What are the signs of detecting a missed abortion in the early stages?

Early embryo death can occur due to genetic disorders, infections. At the first signs you need to ask for help and undergo a course of treatment. In some cases, similar symptoms may be triggered by other diseases.

What causes the embryo to die?

From the day of conception to the eighth week, the embryo is considered an embryo. Until now, doctors are not fully aware of the reasons for his death in the early stages, but there are several factors that influence this in one degree or another:

1. Progesterone in the body of a woman for some reason begins to stand out in small quantities and its ratio to estrogen ceases to match. This pathology prevents the embryo from obtaining the necessary nutrients for development, after which it dies. This is due to the short duration of pregnancy and the weakness of the embryo.
2. Disorders of the hormonal functions of the ovaries and their anatomy, abnormal development of the thyroid gland, problems with the endocrine system of a woman are factors that trigger the death of the embryo in the first weeks. Pathology is desirable to identify or deny even before the moment of conception.
3. After fertilization, an egg consists of half of the genetic material of the father, so the woman's body perceives it as an alien body. The immune system in response to this begins the synthesis of antibodies, which often have an aggressive effect on the germ, destroying it.
4. Autoimmune disorder (APS), characterized by the synthesis of a large number of antibodies that behave hostile to blood phospholipids. APS triggers blood clots in the veins of a woman’s legs, liver and kidneys. This adversely affects the development of the embryo.
5. After conception, a woman’s immunity weakens and begins to cope poorly with the effects of microorganisms in the body. Infection can lead to fetal death or congenital disease.
6. The cause of missed abortion may be the wrong combination of the genes of the parents, which leads to an abnormal development of the zygote, fetus and fetus.
7. Infection of the mother with rubella can be fatal in the womb. If the fetus still survived, in most cases the child does not live to be a year old due to pathologies that developed against the background of the disease.
8. Sunbathing, long flights, severity, frequent stressful situations and taking sedatives can have an adverse effect on the embryo.
9. Alcoholic beverages, narcotic drugs and tobacco.

Severe anemia, late toxicosis, low water, high water levels, anomalies in the development of the umbilical cord, placenta, oxygen starvation can be attributed to the most common causes of the death of the embryo.

The first signs of missed abortion

To determine the missed abortion in the early stages a woman can independently. But these will be only indirect symptoms, so their presence should serve as a signal for referring to specialists:

• The death of the fetus most often leads to spontaneous miscarriage. If this does not happen, the woman's body begins to get rid of it independently. Approximately on the second day, the embryo begins to decompose, after which you can notice discharge with specks of blood. In the second week, they acquire a red-brown tint.

A change in the color of the secretions does not always indicate the death of the embryo. Sometimes this can cause placental abruption for other reasons.

• If from the first days the woman had severe toxemia, then on the second day after her death, due to a sharp decrease in hCG, it may disappear completely or turn into a slight sensation of nausea.

But the cessation of toxicosis may indicate a sharp addiction of a woman's body to a foreign body.

• When a decaying egg is found in the uterus for a long time, you feel unwell, sharp pains in the lower abdomen, fever and false contractions.

A dead embryo can cause inflammation of the uterus, turning into sepsis, and toxic poisoning of the body.

• Zamerzhaya pregnancy is accompanied by a decrease in body temperature by several degrees for several days, and then her sharp jump.

Symptoms of missed abortion

What other symptoms may indicate a missed abortion? The exact death of the embryo can only be determined by the doctor after the examination:

1. Using ultrasound from the fifth week of pregnancy, you can listen to the fetal heartbeat, determine whether the size of an egg or an embryo corresponds to the gestational age. Very often, during an ultrasound scan, it is possible to detect deformities or non-visualization of the embryo (6-7 weeks).
2. The concentration of the hormone GHC below the norm, which corresponds to the duration of pregnancy. It is often possible to detect its sharp decline in a few days.

Almost immediately after conception, the breast of a woman grows and becomes painful. A sign of missed abortion may be its softening. But even this fact does not always indicate a lethal outcome: sometimes it can be caused by hormonal disruption in the body.

Sometimes a woman can be examined with an amnioscope, which turns the amniotic fluid green in the first days after death. Very rarely, the attending physician may prescribe an x-ray, during which you can detect a fuzzy contour of the head, sagging lower jaw or curved bones of the spine.

The above symptoms and signs may not always indicate missed abortion. Only specialists using special equipment can make an accurate diagnosis.

Diagnosis of missed abortion in the early stages

After the treatment of the woman, the gynecologist must carry out diagnostic measures to refute or confirm the death:

1. With the help of an examination on a gynecological chair during a frozen pregnancy, an increase in the uterus can be detected which does not correspond to the duration of pregnancy. In addition, from the genital tract there are secretions of red.
2. A complete picture of the course of pregnancy can be determined in the eighth week. At this moment, the heart is well listened, there are signs of life and developmental pathology. Up to this point, the specialist may simply not hear the heartbeat of the embryo or its location.
3. After an ultrasound, the frozen pregnancy is confirmed by the concentration of hCG. To do this, a woman produces venous blood sampling. The hormone level at death of the fetus does not meet the norm.

If the gynecologist after conducting examinations had doubts about the death of the embryo, he may prescribe a re-diagnosis after a few weeks.

What to do if missed abortion is confirmed?

Since the woman and the doctor have suspected the death of the embryo, it is necessary to adhere to a certain scheme:

1. First of all, you need to accurately verify the fatal outcome, having carried out the necessary diagnostics.
2. If the death of the embryo occurred a few days ago, the attending physician can wait for the body to reject a dead egg on its own. But you need to take into account all the factors that can lead to complications.
3. With a gestation period of less than eight weeks, they can provoke a spontaneous miscarriage with the help of special medication.
4. If the fertilized egg is already decomposed, the uterus is cleaned, which is carried out under general anesthesia.

Trying to get rid of a dead embryo on your own is strictly prohibited. A decaying egg can lead to intoxication of the body or incomplete release of the embryo.

The remaining particles in the cavity provoke the beginning of the inflammatory process, which sometimes leads to the removal of the uterus. In addition, severe bleeding may occur, requiring immediate hospitalization.

After the restoration of the emotional state, both parents must undergo examinations to rule out repeated frozen pregnancy:

• delivery of tests for sex hormones and thyroid gland;
• exclusion of violations of chromosome sets;
• histological examination of the uterus;
• detection of various infections.

Treatment should be primarily aimed at improving the immunity of the woman and her spouse. It is necessary to restore the metabolic processes and the menstrual cycle of the expectant mother.

Complications and ways to deal with them

With timely treatment to the gynecologist and correct therapy, a frozen pregnancy does not affect the health of the woman. After emotional and physical recovery, she can become pregnant and give birth to healthy children.

In order for the dead egg to leave the uterus, drugs are used to reduce its walls.

Against this background, a woman can happen hormonal failure, disrupted the menstrual cycle.

During or after surgery, bleeding may begin. Therefore, the doctor during curettage should control the amount of blood secreted.

In the postoperative period, the uterus becomes an open bleeding wound, which increases the risk of infection. A woman must follow the rules of personal hygiene and doctor's recommendations. In case of suspicious changes, you should not postpone the visit to the clinic.

The removal of a dead egg occurs practically in the blind, so there may be particles in the uterus that provoke inflammation. Repeated surgery is needed with an increase in the uterus, high temperature, blood discharge.

Reviews

Some more useful information about missed abortion can be found in the following video.

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