Miscarriage – What You Should Know About Signs, Causes, and Coping

A miscarriage, or spontaneous abortion, is a loss of pregnancy that generally occurs before the 24th week of gestation. It affects approximately 10–25% of known pregnancies, and although common, it remains an emotionally difficult event for parents.

Signs and Possible Symptoms

The signs of a miscarriage can vary, but the most common include:

• Vaginal bleeding: from light to heavy, sometimes accompanied by clots.

• Abdominal or pelvic pain: cramps similar to menstrual cramps or more intense.

• Loss of pregnancy symptoms: such as decreased nausea or breast tenderness.

It is important to seek medical attention promptly if bleeding occurs, especially if it is heavy or accompanied by severe pain.

Common Causes

The causes of miscarriage are varied and often beyond the mother’s control:

• Chromosomal abnormalities of the fetus (more than 50% of cases).

• Hormonal problems: progesterone deficiency, thyroid disorders.

• Maternal medical conditions: uncontrolled diabetes, autoimmune diseases, infections.

• Lifestyle-related factors: smoking, alcohol, severe stress, exposure to certain toxins.

In most cases, miscarriage is not related to the mother’s behavior, and repeated miscarriages are uncommon.

Medical Management

After a miscarriage, several options are available:

• Natural monitoring: in some cases, the body expels the tissue spontaneously.

• Medication: to help expel the uterine contents.

• Surgical intervention (curettage): if necessary to prevent complications or prolonged bleeding.

The choice depends on the clinical situation, gestational age, and the patient’s overall health.

Emotional and Psychological Support

Pregnancy loss can cause sadness, guilt, anxiety, or even depression. Some tips for coping include:

• Talking about feelings with a trusted person or healthcare professional.

• Joining a support group to share experiences.

• Allowing each partner to grieve at their own pace.

• Considering psychological follow-up if distress persists.

  
  

Prevention and Follow-Up for Future Pregnancies

Although not all miscarriages can be prevented, certain measures can reduce the risk:

• Preconception medical check-up.

• Management of chronic illnesses and hormonal disorders.

• Healthy lifestyle: balanced diet, quitting smoking and alcohol.

• Early medical monitoring in the next pregnancy.

Conclusion:Miscarriage is a common but painful event. Understanding the signs, causes, and available medical options, along with receiving emotional support, can help parents navigate this difficult time and prepare for future pregnancies under better conditions.

Take care of yourself.

Sincerely,

Dr. Sandra Yene Amougui