Threatened Miscarriage At 20 Weeks pregnant
Threatened miscarriage is a medical condition primarily characterised by abnormal vaginal bleeding during pregnancy. It is relatively a typical and less severe pregnancy complication often experienced by 25-30% of all pregnant women, and about half of them will carry their baby to term. Vaginal bleeding is sometimes accompanied by pain and abdominal cramps. However, the severity of such symptoms may vary from mild, moderate to even severe, depending upon the situation’s criticality.
What Causes A Threatened Miscarriage?
The exact cause of threatened miscarriage is often unknown. However, some risk factors contribute to this pregnancy-related medical condition. During the first trimester (1-12 weeks), frequent use of alcohol, caffeine, certain drugs, and chemicals contraindicated in pregnancy can cause abnormal vaginal bleeding.
Moreover, factors like obesity, older age of pregnant women, placental problems, and trauma to the abdomen may further worsen the condition. The incidence of threatened miscarriage during the second trimester (13-20 weeks) is mainly associated with high blood pressure, bacterial infection, thyroid disorder, unmanageable diabetes, and structural abnormalities in the uterus, cervix, or ovaries.
What Are the Possible Pregnancy Outcomes Associated with Threatened Miscarriage?
Threatened miscarriage related pregnancy outcomes may vary from women to women depending upon the severity of symptoms and their time of incidence. Bloody vaginal discharge through a closed cervical os during early pregnancy is often associated with adverse pregnancy outcomes. However, vaginal bleeding during later stages (13-20 weeks) of pregnancy does not pose a higher risk of miscarriage.
Typical pregnancy outcomes associated with abnormal vaginal bleeding include preterm birth (before 37 weeks), low birth weight (less than 500gm), preterm labour, and premature rupturing of the placental membrane. Studies showed that preterm labour and premature rupturing of membrane occur primarily due to structural defects in the placenta or impaired placentation.
What Methods Can One Utilise for Diagnosis?
Physical Examination for suspected threatened miscarriage.
A physical examination is the simplest method used to diagnose a suspected, threatened abortion or miscarriage. A physician may conduct a pelvic exam to look for the actual source of bleeding. During this method, the physician examines a pregnant woman’s reproductive organs to determine the intactness of her amniotic sac.
Ultrasound is an advanced diagnostic tool used for the determination of various complications associated with pregnancy. There are two types of ultrasounds (abdominal and transvaginal) that are usually used to diagnose a suspected threatened miscarriage.
A transvaginal ultrasound utilising an ultrasound probe that inserts 2-3 inches into the vagina is comparatively more accurate than abdominal ultrasound. A transvaginal ultrasound creates more precise and detailed images of the reproductive organs and leads to a more precise diagnosis of a suspected condition.
Blood tests can also be performed to check the abnormal hormone levels, particularly of human chorionic gonadotropin (HCG) and progesterone. These two hormones are involved explicitly in maintaining the pregnancy and any abnormality in the levels of these hormones indicates some problem.
How One Can Deal with Such Pregnancy-Related Complications?
If you are diagnosed with a threatened miscarriage or have miscarriage-related symptoms, then the first thing you must do is to consult your physician. Follow-up the instructions of your prenatal provider and take care of yourself in the best possible manner. Indulge yourself in healthy distractions to overcome the agony of this painful period of waiting.
Take maximum rest and do not douche or insert anything into the vagina. Hormone treatment or the use of progesterone, vitamin, or folic acid supplements is often found to be very useful in treating and preventing pregnancy-related complications and miscarriages.
miscarriage at 20 weeks
Question about having a miscarriage at 20 weeks gestation: if you have a miscarriage at 20 weeks what happens to the baby can i have a private funeral service id like our baby daughter to go in my mothers grave we have the grave deeds is it possible?
if you have the grave deeds you first needs to see who inherits the grave for instance if you and your husband wanted to go in the grave and you had a sister then you and your sister could use the grave. You may need to seek their permission and have the paperwork transferred over to place baby coffin in the plot. Rules are changing all the time but usually it can be opened for ashes to be put inside.