DEAR MAYO CLINIC: Six months in the past, after turning into pregnant for the primary time, I had a miscarriage at 12 weeks. My husband and I need to grow to be pregnant once more, however we’re apprehensive about one other miscarriage. Are there issues I can do to stop it this time? I’m 27 years previous, and I don’t have any health issues.
ANSWER: Having a miscarriage might be surprising, hectic and unhappy. It’s comprehensible that you simply need to do all the things you’ll be able to to keep away from going by way of it once more. Although there are some steps you could possibly take to decrease your danger of one other miscarriage, typically, a miscarriage isn’t associated to something a pregnant lady did or didn’t do. The majority of miscarriages are resulting from chromosomal abnormalities that occur for no clear cause. Many women who’ve a miscarriage go on to have regular pregnancies and ship wholesome infants.
In basic, a miscarriage is outlined because the lack of a being pregnant earlier than 20 weeks gestation. Because it isn’t a subject that receives a lot consideration, miscarriage tends to be extra widespread than individuals may assume. Doctors estimate that as much as 25 % of all acknowledged pregnancies finish in miscarriage.
Most miscarriages occur as a result of the fetus isn’t creating usually. Problems with the infant’s genes or chromosomes are often the results of errors that happen by probability because the embryo divides and grows. They sometimes aren’t resulting from an inherited dysfunction, and often aren’t brought on by a mom’s conduct or health.
“Although there are some steps you may be able to take to lower your risk of another miscarriage, in most cases, a miscarriage isn’t related to anything a pregnant woman did or did not do.”
– Dr. Yvonne Butler Tobah
That stated, there are a number of danger elements that may increase the probabilities of having a miscarriage. Among probably the most vital is superior maternal age. This one doesn’t apply to you proper now, and it gained’t for a while. Women older than 35 have a better danger of miscarriage than do youthful women. At 35, the danger of miscarriage is about 20 % danger. At 40, it goes as much as about 40 %. At 45, it’s about 80 %.
Another danger issue that doesn’t sound prefer it matches your state of affairs is having sure medical circumstances. Some issues which will increase the danger of a miscarriage embrace uncontrolled diabetes, high blood pressure, thyroid illness, infections, hormonal issues and issues with the uterus or cervix.
When it involves way of life decisions you possibly can management, it is very important keep away from smoking, consuming alcohol or utilizing unlawful medicine if you end up pregnant. Not solely do these actions increase your danger for a miscarriage, they endanger the health of your child all through being pregnant. If you’re on prescription treatment, ask your physician if it’s protected to proceed taking that treatment throughout being pregnant.
Staying at a wholesome weight earlier than you turn out to be pregnant and all through your being pregnant can also assist guarantee your child’s health. Being underweight or obese seems to be linked to an elevated danger of miscarriage, in addition to different health considerations throughout being pregnant. For instance, women who’re considerably obese usually tend to develop gestational diabetes.
None of the next actions trigger miscarriage: lifting, straining, having intercourse or exercising.
If you could have questions or considerations about turning into pregnant once more, speak to your health care supplier. He or she will assessment your health and household historical past, speak with you about danger elements and talk about any preconception care that could possibly be useful.
As you go ahead, please take into account that, in virtually all instances, miscarriages are past a mom’s management. If you develop into pregnant once more, until an underlying medical situation is recognized that wants particular care, you shouldn’t have to do something in a different way. Get common prenatal care and concentrate on taking good care of your self and your child. — Dr. Yvonne Butler Tobah, Obstetrics and Gynecology, Mayo Clinic, Rochester, Minn.