When do miscarriages most often happen
This includes maternal age and other medical conditions present. Most doctors will begin to investigate for a cause after you have had two to three losses. This will include reviewing your medical history in detail and performing certain tests.
When the sperm and egg meet, the cells come together. They then begin to divide to start forming the genetic material that makes up a person. Each of us is supposed to have 46 total chromosomes.
If something goes wrong when the cells are dividing, a chromosome may be missing or repeated. About 50 percent of all first trimester miscarriages are because of chromosomal abnormalities. This can occur more frequently in women who are considered advanced maternal age, or greater than 35 years old at pregnancy term.
Uterus or cervix infections can be dangerous to a developing baby and lead to miscarriage. Other infections that may pass to the baby or placenta can also affect a developing pregnancy and may lead to loss. This refers to defects of the uterus cavity. Clotting disorders are conditions that cause your body to form more blood clots than normal. Examples include lupus anticoagulant and antiphospholipid syndrome. In the case of pregnancy, blood clots can form in the placenta.
This prevents nutrition and oxygen from getting to the baby-to-be, and prevents waste from being carried away. The first trimester of pregnancy is considered weeks 0 to About 80 percent of miscarriages happen in the first trimester. Losses after this time occur less often. March of Dimes reports a miscarriage rate of only 1 to 5 percent in the second trimester.
These early weeks mark the highest risk of miscarriage. It may even seem like a late period. One study indicated that compared to women younger than Once a pregnancy makes it to 6 weeks and has confirmed viability with a heartbeat, the risk of having a miscarriage drops to 10 percent. According to a study , the risk for miscarriage falls quickly with further gestational age. However, this was not specifically studied in patients with other risk factors for miscarriage.
By week 12, the risk may fall to 5 percent. The most common signs of a miscarriage are bleeding and cramping that are felt in the abdomen, pelvis, or lower back.
Some women have spotting light bleeding during pregnancy. But call your doctor right away if you see bright red blood, particularly in large amounts. Cramping can also happen in normal pregnancies. Talk to your doctor about all medicines you take. Unless your doctor tells you otherwise, many prescription and over-the-counter medicines should be avoided during pregnancy. Avoid activities that could cause you to get hit in the belly. Know your family medical and genetic history.
Go to all of your scheduled prenatal visits and discuss any concerns with your doctor. Call your doctor right away if you have fever; feel ill; notice the baby moving less; or have bleeding, spotting, or cramping. Trying Again After a Miscarriage If you've had a miscarriage, take time to grieve. Some other things that can help you get through this difficult time: Find a support group.
Ask your doctor about local support groups for women who are trying again after a loss. Find success stories. Other women who have had a successful pregnancy after having a miscarriage can be a great source of encouragement. Your doctor might know someone to talk with. During future pregnancies, it can help to: Be proactive. The more you know about the medical aspects of your pregnancy, the better you'll be able to discuss treatment options and outcomes with your doctor.
Monitor the baby's movements. If you're far enough along to feel kicks and jabs — usually between 18 and 22 weeks — keep a log of the baby's activities each morning and night and report any changes or lack of movement to your doctor. If your baby isn't moving, eat or drink something sugary and lie down on your side. You should feel at least 10 movements in a 2-hour period.
If you don't, call your doctor right away. Try not to compare. No two pregnancies are exactly alike, so try not to dwell on any similarities between this pregnancy and the one that ended in a loss. Stay positive. The effects of lifestyle issues, such as smoking or having a sedentary lifestyle, can also accumulate with age. This may worsen underlying health issues and further increase the chance of pregnancy loss.
Most people who experience a pregnancy loss go on to have healthy pregnancies in the future. Having a single miscarriage does not mean that a person will have difficulty getting or staying pregnant in the future. In fact, one study found that people are more likely to get pregnant again immediately after experiencing a pregnancy loss. Some people ask for genetic testing following one or more pregnancy losses.
Genetic testing may help a doctor understand the cause of pregnancy loss. Some risk factors for pregnancy loss include:. Most of the time, the earliest sign of a miscarriage is bleeding. However, not all bleeding is due to a pregnancy loss. Some people experience spotting during pregnancy. Bleeding is more likely to indicate a miscarriage when it is heavy, gets heavier with time, or occurs with intense cramps.
A person should speak with a doctor about any bleeding they experience during pregnancy. If the bleeding is heavy or painful, it is best to go to the emergency room. Most pregnancies end with a healthy birth, even if the person has a previous history of or risk factors for a miscarriage. There is no right or wrong way to react to a pregnancy loss. The experience can be emotional or spur doubts about future pregnancies. Conversely, some people are surprised that they do not have a strong reaction to a pregnancy loss.
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