Patient's question:
It really feels so sad to have a miscarriage. I've been pregnant for a month, but for some reason, it happened naturally. There wasn't any accident! One 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 potentially continuing to develop into fetuses. However, even if born, they may exhibit certain functional abnormalities or congenital malformations. If a miscarriage has occurred, the products of conception may sometimes consist of only an empty gestational sac or a degenerated embryo.Medical 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 underlying cause or factors contributing to the miscarriage. Regardless of which partner is affected, timely treatment is essential, and conception should be avoided until the condition is fully resolved. 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, limiting visits to public places can help prevent viral infections. If the pregnant woman becomes ill, she should take medication under the guidance of a doctor and avoid self-medication. Additionally, intercourse should be avoided during the first three months of pregnancy, and excessive mental stress or emotional excitement should be avoided. Proper diet and rest are also crucial. Pregnant women with luteal phase deficiency may benefit from low-dose progesterone therapy. Those with cervical incompetence may undergo cervical cerclage early in pregnancy.
Blindly attempting to preserve a fetus with developmental abnormalities is not advisable. If vaginal bleeding exceeds menstrual flow, frequent uterine contractions, cervical dilation, or leakage of amniotic fluid occur—indicating inevitable miscarriage—attempting to preserve the pregnancy will be ineffective.