Missed abortion – all about the restrained miscarriage

No matter at what stage of pregnancy, miscarriages are very stressful for families and especially for women. Miscarriage happens to many families trying to have a baby, making it more normal than thought.


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Find out why this is so, what causes restrained miscarriage, and when sufferers can get pregnant again here!

What is a Missed Abortion?

Unfortunately, miscarriages are more common than you might think – in the first weeks of a pregnancy, this can even happen in a good third of the cases happened.

"Exact figures are not available, but in the first 12 weeks more pregnancies end in miscarriage than is generally known.", according to chief medical officer Dr. Stephan Henschen from the clinic for gynecology and obstetrics in the Helios Kliniken Schwerin. "This is also the reason why many couples don’t tell about their pregnancy to family or friends until after three months."

In the case of a miscarriage there is a loss of the embryo, which is also noticed by the women, for example by heavy bleeding. In the case of Missed Abortion is different – hence the name missed or restrained miscarriage. amniotic cavity or fetus remain in the uterus, but there are no more signs of life, Heart sounds are no longer present.

There are no exact figures, but more pregnancies end in miscarriage during the first 12 weeks than is generally known.

Dr. Stephan Henschen, Head Physician of the Clinic for Gynecology and Obstetrics | Helios Kliniken Schwerin

What are the causes of a restrained miscarriage??

The causes of a Missed Abortion are various. Often there are slight malformations in the uterus that allow the embryo to implant, but interfere with growth. So-called fibroids, i.e. lumps in the muscles, can protrude into the lining of the uterus and cause complications.

"There are infectious, genetic or hormonal causes to this, all of which can contribute to the abortion", according to the chief physician. Sometimes the body recognizes the embedded embryo as a foreign body and then try to attack it with antibodies. If one of the parents has had a previously undetected genetic chromosomal alteration, this can also mean an increased risk. "We now have a lot of experience in gynecology about what influences can potentially lead to problems. The treating gynecologist can take hormonal countermeasures. In human genetics, we can identify which problems in the parents could lead to an abortion."

Dr. Henschen emphasizes: "It is always important for me to emphasize during the conversations, that no one is ‘to blame, when a miscarriage occurs." However, anyone who has learned of their own pregnancy should stop drinking alcohol and smoking immediately.

These factors can lead to a missed abortion:

  • possible malformations in the uterus
  • Infections
  • Genetic or hormonal causes
  • Alcohol or tobacco consumption

What are the signs of a missed abortion??

Often the restrained miscarriage or the existing pregnancy is not even noticed until then. A heavier vaginal bleeding Can be a symptom of a miscarriage, but these can also occur in the normal course of events.

In the later course, affected women often say that they are no feeling of pregnancy anymore had. "Generally, the usual signs such as swollen breasts, nausea or fatigue subside", explains Dr. Henschen. If a missed abortion is suspected, only an ultrasound examination can help. This is how missing heart sounds or movement can be detected. In addition, the attending physician can determine whether further steps are necessary.

How is a missed abortion treated?

"In most cases, the treating physicians advise a drug induced miscarriage", explains Dr. Henschen. "A curettage is also possible." During the curettage – also Abrasio or Kuretagge The mucous membrane of the uterus is removed in a single operation – called a missed abortion.

It can then be examined to see what the Trigger for the miscarriage was. "Mild pain is possible in the process", according to the chief physician. "In general, however, one thing is very important: a miscarriage is not a disease, so only in the fewest cases will there be physical pain or problems with the abortion."

Missed abortion - all about the restrained miscarriage

Grief has nothing to do with the week of pregnancy. Grief work needs a space and time and appreciation.

Dr. Stephan Henschen, Head Physician of the Clinic for Gynecology and Obstetrics | Helios Kliniken Schwerin

What is the risk of another restrained miscarriage??

Pregnant woman forms heart with hands over abdomen

"After a restrained miscarriage, there is no optimal time to get pregnant again", asks head physician Dr. Henschen clear. "That depends also completely on how the family processes the whole psychologically." Physically it is already possible after a normal menstruation To make another attempt for a new pregnancy in.

"Families should, however take enough time, to process what has happened", advises Dr. Henschen. The The pain of a lost child is always there – Whether in the first weeks or in the later course. For Dr. Henschen is therefore clear: "Mourning has nothing to do with the week of pregnancy. Grief work needs a space and time and appreciation. Well meaning comments are often not useful there. Listening is the greatest help."

For many, an important step in coming to terms with this is the option created by the legislature to include so-called Star children Under 500 grams to be buried or to have a birth certificate issued to them at the registry office. So parents can give their deceased child an officially recognized persona, even posthumously, and find a place to grieve.

Mom2B – best advice through pregnancy

Episode 3: Shock diagnosis of miscarriage

What if life ends even before it began? Our expert Dr. Stephan Henschen is head physician of gynecology at the Helios Kliniken Schwerin and explains why miscarriages are more common than many think, what the reasons are and when a new pregnancy is possible again.

Episode 9: Star children: dealing with grief

Why? A question asked by all parents whose children die before birth or shortly thereafter. The term associates that the children get to heaven. Gudrun Konig, chief physician of gynecology and obstetrics at Helios Klinik Mullheim, Germany, discusses how to cope with loss and what it means for the pregnant woman and her family.

Knowledge for the ears

Listen to more episodes from our podcast series Mom2B – best advised through pregnancy

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