Recovery after miscarriage: step by step instruction. What to do after a miscarriage?

Every woman dreams of having children. This instinct is inherent in nature. But not always in life it turns out as desired. Many representatives of the weaker sex have to face such pathologies as a frozen pregnancy or miscarriage. After such a disappointing diagnosis, it seems that the whole world has collapsed. But do not give up. Today's article will tell you what to do after a miscarriage and how to restore your strength with health. It is worth recalling that the data given below should not induce you to self-medicate or refuse medical help. If you are faced with a similar problem, then without the doctors you can not cope with it.

General concept of miscarriage

Spontaneous abortion is called miscarriage. In this case, the fetal membranes can leave the uterus completely (often in the early stages) or remain partially in it. There can be such an event at any time. If the termination of pregnancy occurs in the first 12 weeks, then talk about an early miscarriage. The situation is more complicated with the development of such a state in the second trimester. After 25 weeks, we are already talking about premature birth, because at this time the embryo can be viable (with the right conditions).

Do I need to clean after miscarriage?

If this happens, then nothing can be fixed. Do not shut yourself up and refuse medical help. The consequences of such abdication can be very dangerous. Often, women need cleaning after a miscarriage. How do you know about this need?

Contact your gynecologist and visit the ultrasound room. During the study the physician will determine the condition of the uterus and its internal membrane. If it shows the remains of the fetal egg (even the smallest ones), then you will definitely get a scraping. To delay in such situation it is impossible, as the missed time is fraught with unpleasant consequences and even a sepsis. When in the reproductive organ there are no remnants of fetal membranes - you can safely proceed to the subsequent actions.

Scraping after a miscarriage is performed more often if the interruption occurred after 6-7 weeks. Manipulation is carried out exclusively within the walls of a medical institution using intravenous anesthesia. It lasts no more than 10-15 minutes. After this, the patient remains under medical supervision for several hours and, if she is well, she can go home. Miscarriage in the second trimester involves the hospitalization of a woman for several days for medical supervision.

What medicines will be needed first?

If the termination of pregnancy has occurred spontaneously with the full excretion of the fetal egg, then no drugs are then assigned (except in some situations). When there was scraping after a miscarriage - the gynecologist prescribes appropriate medications. Among them the most popular are the following:

• Antibiotics (preference is given to penicillins and macrolides, less often other groups are appointed). Bacteriostatic and bactericidal medications are prescribed to prevent infection. Often such consequences arise from cleansing. You need to take antibiotics for 3-10 days according to the doctor's recommendation.
• Uterine means (more often use "Oxytocin" or drugs based on it). These drugs contribute to enhance the contractility of the myometrium. Due to this, the mucous layer is quickly rejected, preventing extensive bleeding and speeding up the recovery process.
• Immunomodulators ("Isoprinosine", "Derinat"). These drugs increase the resistance of the body, they are also designed to eliminate viral infections obtained by scraping or after it.

Any medication after a miscarriage should be prescribed by a doctor. Independent use of drugs can be fraught with unpleasant consequences. Do not listen to seasoned girlfriends. Trust only your gynecologist.

Restorative period for the genital organ

Uterus after miscarriage is restored quickly enough. Even if spontaneous termination of pregnancy occurred on a long term, the genital organ returns to its usual size for several days. If this does not happen, then, again, the patient is prescribed the appropriate contractile medicines.

Sex after miscarriage should be excluded completely before the arrival of the first natural menstruation. Despite this warning, many couples rush with another sexual encounter. The consequence of this can be infection, inflammation, bleeding and other troubles. Categorically contraindicated to the patient sex without a condom! Even if you are accustomed to other methods of contraception, now they need to be replaced by barrier ones. The fact is that condoms are well protected against sexual infections. And your women's health is especially vulnerable now.

The first menstruation after abortion

What do the first months after a miscarriage look like? Many patients confuse the discharge after cleansing with the first menstruation. In fact, this is not entirely correct. In fact, the doctor cleared the cavity of the genital organ from the endometrium. It turns out that the doctor did in a few minutes what usually lasts 3-7 days. From this point on, you can start a new cycle. But postoperative discharge should not be confused with menstruation. The next bleeding is normal in 3-5 weeks. It is preferable to use gaskets with it. Tampons can cause a bacterial infection.

The first menstruation after termination of pregnancy can be meager or, on the contrary, plentiful. This is due to a change in the hormonal background. An important role in this matter is played by the timing of the miscarriage. If the termination of embryo development occurred before 8 weeks, then the woman's body has not yet managed to fully tune in for pregnancy. Recovery cycle will happen quickly and with minimal consequences. When the miscarriage occurs after 12 weeks - already fully functional the placenta. Here everything is more complicated. The woman's body takes more time to restore normal functioning. There are cases when the consequence of a late miscarriage were hormonal diseases (mastopathy, endometriosis, ovarian tumors).

Establish the cause and conduct treatment

Is it possible after the miscarriage to establish the cause of this outcome of events? Is it possible to know why abortion occurred? After all, awareness of the problem is half the way to solving it.

Determine the cause of miscarriage can be reliably only after scraping. The materials received during the manipulation are sent for histological diagnosis. Its result helps to determine why this situation has arisen. But this is not always enough. The patient must take the tests. Depending on the state of health and obstetric history, the doctor assigns the appropriate studies: a blood test, the definition of sexual infections, the establishment of genetic abnormalities. It is necessary to visit such specialists as a urologist, cardiologist, therapist, endocrinologist. These doctors, perhaps, will find pathologies in their part, which contributed to miscarriage. A comprehensive examination will allow the appointment of the most appropriate treatment.

Organize Your Food Properly

Many women complain of pain after a miscarriage. If the gynecological pathology is excluded, then the matter may be in digestion. Often described condition causes stress, which, in turn, leads to constipation, increased flatulence. That is why it is so important in the first months after a miscarriage to establish proper nutrition. It will promote normal metabolism and good digestion.

Fill your diet with foods rich in protein and fiber. Use lean meats, fish. Be sure to eat greens, vegetables and fruits. Drink plenty of water. After gynecologic curettage, the probability of thrombosis increases. To prevent this from happening, dilute the blood in a natural way: drinking water. Refuse any alcoholic beverages. They are actually contraindicated to you, since there is a rehabilitation medication.

If, after changing the diet, constipation persists, then it is necessary to eliminate it with the help of medications. Poor emptying of the intestine promotes stagnation of blood in the cavity of the genital organ. This is fraught with its consequences, for example, inflammation. What drugs to use to soften the stool - you will tell the doctor. Usually, Guttalax, Dufalac, for long-term use, or Glycerol, Mikrolaks for safe action, but once-only use are prescribed.

The psychological side

After a miscarriage in the early term, the patients often become isolated in themselves. If spontaneous termination of pregnancy occurred in the second trimester, then things are even worse. Women are depressed. There are cases when the patients after this decided to take their own lives. Staying in this state is not easy. This can be very dangerous. It is necessary to talk about this problem. With a partner, such topics are rarely discussed. Therefore, the most correct solution will be an appeal to a psychologist.

During the consultation, the specialist will listen to your complaints and concerns. It is this doctor that will help you cope with negative emotions after a miscarriage. After several sessions you will feel much better. If necessary, the doctor will prescribe you sedatives and antidepressants. Only the right approach to the problem will help to solve it once and for all.

When can I plan the next pregnancy?

Absolutely all women, for whom pregnancy was desired, are asked: is it possible to plan a new pregnancy after a miscarriage? Any doctor will tell you that you can not do this. Even if the interruption occurred in a short time and had no negative consequences, your body needs time to restore strength and hormonal background. We also need to find out what exactly caused such a tragic outcome. Otherwise, the situation may recur.

If the woman's health is good, and the cause of miscarriage is not in the presence of pathologies (the interruption was due to taking some medicine or trauma, a nervous breakdown), then doctors are allowed to plan in 3-6 months. In this case, the menstrual cycle should be fully restored.

When the cause of the problem is found, treatment is prescribed. It can be short or long. Planning for subsequent pregnancy is postponed indefinitely. Remember that often patients are prescribed antibiotics. After a miscarriage, you can start planning for the next cycle, calculating with the completion of antibiotic therapy. But you can practically start a new life in the same cycle. Therefore, the entire designated time interval should be carefully protected.

Medical recommendations: step-by-step instruction

What memo can be given to a woman in a similar situation? What to do after a miscarriage? Doctors give the following step-by-step instruction.

1. Go to the ultrasound and find out if there are remains of the membranes in the uterus. With the result, go to the gynecologist.
2. If the doctor prescribes a curettage, then be sure to go through this manipulation. Otherwise, complications await you.
3. Strictly adhere to the recommendation of the doctor: take medications, follow the regime, adjust the diet.
4. Find out the reason for the miscarriage with the doctor, after which the doctor will develop a treatment plan for you. Observe it, at this time do not plan a new pregnancy.
5. If there are mental anguish, depression and stress - contact a psychologist, do not shut yourself up.
6. Start the new planning when the specialist permits. Try not to remember negative moments, set yourself up for positive.

Summarize

From the article, you were able to find out a step-by-step plan for recovery after a spontaneous abortion. If a miscarriage occurs in the early stages, its cause is often not possible to establish. Be sure to keep track of your well-being. If the vaginal discharge after a miscarriage becomes a strange color and an unpleasant smell, then, probably, there was an infection. Do not think that everything will pass by itself. The sooner you go to the doctor, the less negative consequences will be for you. Gynecologists categorically do not recommend trying to solve the problem on their own. Do not take any medication on the advice of your girlfriends. This can only aggravate the situation. The soonest recovery to you!