Pregnancy after an abortion – when again to try to bring the child?

The greatest fear of future mom and tragic, painful experience is a loss of pregnancy, that is an abortion. Most often arises in the first trimester of pregnancy, that is in the first 3 months. After 23 weeks of pregnancy risk to lose the child makes only 1%. In this article issues of an abortion and the related feelings and also information on when you can again try to conceive the child and what analyses should be made before the following attempt to become pregnant are discussed. What is a spontaneous abortion?

Spontaneous abortion – the most serious complication of pregnancy till 22nd week leading to termination of pregnancy. In case of loss of the child after 22 weeks in medical terminology the still birth is used.

There is a full abortion which mentions up to 80% of cases not of incubation of pregnancy and occurs till 12th week of pregnancy, and an incomplete abortion which occurs in more late stage of pregnancy and demands medical intervention for cleaning of a uterus of the remained pregnancy fragments. Other type of an abortion at which there is an empty fetal bag or cardiac arrest of a fruit stops.

After diagnosis of the incomplete or remaining abortion by the expert, depending on a condition of the woman, it is possible to use three methods:

• expectation at which the uterus waits for self-cleaning and in 1-2 weeks the patient repeat inspection;
• pharmacological at which to the woman inject drugs for clarification of a uterus;
• surgical at which the surgeon cleans a uterus by scraping.

What risk factors in the early stages of pregnancy?

In the early stages of pregnancy risk of an abortion the greatest. It is connected with several factors, including:

• gestational term, that is moment of fertilization of an ovum. A half of all abortions occurs even before implantation, that is implantation of an embryo in a uterus. After this stage the risk of loss of pregnancy decreases to 12-24%. The most stressful time in terms of risk of an abortion – after the 8th week of pregnancy. If ultrasonography shows work of heart, then the risk decreases to 2-3%, and on the 23rd week reaches value of 1% of cases at which the risk of loss of the child is minimum;
• the hematoma uterus located below squeezing uterine and placentary vessels;
• Reduction of number of amniotic waters (oligogidramnion) – one of the reasons of the smaller size of a gestational bag. Fortunately, the thalamus meets seldom, but, by estimates, it is the reason about 80-94% of abortions;
• anomalies of a zheltochny bag and amniotic cover.

Abortion reasons

Any deviation in development of a fruit can become the reason of an abortion literally. The most frequent possible reasons of an abortion include:

• genetic defects of an embryo. 50-80% of abortions in the first trimester of pregnancy fall to their share. However good news is that these types of anomalies are not descended therefore in the majority of situations the following pregnancy after an abortion can be successful;
• genetic defects of parents;
• reception of stimulators: alcohol, drugs or smoking;
• congenital anomalies of the structure of a uterus;
• the acquired defects of a uterus, such as myoma, endometrium polyps, intrauterine solderings,
• fibrillation violations, i.e., a congenital trombofiliya at the pregnant woman;
• hormonal violations and related diseases: gipertireoz and hypothyroidism or syndrome of polycystous ovaries;
• deficiency of the hormone which is responsible for pregnancy preservation that is progesterone. The main source of progesterone in the early stages of pregnancy is the yellow body therefore at its deficiency called lyuteinovy insufficiency the risk of an abortion is high;
• the age of the pregnant woman is more senior than 40 years;
• existence of the anti-phospholipidic antibodies attacking a fruit including its alien;
• infection with a pregnant rubella or toxoplasma. It is very important to do vaccination against a rubella before attempt to become pregnant if you did not receive this inoculation in the childhood;
• repeated abortions.

Modern methods of diagnostics allow to diagnose better the reasons of anomalies and, thus, to increase awareness and a possibility of prevention of some abortions.

What symptoms of an abortion?

The spontaneous abortion at the woman most often is followed by clinical symptoms, namely:

• bleeding from a genital tract,
• uterine reductions,
• severe paroxysmal pains in the bottom of a stomach,
• severe pain in lumbar and sacral department of a backbone.
• Not to stop a spontaneous abortion.

What to do at detection of signs of an abortion?

The woman who noticed any of above-mentioned symptoms has to address to hospital as soon as possible. She can also call the midwife who will ask it additional questions and will recommend what to do. Also, it is necessary to see immediately a doctor on pregnancy and childbirth on survey which will check a condition of a stomach and will exclude other causes of bleeding.

What is endured by the women who lost the child?

Women who knew that they are full of hopes and dream of the birth of the children, experience the injuring emotions connected with their death.

At first there is a regret, disbelief, catalepsy and denial. Then women who had an abortion and who are fully aware that occurred feel anger, jealousy in relation to women at whom the healthy child was born, or are depressed. They often feel lonely and isolated from the rest of the world.

Most of the women who endured this trauma know that they did everything possible to keep pregnancy, but nevertheless feel guilty. The following emotions which they experience is a deep, painful grief, grief, feeling of emptiness and melancholy for the lost child.

The final stage – helpless acceptance of a situation. Though emotional pain after loss of the child will remain with them forever, gradually, with the corresponding support of relatives and doctors, women are restored to everyday life.

What rights do parents of future child have?

Loss of future child – extremely painful experience for parents. They do not know how to cope with loss and inflow of negative emotions. Often, they do not want to speak about the tragedy which happened to them.

Future parents are not informed on the rights in this situation and subconsciously refuse the rights for the child’s body in hospital. One of them – the right for worthy burial of future child which allows to pass consciously through a stage of mourning of the suffered loss.

Parents who want to bury the future child need the application card given by the doctor necessary for registration of future person in the REGISTRY OFFICE and performance of formalities.

How it is possible to help the women who lost the child?

Each woman in own way endures the personal tragedy of an abortion and needs the different help. Some women want to cut off themselves from the world and to alone endure loss. Others need a conversation and understanding from the women who too endured the similar tragedy. Of course, there will be also ladies who will not show to people around as strongly they suffer.

Regardless of character of the woman will be important: readiness to help, presence and the corresponding psychological support from relatives: partner, parents and the closest friends. The help of the expert from the psychologist is also possible, fund or other support group.

Through what time after an abortion, it is possible to become pregnant again?

From the medical point of view, in most cases the organism of the woman is ready to pregnancy in several weeks after an abortion, i.e., to the moment of the following ovulation. However, it is necessary to consider, first of all, a mental condition of the woman.

The decision again to become pregnant individually also depends on physical and mental readiness of the woman accepted together with the partner and the gynecologist. It is usually recommended to wait from 3 to 6 months. Besides, analyses which will explain the reasons of sudden interruption previous have to precede the following pregnancy.

What tests should be made to the woman after the first or several abortions?

It is extremely important to seize the opportunities which are offered by modern medicine, and by means of researches to find out what became the reason of termination of pregnancy or the subsequent abortions. Depending on a specific case the doctors recommend various basic and specialized inspections. Genetic tests also should be carried out after the first abortion. It is the best of all if future dad undergoes diagnostic inspections too.

Basic researches after an abortion

Before new pregnancy you have to pass the following main analyses, including:

• the clinical record which includes information about: age, family diseases, the number of successful pregnancies or abortions and also important factors of the environment, including influence of toxic substances, such as mercury, nitrogen oxide and lead;
• general blood test;
• check of level of hormones, in particular progesterone or hormones of a thyroid gland;
• testing of men’s sperm.

Genetic tests after an abortion

Genetic tests allow to find gene mutations and chromosomal anomalies in a dead fruit. Thanks to genetic testing it is also possible to find mutations in genes of parents which lead to abortions and to define risk of transfer of genetic defects from parents to posterity.

Specialized inspections after an abortion

Detailed surveys are carried out for the purpose of identification of congenital defects of the structure of genitals. Among other things, treat them:

• 2D or 3D transvaginal ultrasonography;
• magnetic resonance imaging;
• gastroscopy with laparoscopy.

When will pregnancy occurs after an abortion?

From the physiological point of view the pregnancy after an abortion is the normal phenomenon, and if in its basis there were no anatomic defects or infections, it is very probable that in several months of the house the healthy child will appear.

To become pregnant after an abortion, it is necessary to exclude as much as possible risk factors. If results of analyses show a disease which prevented pregnancy earlier, it is necessary to cure at first it, and then again to try to conceive the child.

The fear can be the most difficult obstacle that the subsequent pregnancies will not work well. Future parents are afraid to become attached to future children for fear that they will experience loss and emptiness in the house and heart again. In this situation it is better to use professional psychological assistance, and then together to enjoy the following pregnancy which ended in several months with the happy decision and emergence in life of the kid of the healthy kid.