation is an obvious threat.

For the successful bearing of healthy offspring, pregnant women need to exclude the possibility of stressful situations, avoid alcohol and drugs, smoking, and strong physical exertion. Every expectant mother is obliged to lead a healthy lifestyle and think, first of all, about her child, because pregnancy can be associated with the threat of miscarriage.

The risk of miscarriage at 10 weeks of gestation

Not very pleasant moments during pregnancy

Unfortunately, not every pregnancy is favorable and ends in childbirth, in 10-15% of cases it is spontaneously terminated. The topic associated with such unhappy events is quite specific, but you still need to be aware of the details. For the simple reason that the knowledge gained will help to avoid mistakes and take the necessary measures to save the pregnancy, even when the threat is clearly palpable. First of all, listen carefully to your body. Almost always, he starts signaling failures in advance, the main thing is to hear these alarms. It is necessary to carefully consider any deviations in the test results, the doctor in this case will definitely give recommendations in order to normalize the state of health.

Possible dangers of the 10th week of pregnancy

When the first trimester comes to an end, the woman is already gradually adjusting to the new status and noticing the slightest changes happening to her. Most pregnant women register with antenatal clinics for ten weeks. During this period, the initial stage of the formation of all systems and organs in the fetus is just ending, so it is necessary to undergo a full examination, donate blood for hormones, and do an ultrasound. After that, it will be known how the baby is doing. What signs at 10 weeks of gestation can cause worry? First of all, these are pains in the lower abdomen, pulling sensations, tingling and aches in the lower back, uterine bleeding and any secretions. Some women do not pay enough attention to such ailments, considering them acceptable, but in vain. It is necessary, at least, to consult a gynecologist as soon as possible, and in case of bleeding and severe pain it is better to immediately call an "ambulance". Do not expect everything to end on its own, such an opinion is erroneous.

Causes of miscarriage at ten weeks

It is impossible to be safe from everything, and it is within the power of each of us to try to avoid troubles. To do this, you need to understand how a miscarriage can be triggered. There are many reasons:

• Bad habits (smoking, drug addiction, alcohol). Under the influence of harmful substances, the child cannot fully develop.

• The use of drugs that have a detrimental effect on the vital functions of the embryo. Pharmaceutical products should be selected with caution, excluding potent drugs and antibiotics, and only as directed by a doctor.

• Chronic diseases. For example, diabetes mellitus, oncology, HIV and others. Untreated sexually transmitted diseases - syphilis, gonorrhea, trichomoniasis, and the like - pose a particular risk.

• Previous miscarriages, abortions, frozen and ectopic pregnancies.

• Pathologies and structural features of the reproductive system (small, two-horned, saddle uterus, etc.)

• Rh factor negative

• Infections, including colds, that occurred during the first weeks of pregnancy

• Detachment of the ovum

• Lack or excess of hormones

• Stress, instability of the emotional background

• Trauma

• Physical activity (lifting weights, playing sports, overwork)

• The presence of congenital mutations and genetic disorders in the fetus

• Living in an unfavorable ecological area (pollution, radiation)

The consequences of miscarriages

If it is not possible to change any of the listed factors and living conditions, then you need to monitor the course of pregnancy with increased care. It so happens that it is not possible to prevent a miscarriage. No matter how difficult it is psychologically, it should be remembered that this is not yet a sentence to infertility, further pregnancy is quite likely. You just have to wait a little and thoroughly prepare the body for conception, taking into account previous experience, then happy motherhood is inevitable.

Pregnancy is great. But sometimes it happens that the body itself decides to get rid of the incipient new life, and then a miscarriage occurs. In most cases, this happens in early pregnancy, in the first 12 weeks.

Statistics say that every fifth woman loses a child without even knowing that she is pregnant. From a gynecological point of view, a miscarriage is a spontaneous termination of pregnancy up to 22 weeks, since children born prematurely - after 22 weeks and weighing 500 grams, today's medicine has the ability to save. But, if the weight is below 500 grams, then the possibilities are zero.

As we have already said, in most cases it happens that the woman does not even suspect that she is pregnant and nothing bothers her. Waiting for the onset of menstruation, she simply registers that she has a delay, and after a few days, menstruation begins, but goes more profusely than usual and with pain.

Sometimes, an early miscarriage is characterized by only moderate pain in the lower abdomen and profuse bleeding, then a woman does not even consult a doctor if the bleeding stops soon. If the bleeding is profuse for several days, then going to the doctor cannot be avoided.

In some cases, such periods with a delay are very painful, and one day a blood clot comes out. Then it is already possible to say for sure about spontaneous miscarriage at an early date. Usually this clot resembles a bursting bubble of blood. This phenomenon always scares those who encounter it for the first time. After the release of a blood clot, it is imperative to consult a doctor: first, to undergo an examination and determine exactly what it was; secondly, to check if cleaning is necessary.

A miscarriage is a phenomenon that makes both the body and the soul suffer. Many people know that there is such a danger as spontaneous abortion, but not everyone knows about its causes, and how it can be prevented.

If we talk about early miscarriage up to 12 weeks, then basically it is a test and warning for parents. A miscarriage at this stage of development suggests that either the mother's body is not yet ready for the normal development of the baby inside it, or something is wrong with the health of both parents, and it needs to be strengthened so that the baby will develop healthy in the future, and the organism from unhealthy ones and in the future it will get rid of on its own.

Early miscarriage: causes

The reasons for a miscarriage in early pregnancy can be very different - from hormonal disruption to an emotional state. To avoid the consequences, it is important to establish why the spontaneous abortion occurred.

Genetic disorder in the fetus

In the first weeks of pregnancy, special attention is paid to the healthy laying of all organs of the future person, which requires equal 23 chromosomes from mom and dad. And if a mutating element suddenly appears in one of them, then it is recognized as incompetent, and an early miscarriage occurs.

The presence of such elements is influenced by ecology, viruses, occupational hazards. It is very difficult to avoid these factors; you can only reduce the risk of their influence on the body by going on vacation: for fresh air and for a long time. Carrying out a miscarriage, thus, the body produces natural selection, characteristic of all life on earth.

Hormonal Disorders

It is known that hormones are responsible for the good vital functions of a woman's body, therefore, their incorrect balance in the body can lead to an early miscarriage. Also, a lack of the hormone progesterone or an excess of the male hormone causes this phenomenon. If such a problem in a woman is diagnosed in advance, then hormone therapy is prescribed to her before planning a pregnancy, which avoids a miscarriage.

Rhesus conflict

It is not for nothing that when planning a pregnancy, they are obliged to take a blood test to determine the group of both the mother and the father (if the mother has a negative Rh factor). In this case, the father's Rh is important, since its opposite indicator can lead to the development of a Rh conflict, when the embryo inherits a positive Rh from the father, and the mother's body determines its tissues as foreign and rejects them, saving itself, as it seems to it.

If the father also has a negative Rh factor, then this problem does not arise. With the timely diagnosis of such a pathology, the hormone progesterone is used, which plays a protective role for the embryo and eliminates this cause of spontaneous miscarriage at an early stage.

Infections

Infection is bad anyway. If you know that you or your partner have a sexually transmitted infection, you need to get rid of it before conception. When pregnancy occurs with such a diagnosis, the fetus becomes infected and, again, the body will get rid of the embryo at an early stage.

Diseases of the internal organs

Any temperature rise up to 38 degrees, caused by a disease of the internal organs, can cause early miscarriage. Usually, such a temperature is accompanied by intoxication of the whole organism, and therefore it is unable to hold the embryo. This is why it is so important to undergo a full examination when planning a pregnancy, to detect and treat all chronic diseases and get vaccinated if necessary.

Abortion

As you know, this is an interference with the ordinary life of the female body. If an abortion has ever taken place, then it can lead either to habitual spontaneous miscarriages in the early stages, or to infertility.

Medications

In the first trimester, the use of any medications is generally not recommended, as this can lead to defects in the development of the fetus. There are also herbs that are contraindicated in early pregnancy: parsley, nettle, cornflower, St. John's wort, tansy. Their use can cause early miscarriage.

Bad mood

Severe stress, grief, prolonged mental stress can adversely affect the birth of a new life and lead to miscarriage in early pregnancy. In this case, with the recommendation of a doctor, it is possible to take some sedatives.

Lifestyle

You need to change your lifestyle when planning a pregnancy. Getting rid of bad habits, balanced and nutritious nutrition are the first conditions for the development of a healthy child, the opposite can lead to early miscarriage.

Physical impact

Unsuccessful falls, heavy lifting can cause miscarriage at an early stage. If a woman is healthy, then this effect must be very strong in order to cause an abortion.

Early miscarriage: symptoms

The most common signs of early miscarriage are lower abdominal pain and bleeding. Also, discomfort from the lower abdomen can indulge in the lower back. This pain is intermittent. Vaginal discharge speaks of the threat of early miscarriage. If they are reddish or even brownish, you should see your doctor to avoid miscarriage.

Often the cause of a miscarriage is called the tone of the uterus, but only if it is accompanied by discomfort for the mother and pain. If it is not accompanied by anything, then the recommendations of doctors stop at reducing physical exertion and reducing stressful situations.

In some cases, even after the above symptoms, the pregnancy proceeds normally in the future, only under the more careful supervision of doctors, then they talk about the threat of miscarriage.

The symptoms of a spontaneous miscarriage at any stage of pregnancy are relatively similar. Only they can be accompanied by more severe pain and profuse discharge.

Symptoms of a second trimester miscarriage:

• the damage to the bag of amniotic fluid is indicated by the liquid that drips from the vagina, in this case, an appeal to the doctor should be instant;
• vaginal bleeding is a sign of miscarriage in any trimester of pregnancy;
• blood clots that appear during urination, accompanied by pain;
• internal bleeding, which can be indicated by very severe pain in the shoulder or in the stomach area.

How is a threatened miscarriage diagnosed?

If your pregnancy is planned, and you went through all the procedures necessary for the preparation, which the doctor told you about, passed all the tests and treated all the diseases detected, then the possibility of miscarriage is reduced to a minimum. If some contraindications were discovered in advance, then attention is drawn to them already at the conception of the baby. In this case, the diagnosis of the threat of miscarriage takes place at the planning stage, and treatment is prescribed in advance.

If pregnancy occurs spontaneously, without prior treatment and examination, then any gynecologist can diagnose a miscarriage or its threat during a routine examination. Examining a woman who came with a delay problem, the doctor determines the expected gestational age.

• checks the conformity of the size of the uterus to the given period;
• checks for the presence of uterine tone;
• determines if the cervix is ​​closed;
• draws attention to the nature of the discharge (bloody or mucous).

The most reliable way to diagnose miscarriage or premature birth at a later date is transvaginal ultrasound, which is performed by an experienced doctor. When using this method, the length of the cervix and the condition of the internal os are checked.

Treating early miscarriage

The most basic and first thing that a doctor advises in case of a threat of miscarriage at any stage of pregnancy is bed rest. In some cases, in order to maintain the pregnancy, the woman is even forbidden to get out of bed.

It is also recommended to reduce the level of anxiety, bad news and thoughts. Already from the first weeks of existence, the nascent life feels you from the inside, any of your excitement can negatively affect its state. And disturbances in the condition can lead to its rejection by your body. To avoid these nervous tensions, your doctor may prescribe valerian or motherwort.

You yourself can use relaxation therapy: sit comfortably on a sofa or armchair and think about something good. The most suitable in this case may be dreams of a future baby, choosing a name, mentally drawing his portrait. But all this after consulting a doctor.

If the threat of termination of pregnancy is more serious and just good thoughts cannot be dispensed with, then the first thing the doctor does is determine the cause. After determining the cause of the threat of miscarriage in the first weeks of pregnancy, hormonal drugs are prescribed, which are designed to maintain a good course of pregnancy.

You can be prescribed progesterone (it is part of Utrozhestan, Duphaston), drugs for hyperandrogenism (with a large number of male hormones), as well as drugs when there is a threat of Rh-conflict, can be prescribed.

If the doctor deems it necessary, then an additional intrauterine ultrasound examination can be performed. If, with this diagnostic method, a failure is found, then stitches are applied to the cervix, which stop the ovum inside the uterus. Such an operation is performed in a hospital and under anesthesia, while relaxing drugs are injected into the uterus.

Most cases of a threat of miscarriage in early pregnancy are treated in a hospital, sometimes women have to remain under the supervision of doctors until the very end of pregnancy, that is, before childbirth. In some cases, treatment begins in a hospital, and then goes to home conditions, subject to bed rest. Sometimes, having undergone treatment with a threat of miscarriage at an early stage, a woman does not return to him until the very birth.

Prophylaxis

It is possible to avoid early miscarriage in most cases. If a couple treats their decision in a balanced and responsible manner, then a doctor will be examined in time, which will reveal all kinds of deviations and inconsistencies in the organisms of a man and a woman. A preliminary examination will allow you to cure all kinds of infectious and hormonal diseases that can cause miscarriage later.