Patient's question:
It really feels so sad to have a miscarriage. I've been pregnant for a month, but for some reason, I had a miscarriage. There wasn't any accident! A monthDoctor's answer:
In early natural miscarriage, chromosomal abnormalities account for 50%-60% of the cases, mostly involving numerical chromosomal abnormalities, followed by structural abnormalities. Numerical abnormalities include trisomy, triploidy, and X-monosomy, while structural abnormalities involve chromosomal breaks, inversions, deletions, and translocations. Most chromosomal abnormal embryos result in miscarriage, with only a very small number possibly continuing to develop into fetuses. However, even if born, they may exhibit certain functional abnormalities or congenital malformations. If a miscarriage has occurred, the pregnancy products may sometimes consist of only an empty gestational sac or a degenerated embryo.Advice: If the miscarriage is not caused by embryonic developmental abnormalities, it can be prevented. First, couples with a history of miscarriage should promptly seek medical examination to identify the cause or factors leading to the miscarriage. If either partner has an issue, timely treatment should be administered, and pregnancy should be avoided until fully recovered. Individuals with chronic conditions should actively treat their illnesses before pregnancy and continue under medical supervision to monitor fetal development even after conception. If the doctor advises against pregnancy, measures such as contraception or induced abortion should be taken.
For pregnant women, it is important to avoid exposure to harmful chemicals such as benzene, arsenic, mercury, and radiation. During the early stages of pregnancy, it is advisable to minimize visits to public places to prevent viral infections. If the pregnant woman becomes ill, she should take medication under the guidance of a doctor and avoid self-medication. Additionally, sexual intercourse should be avoided during the first three months of pregnancy, and excessive mental stress or emotional excitement should be avoided. Attention should be paid to diet and rest. Pregnant women with luteal phase deficiency may benefit from low-dose progesterone. Those with cervical incompetence may undergo cervical os suture fixation in the early stages. Blind attempts to preserve a developmentally abnormal fetus should be avoided. If vaginal bleeding exceeds menstrual flow, frequent uterine contractions occur, the cervix has dilated, or there is leakage of amniotic fluid—indicating inevitable miscarriage— efforts to preserve the pregnancy will be ineffective.