Is the procedure for curettage of a frozen pregnancy the only treatment option for this pathology?


After a miscarriage, how many days do they stay in the hospital?

Hello everyone friends. In general, the essence of the question is: how long to stay in the hospital after a miscarriage, please tell me. There are replies from three users. Instructions and video response are available.

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Every woman dreams of having children. This instinct is inherent in nature. But life doesn’t always work out the way you want. Many representatives of the fairer sex have to deal with pathologies such as frozen pregnancy or miscarriage. After such a disappointing diagnosis, it seems that the whole world has collapsed. But don't give up. Today's article will tell you what to do after a miscarriage and how to regain your health. It is worth recalling that the information below should not encourage you to self-medicate or refuse medical care. If you are faced with a similar problem, then you will not be able to cope with it without doctors.

How long will you have to stay in the department?

The length of hospital stay depends on the clinical situation. On average, with planned hospitalization and the absence of complaints, a pregnant woman is kept in storage for 7-10 days. The same intervals are observed for observation in a day hospital.

If there are complaints or serious complications (isthmic-cervical insufficiency, bleeding, etc.), the time period can be extended to several months.

To maintain pregnancy, a woman is admitted to the gynecology or pathology department at different stages. Sometimes without complaints, if previous pregnancy occurred with complications or the expectant mother has serious chronic diseases. There are no unjustified hospitalizations, since this stay in the hospital and the provision of medications is costly for the state and the woman if she is observed on a paid basis.

General concept of miscarriage

Spontaneous termination of pregnancy is called miscarriage. In this case, the membranes may come out of the uterus completely (this often happens in the early stages) or remain partially in it. Such an event can occur at any time. If termination of pregnancy occurs in the first 12 weeks, then they speak of an early miscarriage. The situation is more complicated when a similar condition develops in the second trimester. After 25 weeks, we are already talking about premature birth, since at this time the embryo can be viable (if the right conditions are organized).

Is cleaning necessary after a miscarriage?

If this happens, then nothing can be fixed. There is no need to withdraw into yourself and refuse medical help. The consequences of such renunciation can be very dangerous. It's not uncommon for women to need a cleaning after a miscarriage. How to find out about such a need?

Contact your gynecologist and visit the ultrasound room. During the examination, the physician will determine the condition of the uterus and its inner lining. If the remains of the fertilized egg (even the smallest ones) are visible in it, then you will definitely be prescribed curettage. You cannot hesitate in such a situation, since wasted time is fraught with unpleasant consequences and even sepsis. When no remains of membranes are found in the reproductive organ, you can safely proceed to subsequent actions.

Curettage after a miscarriage is performed more often if the interruption occurred after 6-7 weeks. The 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 feels well, can go home. A miscarriage in the second trimester requires the woman to be hospitalized for several days for medical supervision.

What medications will you need first?

If the termination of pregnancy occurs spontaneously with complete removal of the fertilized egg, then no medications are prescribed after this (except in certain situations). When curettage was performed after a miscarriage, the gynecologist prescribes appropriate medications. Among them, the most popular are the following:

  • Antibiotics (preference is given to penicillins and macrolides, other groups are prescribed less frequently). Bacteriostatic and bactericidal medications are prescribed to prevent infection. Often such consequences arise from cleaning. You need to take antibiotics for 3-10 days in accordance with the doctor’s recommendation.
  • Uterine remedies (most often they use Oxytocin or medications based on it). These drugs 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 body's resistance; they are also intended to eliminate viral infections obtained during or after curettage.

Any medications after a miscarriage should be prescribed by a doctor. Self-administration of drugs can be fraught with unpleasant consequences. Don't listen to experienced friends. Trust only your gynecologist.

First menstruation after termination of pregnancy

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

The first menstruation after termination of pregnancy can be scanty or, on the contrary, abundant. This happens due to hormonal changes. An important role in this issue is played by the period at which the miscarriage occurred. If the cessation of embryo development occurs before 8 weeks, then the woman’s body has not yet had time to fully adjust to pregnancy. The cycle will be restored quickly and with minimal consequences. When a miscarriage occurs after 12 weeks, the placenta is already fully functioning. Here everything is more complicated. A woman's body needs more time to restore normal functioning. There are cases where hormonal diseases (mastopathy, endometriosis, ovarian tumors) became a consequence of late miscarriage.

Staying in hospital and the threat of miscarriage

Thank you very much girls for your feedback, advice and wishes! Lately there has been a strong tone, sometimes by the evening it even hurts to walk ((((I don’t really tell the doctor, but she sees everything herself... At this time I’m somehow overly emotional and sensitive... I’m constantly worried about something... and how according to the law of meanness, there are a lot of reasons)))) every day there are new “surprises”)))) so it’s toning up (((In my brain I understand that I need calmness, but there’s absolutely no way to cope with emotions...((((My mother on this occasion says that only complete amputation of the brain can help))))) [Natama]>All appointments can be done at home, of course, but the point is not to get injections, but to lie quietly with your legs up. At home, and even with a child , this is hardly possible.

that's for sure...)))) Even when you manage to lie down you have to act as either a highway or a bridge))))

[asselka]>I think it’s worth playing it safe. The hospital is boring, but tolerable. You can delve deeper into reading literature.

))) I’m more worried about “how can I leave my son?”))) It will be boring in the hospital, I don’t think it will be, but I’ll eat myself with my worries ((((

[solnca]>Indeed, Dash, it is necessary according to the indications. If it opens prematurely, you need to be careful. There are a couple more unpleasant diagnoses. And if it’s just “just in case,” I would never go.

I wouldn’t go “just in case” either... Although the first ber had a strong tone... but there it was possible to observe bed rest at home.. And here.. to be honest, the sensations were such that I even got cold feet and began to think, “Shouldn’t I lie down?” ..” Mom came up with some good soothing tea for me, it became easier, more bearable..

[LILIA]>A friend of mine started leaking water in her fifth month, she lay in storage for the remaining months, didn’t even get up to go to the toilet, if it’s something serious, then it’s necessary! [LILIA]>Dasha? Why are you asking, did you drag Arthur?

Here, too, the other day I thought that the waters began to leak... but thank God everything is fine, it just seemed))))) God forbid, you wouldn’t wish this even on your enemy... I don’t drag Arthur anymore, phatically))) but practically... then to the sofa plant then take it off)) then pick it up, if you fell on the street, then sit on your knees and cuddle))

[marila]> So the hospital is according to indications! Although, Dasha, it probably wouldn’t hurt you to rest? Grandmothers and grandmothers, but while you are next to the child, a significant part of the worries about him still falls on you. Health to you and your unborn baby!

)))And which of us could use a rest)))) Each of us spins like a squirrel on its own wheels all day long)))) Yes... lounging with a book on the sofa is a dream.))) and something tells me that the peak of dreaming about lazy rest will come during the first six months after the birth of the baby))))

[COLORS]>…….. but I didn’t have children and I could get high, and when I was expecting my second child, I immediately decided that no one would be able to sit with my son - not to get sick and not to hang my nose)))))

I was also getting ready))) in fact, everything was fine until now, I was even surprised myself))) all the indicators, tests are even better than in the first ber))). But here’s something... the “charging” has probably run out))))

Determine the cause and carry out treatment

Is it possible to determine the cause of this outcome after a miscarriage? Is it possible to find out why the pregnancy was terminated? After all, awareness of the problem is already half the way to solving it.

It is possible to reliably establish the cause of a miscarriage only after curettage. The materials obtained during the manipulation are sent for histological diagnosis. Its result helps determine why this situation arose. But this is not always enough. The patient definitely needs to get tested. Depending on the state of health and obstetric history, the doctor prescribes appropriate studies: blood tests, determination of sexually transmitted infections, identification of genetic abnormalities. You definitely need to visit such specialists as a urologist, cardiologist, therapist, endocrinologist. These doctors may find pathologies in their area that contributed to the miscarriage. A comprehensive examination will allow you to prescribe the most correct treatment.

Deadlines

The most exciting question for all young mothers is: until what time is there a threat of miscarriage in gynecology? The answer is quite accurate: up to 22 weeks. Modern medicine is capable of delivering a premature baby after this period if it weighs more than 675 grams. So at 22 weeks it will already be called premature birth.

Depending on the period of pregnancy, there are several types of this diagnosis:

  1. The threat of miscarriage at the 12th week of pregnancy and before this period is called early.
  2. From 12 to 22 weeks - late.

Miscarriages often occur in the first 2 weeks after conception, when a woman is unaware of her pregnancy and perceives bleeding as unscheduled menstruation. This is fraught with serious complications if the remains of the fetus do not come out completely and begin to decompose in the uterus.

So the first trimester of pregnancy is very dangerous in this regard. The main thing is to wait until 22 weeks, when the threat of miscarriage passes and you can give birth to a baby, who can be saved by the innovative technologies of modern medicine. In particular, it successfully solves all issues of accurate diagnosis of pathology.

From a psychological point of view.

It is believed that the early threat of miscarriage is not as painful for young parents as the late one, when they have already gotten used to the baby and have already begun preparing for his birth.

Organize your nutrition properly

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

Fill your diet with foods rich in protein and fiber. Eat lean meats and fish. Be sure to eat greens, vegetables and fruits. Drink plenty of water. After gynecological curettage, the likelihood of thrombosis increases. To prevent this from happening, thin your blood in a natural way: drinking water. Avoid any alcoholic beverages. They are actually contraindicated for you, since restorative drug therapy is present.

If constipation persists even after changing your diet, then it is necessary to eliminate it with the help of medications. Poor bowel movements contribute to stagnation of blood in the cavity of the reproductive organ. This is fraught with its consequences, for example, inflammation. Your doctor will tell you what medications to use to soften stool. Usually, safe drugs “Guttalax”, “Duphalak” are prescribed for long-term use, or medications “Glycerol”, “Microlax” for quick action, but one-time use.

Psychological side

After an early miscarriage, patients often withdraw into themselves. If spontaneous abortion occurs in the second trimester, then the situation is even worse. Women become depressed. There are cases when patients after this decided to commit suicide. It is not simply impossible to remain in this state. This can be very dangerous. We definitely need to talk about this problem. Such topics are rarely discussed with a partner. Therefore, the most correct decision would be to contact a psychologist.

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

Treatment

Sedatives and antispasmodics for threatened miscarriage

Treatment for threatened miscarriage depends on the cause of the condition and the severity of the pregnant woman’s situation. The woman is left in the hospital or sent to be treated at home. The question of how long they stay in the hospital with a threat of miscarriage is decided in each case by the doctor individually - until the fetus is fully consolidated. This could be 5 days, or it could be the entire first trimester.

Medicines

Typically, drug treatment in the early stages when there is a threat of miscarriage comes down to prescribing the following drugs and procedures.

  1. Complete peace.
  2. Most often - bed rest.
  3. Calming medications help normalize a woman’s emotional state when there is a threat of miscarriage, since she should not be nervous or worried at these moments. Usually these are tinctures of motherwort and valerian.
  4. Psychotherapy sessions are prescribed for the same purpose.
  5. Medicines for uterine bleeding: Dicynon (hemostatic injections), Etamzilat, Tranexam (tablets).
  6. For hyperandrogenism, corticosteroids are prescribed: Prednisolone, Dexamethasone, Metipred.
  7. Usually, when there is a threat of miscarriage, antispasmodics are prescribed to reduce the tone of the uterus: No-shpa, Drotaverine, Magnesia (magnesium sulfate), Papaverine (suppositories).
  8. Treatment of identified infections.
  9. Vitamins to strengthen the body: (vitamin E), ascorbic acid (vitamin C).
  10. Hormonal drugs Duphaston for the threat of miscarriage or Utrozhestan, containing a synthetic analogue of progesterone. They are prescribed in the first trimester.
  11. In case of cervical insufficiency, conservative or surgical therapy is prescribed. Mechanical narrowing of the internal pharynx at the cervix (which is defective) or suturing of its external pharynx is performed.

Sometimes the main therapy, with the permission of the doctor, can be supported by folk remedies. But only if the bleeding situation is not so serious and does not require hospitalization.

ethnoscience

If there is a threat of miscarriage, folk remedies should be used with caution and only after consultation. With this diagnosis, the following recipes are recommended.

  • Dandelion

Pour 5 grams of fresh dandelion leaves or root into a glass of water and boil for 5 minutes. Drink 50 ml three times a day.

  • Viburnum bark

Pour crushed viburnum bark (1 tsp) into a glass of water and boil for 5 minutes. Drink 15 ml three times a day.

  • Viburnum flowers

Pour 30 grams of viburnum flowers into 1.5 liters of boiling water. Infuse (preferably in a thermos) for at least 2 hours. Drink 50 ml three times a day.

  • St. John's wort + calendula

Mix fresh St. John's wort and calendula flowers in equal quantities (1 teaspoon each), pour a glass of boiling water. Leave for half an hour (preferably in a thermos). Drink 2 glasses a day, adding honey.

These are the drugs prescribed for the threat of miscarriage in the early stages. In the later stages of this diagnosis, it is suggested to place a ring on the cervix, preventing its premature opening. This is a fairly simple operation with virtually no contraindications or undesirable consequences.

You need to know this!

Many herbs are contraindicated during pregnancy. Therefore, if you are tempted to use herbs to treat the threat of miscarriage, study as much information as possible about this plant. Especially the list of contraindications.

When a pregnancy is suspected of being terminated, women begin to panic, not knowing what to do if there is a threat of miscarriage and how to behave in order to save the child. A few useful tips will help you come to your senses and not make things worse.

First aid

  1. Call an ambulance.
  2. Move as little as possible.
  3. Do not panic.
  4. Before the doctor arrives, lie down and try to relax.
  5. If there is a threat of miscarriage, sex is contraindicated, as are anal sex, oral sex, orgasm, and self-satisfaction. This leads to contractions of the uterus, causing miscarriage.
  6. You cannot perform any physical activity, jumping, lifting weights.
  7. Do not drink alcohol or smoke.
  8. Try not to be nervous.
  9. Do not use the sauna.
  10. Many people are interested in whether it is possible to take a bath if there is a threat of miscarriage: of course, following the rules of personal hygiene is mandatory, but beware of hot temperatures. The water should be warm, and the duration of water procedures should not exceed 10 minutes.
  11. Do not make sudden movements.
  12. Coffee and chocolate are contraindicated.
  13. Do not self-medicate.

On home treatment

Following these simple rules will save the life of an unborn baby, who already in the womb has encountered serious difficulties along the way. Sometimes they ask whether the threat of miscarriage can go away on its own: yes, this happens quite often if you follow the above recommendations.

Information for men.

If your wife has been diagnosed with a threatened miscarriage, you must do everything to prevent a tragic ending. This is within your power in most cases: protect your baby’s mother from experiences of any kind and physical exertion.

Medical advice: step-by-step instructions

What kind of reminder can be provided to a woman who finds herself in a similar situation? What to do after a miscarriage? Doctors give the following step-by-step instructions.

  1. Go for an ultrasound and find out if there are remnants of membranes in the uterus. With the result obtained, go to the gynecologist.
  2. If the doctor prescribes curettage, then be sure to undergo this procedure. Otherwise, complications await you.
  3. Strictly follow the doctor’s recommendations: take medications, follow the regimen, adjust your diet.
  4. Find out the cause of your miscarriage with your doctor, after which the doctor will develop a treatment plan for you. Follow it, do not plan a new pregnancy at this time.
  5. If there is mental anguish, depression and stress, consult a psychologist, do not withdraw into yourself.
  6. Start new planning when the specialist allows it. Try not to remember negative moments, set yourself up for the positive.

How many are in storage?

Lyubasha, don’t be so upset about the gender of the baby... I, of course, understand you perfectly well that you really want a girl... I also had the same feelings when I was halfway through my pregnancy and thought it was going to be a girl (this was with my first pregnancy.) , and already at the 3rd ultrasound they said that it would be a boy... now think only about the health of the baby... By the way, it was Minibaeva who determined exactly the gender of the baby at the 3rd ultrasound, and before the birth at the 4th... And she pierced my bladder, very carefully... she , of course, a woman of few words, but a very good specialist! So don’t be discouraged, but rather go to church and ask the priest for a blessing for childbirth... And everything will be fine!)))))))

Interesting: Brown discharge at 40 weeks of pregnancy

Summarize

From the article you were able to learn a step-by-step plan for recovery after spontaneous abortion. If a miscarriage occurs in the early stages, its cause is often not possible to determine. Be sure to monitor your health. If vaginal discharge after a miscarriage acquires a strange color and an unpleasant odor, then an infection has probably occurred. Don't think that everything will go away on its own. The sooner you see a doctor, the fewer negative consequences will be for you. Gynecologists categorically do not recommend trying to solve the problem on your own. Do not take any medications on the advice of your girlfriends. This can only worsen the existing situation. Speedy recovery to you!

There is an answer to your question about how many days they stay in the hospital after a miscarriage. Free answers, fast and easy search.

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To give the correct answer to the question you need to watch the video. After viewing, you will not need to seek help from specialists. Detailed instructions will help you solve your problems. Enjoy watching.

Humor on the topic: Of course, at an alumni meeting, sometimes thoughts arise - what a lucky person, but basically you understand - most are just as suckers as you.

Indications for preservation

Women who do not have obvious health problems (anatomical, genetic and others) are recommended to follow general rules at the beginning of pregnancy: lead a healthy lifestyle, visit a doctor and take vitamins. But, there is a risk group when you need to be careful in the first trimester, and be sure to take measures to preserve it. This applies to women:

  • over 35+;
  • having a history of miscarriages, abortions, frozen pregnancies, abdominal operations of the uterus;
  • with genetic predispositions;
  • who gave birth to children with disabilities;
  • with multiple gestations;
  • with dangerous diseases - diabetes, asthma, cardiovascular pathologies, etc.;
  • with anatomical anomalies in the structure of organs.

If the expectant mother has at least one of the factors, then she must be regularly monitored by a specialist and carry out the prescribed procedures.

How long can you stay in storage?

I was lucky, I never lay down. But when I was admitted to the hospital as planned a week before the cesarean section, I met the girls in the ward. So they are hospital long-livers. One had been there since she was 7 months old, the other since she was 6 months old. The third was actually carrying twins and there was a risk of miscarriage, so she was registered in the hospital from 3 months until the birth. She couldn't even get up. So, Irina, it’s better to lie down if the doctors say so. The health of the child and yours are more important. Relax, think about pleasant things, read books.

How to maintain pregnancy


To find out which method of preventing early miscarriage corresponds to the characteristics of the body, you need to consult a doctor and, after undergoing examinations, the specialist will give accurate recommendations.

Is it worth saving in the first weeks?

Does it make sense to preserve the fetus in the first weeks? If a girl is pregnant for the first time, the period is literally 4-7 weeks, she is not at risk, and there is a high risk of miscarriage, then it is more advisable to terminate the pregnancy. Objectively: miscarriage at this time is more often provoked by an abnormal structure or deformation of chromosomes, which in the future, if the fetus is saved, will negatively affect the entire development. After some time, a woman can try to conceive again.

When is the decision to cleanse the uterus made?

Cleansing the uterus is the removal of the fetus from the uterine cavity.
It is produced either pharmacologically or surgically. If the pregnancy has frozen, that is, the child has stopped intrauterine development, then a cleansing procedure is necessary to free the uterus from the fetus and prevent its decomposition, which can cause infection in the woman, even death.

If research reveals that the fetus is not viable, then a decision is also made to remove it. For up to six weeks, this can be done using tablets. If the period is longer, then with the help of curettage, after 27 weeks only through artificial birth.

Before the procedure, a set of measures is carried out:

  1. Full examination and consultation with a gynecologist.
  2. Referral from a general practitioner.
  3. Bacterioscopy.
  4. Urine and blood analysis.
  5. Coagulogram.
  6. Ultrasound OMT.
  7. Blood test for HIV, hepatitis and syphilis.

The procedure is used in extreme cases when the child cannot be saved. At the request of a woman in Russia, abortions are allowed up to the 12th week; for medical purposes, at any time, if there is a threat to the patient’s life.

When can you plan a pregnancy again?

After a miscarriage, abortion or frozen pregnancy, the body needs time to recover.
Doctors recommend a new conception no earlier than in a year and a half.

But it all depends on individual characteristics. Before planning, a woman must undergo examinations to reduce the risks of spontaneous abortion and identify and eliminate health problems.

Pregnancy should be taken seriously and planned for by both partners. Before this, it is better to consult with specialists, attend recommended procedures and get tested in order to minimize the risks of interruption. And in the first trimester of pregnancy, a woman should be more careful and, if there are dangerous symptoms, seek help.

10 things you need to know before going to the hospital

It concerns the timing of treatment in a neurological hospital for round-the-clock and day stays. There are several different aspects that affect the length of treatment, including the diagnosis, what type of hospitalization was performed, and much more. I'll tell you about everything in more detail.

In a hospital setting, people with severe concomitant diseases, severe dehydration, acute respiratory failure, purulent sputum, high temperature and signs of severe intoxication, as well as a bilateral inflammatory process should be treated.

To obtain it, two conditions must be met: The duration of how long the patient will need to undergo treatment in a hospital setting after a situation where a stroke has occurred directly depends on the severity and subsequent dynamics of the disease.

And in case of refusal to initiate a case, write a complaint to the prosecutor to cancel the decision to refuse. Good luck to you. Lawyer Russia, Astrakhan Rating: Reviews: 05/21/2016 at 22:00 Yes, he doesn’t bribe anyone. The wife, apparently, does not undergo an examination and does not determine the severity of the injuries received.

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