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Tuesday, 10 December 2013

Miscarriage - The Treatments

Miscarriage is defined as the loss of an embryo before the 20th week of pregnancy as it is incapable of surviving independently. In medical terminology, miscarriage is a type of abortion, as it refers to the pregnancy ends with the death and removal or expulsion of the fetus, regardless of whether it is spontaneous or medically induced abortion. In US alone, over 15% of pregnancy ends in miscarriage.
Treatments
The objective of treatment during or after a miscarriage is to prevent hemorrhaging and/or infection. Your doctor will make sure that all the fetal tissue are cleared from the uterus.
1. Observation
If the miscarriage is confirmed, in some cases you are sent home to rest and wait for the nature to take its course with follow up instruction. Yor are also instructed to seek medical emergency if there is an excessive bleeding, a severe pain, fever, etc. It is extremely difficult for a woman to wait at home in this situation, and difficult to understand emotionally and physically unless a woman has gone through a similar miscarriage herself.

2. Vacuum aspiration
Before giving the injection anesthesia and medicine to dilate the cervix, the cervix is examined by a speculum then a small, hollow tube attached to an aspirator machine is inserted into the uterus to remove the fetus after your cervix is dilated with injection of medicine. Your doctor will make sure there is no remain in the uterus with a curette before the surgery is completed.

3. Dilation and curettage
Similar to the above procedure, dilation and evacuation (D&E) is a method associated with the dilation of the cervix with the insertion of either a curette or forceps and surgical evacuation of the fetus from the uterus. Your doctor will make sure there is no remain in the uterus with a curette before the surgery is completed.