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MISCARRIAGE

About 25% of all pregnant women suffer blood loss after a positive pregnancy test. In half of these cases this indicates a miscarriage. Blood loss can have multiple causes like a friable cervix, an inflammation or a polyp.

 

A loss of early pregnancy

A miscarriage is the loss of an early pregnancy in the first four months. Vaginal blood loss is usually one of the first symptoms, or there is not a vital pregnancy at the periodic ultrasound. From at least seven weeks of pregnancy the heart can be observed with an ultrasound. The cause of an early miscarriage is usually a construction disorder which causes the development to stop. This results in a halt in the growth of the amniotic sac. There is nothing you can do to prevent a miscarriage from occurring.

When a miscarriage is diagnosed there are three ways in which a miscarriage can take place:

1

Wait until the miscarriage occurs spontaneously;

2

Apply medication (misoprostol) which the miscarriage often occurs quicker.

3

Curettage, a procedure in which the gynaecologist removes the pregnancy tissue. This happens in theatre “the operating room” under intravenous sedation. This is a one day surgery. See the Rondom brochure.

Recovery

A miscarriage is an emotional and sad event. You are expecting and that expectation is suddenly gone. Emotions like sadness, guilt, disbelief and anger are very common. Take your time process this event. During this time we will be calling you frequently and we are there for you day and night for any questions or problems.

Abortion

There can be circumstances where you notice that this pregnancy is unwanted. In that case you can opt for an abortion. It is often a difficult decision to have an abortion. However, it could be the right decision for you or both of you.

In the Netherlands you have the choice to have an abortion until 22 weeks of pregnancy. You can go to an abortion clinic, for example the Bloemhove kliniek in Heemstede. When contacting a clinic you should take into account that there are five days of reflection time after the first intake and before the procedure will take place. This reflection time is determined by Dutch law. If you are having doubts about abortion it is advisable to find help quickly in making this decision. You can contact the abortion clinic, your general practitioner, FIOM, a psychologist or our practice.
The decision of breaking off or keeping a pregnancy can be immensely tough and bring along strong emotions. We think it is important that you or the both of you should know that you are allowed to ask for the support of professionals on this matter. If you have or have just had a miscarriage you can always call us. For example, if you are worried, are suffering from significant blood loss or if you feel like passing out or are not feeling well. You can reach us 24/7.

Getting pregnant again

Usually a miscarriage does not mean an increased risk in the next pregnancy. You can have intercourse again after the blood loss had stopped. Getting pregnant again after a miscarriage won’t be any more difficult due to a miscarriage and it is not necessary to wait any longer with starting to get pregnant again.

For each woman that wants to get pregnant it’s important to maintain a healthy lifestyle and take folic acid.
If you get pregnant again, we can make an appointment for an ultrasound around the eighth week of pregnancy. This is a vaginal ultrasound to examine whether it is a vital pregnancy. The next ultrasound where we determine the period of pregnancy is always around the 10th week of the pregnancy.