Miscarriage (Abortion): Therapy

General measures

  • In case of abortus imminens (threatened abortion):
    • Bed rest
    • Repeated determination of β-HCG (human chorionic gonadotropin; pregnancy hormone).
  • In abortus febrilis (febrile or septic abortion):
    • Intensive care monitoring
  • Observance of the general hygiene measures!
  • Nicotine restriction (refrain from tobacco use).
  • Alcohol restriction (abstaining from alcohol)
  • Limited caffeine consumption (max. 200 mg caffeine per day; equivalent to 1 to 2 cups of coffee or 3 to 5 cups of green / black tea).
  • Aim for normal weight! (in condition after abortion)Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program.
    • BMI ≥ 25 → participation in a medically supervised weight loss program.
  • Review of permanent medication due topossible effect on pregnancy.
  • Avoidance of psychosocial stress:
    • Stress
  • Avoidance of environmental stress:
    • Occupational contact with carcinogens
    • Phthalates (plasticizers in plastics).

Regular checkups

  • Regular medical checkups

Nutritional medicine

  • Dietary recommendations according to a mixed diet taking into account the disease at hand. This means:
    • A total of 5 servings of fresh vegetables and fruits daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • High-fiber diet (whole grain products).
  • Observance of the following special dietary recommendations:
    • Restricting the consumption of coffee – women who consumed 200 mg (equivalent to one cup of coffee) or more of caffeine per day had twice the risk of miscarriage (abortion) as women who did not consume caffeine.
  • Selection of appropriate foods based on the nutritional analysis.
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.

Sports Medicine

  • Do not exercise too much at the beginning of pregnancy – pregnant women who exercise more than seven hours per week have a three and a half times higher risk of losing their child than women who avoid physical exertion; the most dangerous sports are: jogging, ball sports or tennis; swimming is safe; after the 18th week of pregnancy, no increased risk of miscarriage was detectable.
  • A meta-analysis of 9 randomized clinical trials examined the effect of exercise (35-90 min 3-4 times a week) on preterm birth risk. There were no differences in preterm birth rate (4, 5% versus 4, 4% in the control group) or mean gestational age at delivery. Women in the sports group were more likely to deliver vaginally (73, 6% versus 67.5%) and had a lower risk of developing gestational diabetes (2.4% versus 5.9%) or hypertensive pregnancy disease (1.9% versus 5.1%). Birth weight was the same in both collectives.
  • If necessary, later creation of a fitness plan with appropriate sports disciplines based on a medical check (health check).
  • Detailed information on sports medicine you will receive from us.

Psychotherapy