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Late Miscarriage – Causes, Symptoms & Recovery
Pregnancy is a journey filled with joy and happiness for parents-to-be who embark on the wonderful journey to parenthood. The duration of pregnancy is marked by challenges that require special and continuous care of the mother and the child both physically and emotionally.
Miscarriages are not uncommon, especially in the initial stages of pregnancy. However, miscarriages during the later phase are not only rare but also have a more serious implication on the mother-to-be, both physically and mentally.
Video: Late Miscarriage – Causes, Symptoms, and Recovery
https://www.youtube.com/watch?v=UNfoopcYlkg
What is Late Miscarriage?
Miscarriage is the term used to define the loss of a baby during pregnancy within 20 weeks from conception. Most miscarriages occur in the first trimester of pregnancy i.e., within 13 weeks of being pregnant where the foetus is expulsed from the uterus and is not yet fit to live in the outside world. This can be caused by reasons such as the foetus not being able to develop correctly. Miscarriage in second trimester is rare and caused due to problems with placenta or the cervix, exposure to toxins or due to the health of the mother.
How Common is Late Miscarriage?
Miscarriages are not uncommon and close to 80% of all miscarriages are caused during the first trimester of pregnancy. However, a late miscarriage or a miscarriage in the second trimester is as rare as 1 in 100 pregnancies. Although the medical facilities available today are much better, a change in lifestyle and the general environment has led to increasing number of miscarriage cases in the recent times.
Signs and Symptoms of Late Miscarriage
The symptoms and signs of miscarriage after 12 weeks of pregnancy may differ from one woman to another depending on various factors. However, the most common signs and symptoms of a late miscarriage include:
Experiencing frequent labour-like cramping pains and bleeding. The bleeding can be light to heavy and have blood clots. A situation of light and brief spotting can be normal and is not considered to be a sign of miscarriage. However, if this continues for more than 3 days, then you should consult a doctor.
If your water has broken or there is a lack of movement in your uterus, it can also be indicative of miscarriage due to foetal demise.
A late miscarriage can be painful and may require the use of pain relievers in order to ease out the pain.
What Causes Late Miscarriage?
Although rare, late miscarriages may happen due to no particular reason and the exact reason may not even be known. There are various causes of miscarriage in second trimester that can be linked to the medical condition of the mother. It is important to understand what causes late term miscarriage and take necessary precautions in order to prevent such a situation. Listed below are some of the reasons why one may experience a miscarriage:
A weak placenta may cause miscarriage. As per a report, a quarter of all miscarriages are thought to occur due to the early opening/dilation of the cervix. The risk of such miscarriage is higher if you have had an abortion or miscarriage previously.
Health problems such as uncontrolled diabetes, kidney problem, high blood pressure, thyroid or coeliac diseases that can affect your hormones can also cause miscarriages.
Causes of miscarriage after 12 weeks also include viral infections such as malaria, HIV, rubella or other sexually transmitted diseases.
Bicornuate womb or a womb that’s partly divided into two can also increase the risk of late miscarriage.
Problems with blood vessels supplying to the placenta may also be one of the reasons for late miscarriage.
A chorionic villus sampling (CVS) can also lead to miscarriages. The test is performed to see if the baby is suffering from any medical condition such as Down’s syndrome.
Use of illicit drugs can also cause miscarriage.
An under-weight or over-weight body and deficiency of vitamins can also lead to miscarriage.
Late Miscarriage Diagnosis:
A miscarriage is usually diagnosed with an ultrasound examination. In case of a foetal demise, the ultrasound will not show any foetal heart activity. This examination should be performed when there is no feeling of foetal movement in the uterus.
What Usually Happens After a Late Miscarriage?
Loss of a baby in the second trimester can be emotional and stressful for the parents. In case of a foetal demise, there are several surgeries that can be performed to induce labour in order to remove the foetus from the womb.
There are various symptoms, which follow a miscarriage. There can be continuous bleeding after late miscarriage, feeling of tiredness due to exhaustion and pain and there will be other physical changes that would require special care for recovery.
After a late miscarriage, you can request the doctors to determine the actual cause of the problem. The doctor will also give you an understanding on what went wrong and how this can be prevented in the future pregnancies.
What Practical Arrangements Can Be Made After a Late Miscarriage?
Generally, there is no need to register the loss of baby before 24 weeks of pregnancy. This can differ depending on the local laws. However, if the parents think that it is important to recognise their baby formally, the hospital might issue a birth certificate.
There are hospitals, which offer simple burial or cremation although there is no legal requirement for the same.
How Can You Recover Physically and Emotionally After Miscarriage?
Physical recovery of the body depends on the stage of pregnancy and the type of miscarriage experienced. The body may recover fairly quickly or can also take several weeks to recover.
Post miscarriage you might experience period-like bleeding and cramps and the body will feel tired while recovering.
It is important to monitor the recovery very closely and consult your doctor regularly. During recovery, your breasts might start producing milk and this can be upsetting. If this causes pain, then you should consult your doctor for pain relief measures.
If you are a working woman, then you should ask your doctor to determine the right time to return to work.
Providing emotional support is as important as ensuring physical well-being after a late miscarriage. You are likely to face a wide range of emotions that include anger, frustration, guilt, sadness or jealousy. It is very important to understand what will help you recover from this situation. For some women talking to others about their situation might help while the others might want to move on and not discuss the situationanymore.
You can always ask your doctor to guide you to counselling sessions or support groups, which specialise in supporting people after miscarriages.
Reaching out to people who have had miscarriages in the past can also help as they will understand what you are going through and provide constructive ways to get back to normalcy.
FAQ’s
1. What Are The Chances Of Having Second Late Miscarriage?
The chances of having a second miscarriage are low and most women will experience miscarriage only once. However, a lot depends on your physical and mental condition and it is important to consult a doctor and get necessary tests done before you can try to get pregnant again. The doctor will also advice you about the do’s and don’ts to ensure a healthier pregnancy after a miscarriage.
2. Can A Miscarriage Be Prevented?
Most miscarriages are a result of genetic abnormalities and cannot be controlled. Taking necessary precautions is the only way to reduce the chances of miscarriage.
Proper exercise, eating a well-balanced diet, avoiding consumption of alcohol and drugs, limiting consumption of caffeine, ensuring that blood sugar and blood pressure levels are under control are some of the precautions you should take in order to lower the chances of a miscarriage.
Tips For Pregnancy After Miscarriage:
According to studies, less than 5% of the women experience two successive miscarriages and hence trying to get pregnant after a miscarriage is safe. However, if you are trying again after late miscarriage, it is important to keep the following tips in mind:
Stay healthy and in case you have a chronic disease, consult your doctor on how to control it.
Obese and underweight women have an increased chance of miscarriage, hence it is important to maintain a healthy diet and exercise to keep the body fit.
You might also need to get some physical problem such as a septum or a wall in uterus corrected before trying to get pregnant again.
Ensure that you live in a clean environment as diseases can also dampen the chances of a healthy pregnancy.
Avoid alcohol, drugs and unnecessary medication.
In addition to all these, it is very important to consult a doctor on how to have a safe pregnancy and get yourself continuously monitored to ensure a safe and healthy pregnancy.
Disclaimer
This information is not intended as a substitute for medical advice from a qualified professional.
Also Read: Early Miscarriage Read more
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Depo Provera - A Contraceptive Injection
Several methods of contraception are available for women, Depo Provera being one of them. It is a birth control shot that can be administered either in the upper arm or the buttock. It can be taken once every three months for effective results, but it should not be used for more than 2 years as it comes up with a lot of side effects.
What is Depo Provera
Depo Provera is the brand name for medroxyprogesterone. Progestogen, a female hormone is injected into the body that stops ovaries from releasing eggs by making the cervical mucus thick and preventing sperms from entering and fertilizing an egg. It also becomes difficult for the fertilized egg to attach to the uterus as the hormone present in the shot makes the uterine lining thin.
Is It Safe
It is safe for most. However, women using the contraceptive do experience some side effects. The bone density decreases but it gets back to normal after the usage stops, except for women who have reached menopause.
Some women may experience severe depression. Some may have bad headaches or may have pain, pus or bleeding in the area where the shot has been administered. Heavy bleeding or your skin and eyes turning yellowish are also some of the side effects of the contraceptive injection.
Is It Safe While Breastfeeding
Progestogen-only contraceptives are preferred by women who are breastfeeding. It is said that unlike estrogen-containing contraceptives (which is said to decrease breast milk supply), progestogen containing contraceptives like Depo Provera do not pose any problem in the supply of breast milk if taken after the 6th – 8th week postpartum and if taken in normal dosage.
How Soon Does Depo Provera Start Working
Depo Provera, when used on time and properly, is extremely effective. If it is used within the first five days of the mensuration cycle, it starts working after 24 hours. If injected after the first five days of the mensuration cycle, it starts working after 14 days and if it is administered to someone who has given birth or had a miscarriage or had an abortion, it starts working immediately.
How Does It Work?
Depo Provera works by injecting in the progestogen hormone which prevents ovulation. It makes it difficult for the sperm from coming in contact with an unfertilised egg by making the mucus from the cervix thick. The contraceptive further makes the outer lining of the womb thin which makes it tough for the fertilized egg to get implanted into it.
How Effective Is Contraceptive Injection
Contraceptive injections if taken on time can be 99% effective. For women who don’t get the shot as prescribed by the doctor, that is once in 12 weeks, the effectiveness of the contraceptive goes down to 94%.
How to Make Depo Provera Injection Work Best for You
Depo Provera injection can work best for you when it is taken on time; that is once in 12 weeks. It has to be taken within the first 5 days of the mensuration cycle to make the injection start working in 24 hours time. In case you get it injected after the first 5 days of the mensuration cycle, you need to use another form of birth control like a condom.
The most important point is to remember to get another shot after 12 weeks or 3 months. To remember the dates for the shots that need to be taken every 12 weeks, one can use an app or a date reminder. You could also ask your husband or strike down the days in a wall calendar to help you to remember.
Can a Depo Shot Protect You Against STDs
Unfortunately, the shot does not protect people against STDs. The best way to protect yourself from STDs is to use a condom. Doing so will not only protect you against STDs but will also prove to be a two-way prevention from unwanted pregnancy.
What Are DMPA Injection Side Effects?
Some of the side effects of the DMPA injection include,
Lowers bone mineral density which may lead to Osteoporosis
Causes abdominal pain which can be severe in some cases
Leads to severe pain for a long time in the area where it has been injected
The area where it has been injected may form pus or may experience bleeding
Acne
Soreness in the breast
Diminishing interest in sex
Depression
Dizziness and nausea
Severe headaches with flashes
Irregular periods
Weight gain
Breathing problems
Severe allergic reactions
Delay in returning back to a fertile stage as it may take 10 months or more than that before one starts ovulating again.
When Do You Need To Get DMPA Injection
Depo shot (DMPA injection) can be taken when you want to prevent yourself from getting pregnant. It has to be injected exactly once in 12 weeks/ 3 months time to get a foolproof result.
What If You Forget To Get Contraceptive Injection On Time
Forgetting to get the contraceptive injection on time, may increase the risk of pregnancy. In case you miss a dose for multiple weeks or months, you may experience the same side-effects you had when you first started the contraceptive injection.
What If You Get Your Birth Control Shot Late
Missing a Depo shot may result in a decrease of progestin hormones that suppress ovulation. Although ovulation usually starts after 3-6 months of stopping the injection, one could get pregnant even before that.
Can All Women Use DMPA Injection
Most women can use the Depo shot although it is best between 18-50 years. However, lactating mothers less than 6 weeks postpartum (although progestogen containing contraceptives are best for nursing mothers since it does not decrease the supply of breast milk), women with current or past history of breast cancer, current or past history of heart disease, hypertension, diabetes for more than 20 years, benign or malignant liver tumors or active viral hepatitis should not use it.
What Are The Benefits Of Depo Provera
There are several factors which make the Depo shot the most sought after for women all over the world.
1. Longtime protection
Women can prevent themselves from getting pregnant for a long time (for 3 months). They do not need to pop a contraceptive pill every day.
2. Very effective
The Depo shot if taken on time (once in every 12 weeks within the first 5 days of the mensuration cycle) can be 99% effective in preventing one from getting pregnant.
3. No decrease in the supply of breast milk
The shot contains progestin hormone which does not hamper the supply of breast milk. Therefore it is the best form of contraceptive for nursing mothers.
4. Discreet
By using DMPA, you can practice birth control without anybody’s knowledge.
5. No periods
After getting a Depo shot, periods become very light and eventually after a period of time, periods stop (till the time a person continues with the contraceptive).
What Are The Disadvantages Of Depo Provera
Along with the benefits, Depo Provera has a list of disadvantages too.
1. Scheduling
One must be very careful in getting a Depo shot once every 12 weeks. Failing to do so, could result in unwanted pregnancy.
2. Loss of Bone mineral density
Using the contraceptive continuously, over a period of time could result in loss of calcium and finally lead to osteoporosis. However, once you stop using it, your bone mineral density could get back to normal if you have not reached menopause.
3. Pain
One could experience pain for a long time and there could be the formation of pus too in the area where it has been injected.
4. Weight gain
Women using the contraceptive often complain of unexplained weight gain.
Can You Get Pregnant After You Get Depo Shot
A Depo shot is 99% effective if taken at the right time. However, there is a chance of 1 person out of 100 getting pregnant even after taking the shot.
How Much Does Depo Provera Injection Cost
A Depo Provera injection in India costs around Rs. 250 to Rs. 300.
Can You Get It For Free
The Government of India has decided to make injectable contraceptives like the DMPA injection dose free for all under the national family planning program at all the medical colleges or district hospitals.
Although Depo Provera has many disadvantages, it has a very high percentage of satisfaction among women using the contraceptive. It is a highly effective and convenient method for birth control.
Also Read: Stopping Birth Control & Effects on Conception Read more
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Q. #asktheexperts what to give children when starting solids?
Rashmi
Mom of a 9 yr 8 m old girl
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A. After completing the time of six months you should start with dal water and rice water followed by all kind of fruits and vegetables porridge khichadi mash banana mash potato mash sweet potato dairy products and varieties made made out of ragi Suji and oats can also be given to your child
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#HealthyEats Pizza
Yummy Pizza that's healthy and hygienic, I'm sure your kids will love this as much as mine do. Serve as a snack or an appetizer at parties and you'll have praises pouring in!
Serves
Preparation Time
Cooking Time
4 People
10 Minutes
10 Minutes
Ingredients
4 x 15 cm wholemeal breads
1/3 cup (95 gm) salt-reduced tomato paste
100 gm lean shaved ham or chicken breast, finely chopped
2 ripe tomatoes, finely chopped
1 red capsicum, seeded, finely chopped
8 button mushrooms, thinly sliced
1 cup (80 gm) coarsely grated light cheddar
Mixed salad leaves, to serve
Method
Step 1
Preheat oven to 180 degree celcius. Place the bread on oven trays. Spread the tomato paste evenly over each pizza base.
Step 2
Arrange the ham or chicken, tomato, capsicum and mushroom over each base and sprinkle with cheddar.
Step 3
Bake for 8-10 minutes or until crisp and the cheddar melts. Serve with salad leaves.
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I Was Bleeding - the Story of a Story
I was trying my best to hold back the fear of losing you with a gentle smile on my face covering the chaos inside, but I knew I couldn't hide it from you. You knew about the wave of my thoughts, every tiny drop of my tears. Those days were amazing; we couldn't term it as 'good' or 'bad' days, we were so confused! But we were determined to accept whatever the future was.
On that very day, I left home with no hope. I had never been so negative in my life. No, I had a reason. I didn't want to live in a hallucination. Your father was holding my hands with love. I could see the calmness of his heart. As always he was with me to give me strength, to face reality. The dreams that I used to have kept coming to my mind...two little hands, cute eyes, chubby cheeks. Waiting for my turn at the radiology department had never so difficult. I could hear your voice inside me. But my own voice was lost in the fear of losing you. I couldn't think of a life without you. I closed my eyes and rested on your father's shoulder. But how could I shut my mind? I was weak and thirsty.
"Shall I tell you something?" The doctor was performing the scan when she looked at me. "It's growing and quite well". She smiled.
I couldn't stop my tears! I was so ashamed of myself but so proud of you. I felt horrible for being so negative but was shocked with your positivity and willpower to fight against all the odds and stand strong. How positive you are! Your positivity kept me alive during those days.
That was the first day that I stood up and made a promise to never look back.
They termed you the 'embryo', but for me, you were the 'universe'.
Disclaimer: The views, opinions and positions (including content in any form) expressed within this post are those of the author alone. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The responsibility for intellectual property rights of this content rests with the author and any liability with regards to infringement of intellectual property rights remains with him/her. Read more
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Semolina and smooth fruits
Whip in smooth fruits in your semolina pudding and give that added fruity taste to your cereal meal. Semolina makes a smooth and creamy pudding that tastes delicious with added fruit. Put in any fruits of your choice in a pureed form for your younger bubs and use more chunkier pieces for older kids.
Serves
Preparation Time
Cooking Time
2 People
5 Minutes
15 Minutes
Ingredients
250 ml milk
2 tbsps (tablespoons) semolina
1 tsp (teaspoon) ghee
1 tsp sugar (optional)
2 tsp apple puree
2 tsp pear puree
1/2 tsp cinnamon powder
Method
Step 1
Dry roast semolina till light brown.
Step 2
In a saucepan, boil milk.
Step 3
Add semolina, sugar and ghee and stir constantly to avoid lump formation until the mixture thickens.
Step 4
Serve topped with a dollop of apple and pear purees, and sprinkle some cinnamon.
Nutritional Information
Serving Size 161.4 g
Calories
219
Calories from Fat
53
Total Fat
5.9g 9%
Saturated Fat
2.6g 13%
Trans Fat
0.0g
Cholesterol
15mg 5%
Sodium
58mg 2%
Potassium
239mg 7%
Total Carbohydrates
33.2g 11%
Dietary Fiber
1.1g 4%
Sugars
12.6g
Protein
8.0g
Vitamin A
6%
Vitamin C
0%
Calcium
14%
Iron
8%
* Based on a 2000 calorie diet
Nutritional details are an estimate and should only be used as a guide .
for approximation.
Tip :
For Older Babies, serve with mashed or soft cut up fruit pieces such as fresh bananas, mangoes, berries etc.
You can refrigerate leftover portions and use within two days.
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Dr Sameer awadhiya has added a new answer
Expecting Mom due in 7 months
2 hours ago
Q. hello, on my first visit doctor suggested me duphaston twice a day..so m taking it morning n bedtime.now on my second visit doctor added susten sr 200 one tablet daily at night ,as m already taking duphaston at night , kindly guide me when should I take the susten tablet,also m having dizziness after taking susten .
Read moreDr Sameer awadhiya
Paediatrician
2 hours ago
A. Regarding the mentioned concern your local doctor will guide you in a proper way and the doubts can be cleared accorjodingly .so you can discuss and get the solution for query.
Also online consultation can be taken on the platform and it will also be helpful in getting the proper guidance as there could be a detailed discussion which would be benifecial helpful in the correct manner .
Rashmi has added a new answer
Guardian of 0 children
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Q. can I take gevocet m during breastfeeding
Rashmi
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A. Please check with your doctor they will be able to confirm whether you can take this medicine or or not as a Dr who have a fair idea and they will know for what thing you are willing to take this medicine so whatever doubt you have associated there be able able able to clear it up for you
Rashmi has added a new answer
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Rashmi
Mom of a 9 yr 8 m old girl
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A. I’m not aware about what medicine it is for I can only tell you that these basic medicines you can take throughout your lactation it’s not a problem the medicines that you could take before your pregnancy can always be taken during the time of lactation
Rashmi has added a new answer
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Q. #asktheexpert mam iam 33 weeks now when can I expect delivery date
Rashmi
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1 hour ago
A. The basic delivery date is normally 39 to 3 40 weeks of your pregnancy whenever you are ready for your delivery and whenever you hit your labour that’s going to be the right time for you further move your Dr is going to tell you when are you going to deliver with the help of an ultrasound
Rashmi has added a new answer
Guardian of 0 children
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Q. iam 33 weeks pregnant now
Rashmi
Mom of a 9 yr 8 m old girl
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A. What is your question associated with your pregnancy that you haven’t mentioned clearly can you please repost your question providing all the necessary details so at least I know and understand what are you willing to ask and accordingly I can give you help and assistance on that
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