Synonyms in the broadest sense
Treatment options for miscarriage, curettage, scrapingPregnant women suspected of miscarriage should be admitted to a clinic immediately. The treatment usually includes a curettage until the 12th week of pregnancy. Any remaining tissue is removed to stop further bleeding and prevent infection.
After the 12th week of pregnancy a birth must usually be induced. Only in the case of an abortion that has yet to be stopped, measures such as physical protection, magnesium, tocolytics and possibly the administration of progestins have a chance of success. The therapy of a septic/febrile abortion requires more specific methods (see above).
The first step is antibiotic therapy, followed by a scraping. If this does not eliminate the infection, the focus of infection (uterus) must be removed. To prevent a coagulation disorder that sometimes occurs in this context, heparin is administered.
As with any other birth, anti-D prophylaxis must of course be taken if the mother is Rhesus negative and the father Rhesus positive. Otherwise there is a risk of haemolyticus neonatorum disease (S. pregnancy complication). In the case of habitual abortions (see above), a human genetic counselling service should be consulted, which can determine a genetic burden and thus the risk of miscarriage recurrence by examining (chromosome analysis, hormone analysis, infection clarification, sonography) the parents and possibly also the dead child.
How can I recognize an imminent miscarriage?
Care should be taken during pregnancy to avoid symptoms such as vaginal bleeding. However, not every vaginal bleeding is necessarily a threat of miscarriage. Other causes can be:
- Endometriosis (ectopic endometrium that bleeds into the uterus depending on the cycle)
- Cervical Cancer
- Injuries and inflammation of the vagina (by fungi, viruses or bacteria; See: Vaginal infection)
- Extrauterine pregnancy (ectopic or ectopic pregnancy; See: pregnancy complications)
- Bleeding during implantation
If you have a bleeding during pregnancy, you should still consult your gynecologist for further clarification.
If cramp-like abdominal pain and/or a loss of amniotic fluid also occurs, you should react particularly quickly. Also the occurrence of high fever and/or purulent vaginal discharge should be interpreted as a warning sign. The gynecologist will then be able to give you more certainty by examination, ultrasound (fetal heart sounds, uterine growth?) and determination of the hCG value (pregnancy hormone).
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