A note from Dr. Ayita Verna, MD specializing in Obstetrics and Gynecology.
“If you or someone you know experienced a pregnancy loss, know that my heart is with you. During that time, it’s important to be surrounded by the right people, to talk to your healthcare provider and get educated on the topic.
In my experience, I’ve noticed that many women don’t have access to the crucial information that could help them feel less lost and confused after going through a pregnancy loss. Today, I’d like to share some key insights from two articles published by the American College of Obstetricians and Gynecologists (ACOG). I hope these will bring clarity to either you or a friend who might have experienced a miscarriage before”
Understanding early pregnancy loss
Early pregnancy loss, commonly known as miscarriage, occurs when a pregnancy ends naturally during the first trimester. This situation, although often heartbreaking, is more common than many people realize, affecting about 10% of recognized pregnancies. The most frequent cause is a chromosomal issue in the developing fetus, which typically arises by chance and is something you could not have prevented.
Recognizing symptoms and how it’s diagnosed
Early pregnancy loss can feel confusing because the symptoms, like vaginal bleeding and cramping, are similar to normal pregnancy symptoms. That’s why it’s so important to get a proper diagnosis. Your healthcare provider will likely use an ultrasound and check hormone levels through a blood test. These tools help determine whether the pregnancy is progressing or if a loss has occurred. They look at specific signs like the baby’s size and the sac to confirm what’s happening.
Navigating your options for management
When facing an early pregnancy loss, there are different ways to manage it. Each option depends on what feels right for you and your health situation.
- Waiting for Nature (Expectant Management): This involves letting your body naturally expel the pregnancy tissue on its own. It’s a safe option and avoids procedures, but it can take some time.
- Medication (Medical Management): Your doctor might suggest medications to help the process. This option can be quicker than waiting and gives you some control over the timing.
- Surgical Intervention (Surgical Management): If you prefer a faster, more predictable option, or if the other methods aren’t working, a surgical procedure can be done to remove the pregnancy tissue. This method is also recommended if there are complications like heavy bleeding.
Other important things to keep in mind
- Risk Factors: Some factors, like being older or having had previous miscarriages, might increase your chances of early pregnancy loss. But knowing this can help you manage expectations and prepare for the future.
- Getting Emotional and Physical Support: Miscarriage is not only physically challenging but also emotionally tough. Having the right support system, whether through friends, family, or professional counselling, can help. You may also have bleeding and cramping during recovery, and your doctor can guide you on what to expect and when to seek medical care.
- Future Pregnancies: If you’re wondering whether you can try again after a miscarriage, the good news is that early pregnancy loss typically doesn’t affect your fertility. Once you feel physically and emotionally ready, you can try again without needing to wait too long unless your doctor advises otherwise.
Planning ahead: Genetic testing and your next steps
If you’ve experienced more than one miscarriage, your doctor might suggest genetic testing to see if there’s an underlying cause. This can provide valuable insight and help guide decisions for future pregnancies.
Prepregnancy planning: Setting the stage for a healthy pregnancy
Now, picture this: You’re getting ready for the journey into motherhood. Amid all the excitement and dreams, it’s important to take a little time to prepare your body and mind for this next big step. The American College of Obstetricians and Gynecologists (ACOG) and the American Society for Reproductive Medicine (ASRM) offer valuable advice on how to do just that.
It starts with a simple question your doctor might ask during a routine visit: “Would you like to become pregnant in the next year?” This question opens the door to prepregnancy counseling, a time when you and your doctor can discuss your health, lifestyle, and any steps to ensure you’re in the best shape for pregnancy. This isn’t just about medical advice; it’s a holistic approach examining how your entire lifestyle can support a healthy pregnancy.
During these sessions, your doctor might talk to you about managing any existing health conditions, like diabetes or high blood pressure, that could affect your pregnancy. They’ll also review all medications, including over-the-counter and herbal supplements since some could interfere with your fertility or cause issues during pregnancy. This time is also perfect for ensuring you’re up-to-date on your vaccinations, like the flu shot, protecting you and your baby.
More than just physical health
But prepregnancy care isn’t just about your body; it’s about your mental health, too. Addressing things like depression or anxiety is essential for your well-being before and during pregnancy. Your doctor may also talk to you about screening for intimate partner violence, which could affect your safety and emotional health.
Your doctor may also want to know about your family’s health history to determine if there are any genetic conditions that could affect your pregnancy or baby. This will empower you with knowledge and choices and ensure you’re fully prepared for every aspect of pregnancy.
Simple steps you can take
One of the most straightforward yet powerful things you can do for yourself is to start taking folic acid before you even get pregnant. This important nutrient helps prevent certain birth defects. A healthy diet, regular exercise, and reaching a healthy weight can also improve your chances of having a healthy pregnancy. These steps are about taking care of your whole self: your body, mind, and spirit, as you prepare to become a mother.
This journey isn’t about doing everything perfectly but giving yourself the best possible start. Whether it’s through regular check-ups, making small changes to your lifestyle, or addressing your mental and emotional health, these proactive steps will help you feel prepared and confident as you move toward this new chapter in life.
Sources:
- American College of Obstetricians and Gynecologists. (2018). Early pregnancy loss (Practice Bulletin No. 200). Obstetrics & Gynecology, 132(5), e197-e207. https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2018/11/early-pregnancy-loss
- American College of Obstetricians and Gynecologists. (2019). Prepregnancy counseling (Committee Opinion No. 762). Obstetrics & Gynecology, 133(1), e78-e89. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/01/prepregnancy-counseling