It's natural to search for answers if you’ve lost a pregnancy. Your GP will recommend this timing because very early scans can give uncertain results. But if you're very worried at the start of your next pregnancy, your GP may request a scan at about eight weeks. Most women go on to have a successful pregnancy the next time round. Will a missed miscarriage happen to me again?If you've had a miscarriage, it's natural to feel anxious that it could happen again. Surgical managementMinor surgery under anaesthetic to remove pregnancy tissue from your womb. You may be offered tablets to swallow or a pessary to insert into your vagina. Medical managementYour doctor will give you a medicine called misoprostol to help along completion of the miscarriage. Expectant managementWait and see if nature takes its course and you miscarry naturally. Your healthcare team should be able to explain the treatment options clearly, so you can make the decision that’s right for you. You may need some time to think about it. You don't have to decide immediately what you'd prefer to do. How is a missed miscarriage treated?There are several ways your missed miscarriage may be treated. See what seven Bab圜entre mums had to say about healing after a pregnancy loss. There are many emotions to cope with after a miscarriage. Or, depending on what they see, they may ask you if another sonographer can carry out a vaginal scan to immediately confirm the diagnosis. This means they'll offer to examine you again in at least a weeks time. How is a missed miscarriage diagnosed?If your sonographer thinks you have a missed miscarriage based on your ultrasound, they'll need to confirm with a follow-up scan, to be sure. It may also give you comfort to know that most women go on to have successful pregnancies after a missed miscarriage. Sadly, up to one in five pregnancies end in miscarriage in the first three months of pregnancy (the first trimester). How common are missed miscarriages?You may find it reassuring to know that you're not alone in going through this loss. Alternatively, perhaps there were the right number of chromosomes, but a piece of one was missing or duplicated. At the moment of conception, when the sperm meets the egg, 23 chromosomes from each parent should meet, to make 46 in total. Perhaps your embryo had more or less chromosomes than is typical. The reasons for this aren’t certain but researchers believe that it’s often caused by chromosomal variations. What causes a missed miscarriage?A missed miscarriage usually happens because something went wrong in your early pregnancy. Lots of people go through a period of grief, anxiety or depression and you and your loved ones should give yourselves time to come to terms with it. The news will be a shock, particularly if you had an earlier scan that showed a heartbeat. This is when you may be told either that the pregnancy sac is empty, or that your baby has no heartbeat. Your breast tenderness may ease, and any nausea may stop before you expected it to.īecause these signs can be subtle and you won’t necessarily experience the usual miscarriage symptoms, such as cramping pain or vaginal bleeding, you may not find out that anything's wrong until your first ultrasound scan. However, if your hormone levels are starting to fall, those signs may decrease slightly. This means that if you took a pregnancy test, it may still give you a positive test result for a little while. Your body may still give you signals that you're pregnant because your placenta can develop and produce a pregnancy hormone called human chorionic gonadotropin (hCG). Occasionally it happens beyond the first few weeks, perhaps at eight weeks or 10 weeks, or even further on. Or it may be that your baby started to grow, but then stopped growing and they have no heartbeat. This is called an anembryonic pregnancy, which is also known as a blighted ovum. In a missed miscarriage, it may be that your embryo didn’t develop at all and the pregnancy sac is empty. This is a missed miscarriage, also called a silent or delayed miscarriage. This means you won't immediately know that anything has happened. Your baby doesn't continue to develop but your body doesn’t pass any pregnancy tissue and you don't experience pain or bleeding. What happens in a missed miscarriage?After conception, a fertilised egg implants in your womb (uterus). Any pregnancy loss is devastating, but a missed miscarriage can also be a big shock because you may not have known anything was wrong. Unfortunately, it is often only discovered during a routine scan in the early weeks of pregnancy. A missed miscarriage is a term used to describe what happens when your baby stops developing in early pregnancy but without any of the usual signs of a problem, such as bleeding or cramping.
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