Frozen pregnancy is an interruption prenatal development fetus long before the due date, that is, the death of the fetus. At the same time, the condition does not manifest itself for some time, and the embryo is in the uterus, so the pathology is also called a failed miscarriage. Pregnancy fading can occur in every woman, regardless of her age. Statistics show: about 20% of all registered pregnancies are non-developing.

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Types of missed pregnancy

Depending on the timing and course of the process, there are two types of pregnancy fading:

• Empty fertilized egg. A frozen pregnancy of this type is diagnosed when the conception was successful (the egg was fertilized and fixed to the uterine wall), and the embryo does not develop at all. In other words, there is a full-fledged formation of extra-embryonic organs, and the fetus is absent in the egg.
• True fetal death. The fetus formed, but for some reason stopped developing and died. Termination of fetal development can occur at any stage of pregnancy, but most often it happens in the first trimester. Fading pregnancy can occur due to the influence of many factors. Often there are cases when doctors cannot determine the true cause of fetal development. This is especially dangerous, since if it is impossible to influence the cause, the situation may repeat itself many times.

Why pregnancy freezes: the reasons are commonplace

It is known for certain that the following can provoke the occurrence of this pathology:

• genetic abnormalities is the leading cause. It usually manifests itself in the initial period (up to 8 weeks). Hereditary diseases can be transmitted both through the female line and through the male line. Medicine cannot influence this factor, therefore, when repeating missed pregnancies, couples are offered to use reproductive technologies.
• Hormonal disorders. Occur due to a lack of progesterone in the body of a woman, without which the embryo cannot develop, and an excess of male hormones - androgens. Hormonal failures can be diagnosed and cured even before the start of pregnancy. To do this, you need to contact a gynecologist and .
• Artificial insemination . Most cases of fetal fading occur precisely with this type of conception and pregnancy, since conception occurs in laboratory conditions. This already suggests that the couple had serious problems conceiving or bearing a fetus. The chances of a successful pregnancy under such conditions are 20-25%.
• Alcohol abuse, smoking, drug use, certain medications . That is why doctors recommend temporarily refusing to take medication, especially at an early stage, when the child is not yet protected. The exception is serious diseases for which medical treatment is necessary.
• Rhesus conflict between woman and fetus . It occurs for two reasons: with the incompatibility of the Rhesus blood of partners and after artificial abortions. The chance of successful pregnancy is significantly reduced if an abortion has been previously performed. The body accumulates antibodies produced in relation to the fetus, and it is difficult for the child to resist such an attack. Concerning latest version, for a long time it was considered only an assumption, but now studies confirm that fading of pregnancy after an abortion is common.
• Negative factors and chronic diseases . Weight lifting, stressful situations, diabetes, air travel, etc. These factors are temporary, but if the pregnancy froze for one of these reasons, you need to draw conclusions and not repeat the situation.

Infections that cause fetal death at different times

• Infectious diseases . The onset of pregnancy is always a decrease in a woman's immunity, so her body is open to bacteria and infections. Future child can also become infected. There are a number of very dangerous infections for the fetus - they are called complexTORCH. This includes rubella, toxoplasmosis, cytomegalovirus. At not only a frozen pregnancy is possible: if the fetus survives, severe anomalies await it. And even the usual flu, chickenpox or SARS carry a huge danger for both the woman and the fetus. These diseases affect the blood circulation of the expectant mother. This results in a lack of oxygen and nutrients the child and the fetus dies. Prevent miscarriage resulting from It's not difficult - you need to take tests for the TORCH complex before pregnancy. If it was not possible to do this before pregnancy, you need to undergo an early diagnosis.
• Sexual infections (STIs, STDs) . Mycoplasmosis, chlamydia, ureaplasmosis, syphilis, gonorrhea and other STIs are of great danger to pregnancy. Also, as in the case of torch, a woman who is not cured of an infection is threatened with a miscarriage, fading of pregnancy, or early childbirth. And the baby, if he is born alive, will have to pay for the carelessness of his parents with a disability. STD infections are also easily detected at a gynecological appointment - enoughtake a swaband wait for test results.

Symptoms of a missed pregnancy

The first thing that should alert a woman is the disappearance of signs of pregnancy: nausea, vomiting, intolerance to odors, etc.

At all stages of pregnancy, fetal fading has almost the same symptoms:

• spotting bloody vaginal discharge;
• general weakness, chills, internal trembling;
• high body temperature;
• pulling cramping pain in the lower abdomen;
• toxicosis has stopped;
• low basal temperature;
• the size of the uterus does not correspond to the gestational age;
• stop the growth of the mammary glands;
• complete absence of fetal movement (in the second trimester).

Abdominal pain or bleeding is a symptom of not only a missed pregnancy, but also a miscarriage - this is also a dangerous condition. If you notice at least one of the signs of a missed pregnancy, contact your gynecologist immediately - he will refer you to , where it will clearly determine the condition of the fetus at any time.

The second test that confirms the fears is an analysis forchorionic gonadotropin (hCG). taken to confirm pregnancy early dates. With a frozen pregnancy, hCG levels first stop, and then their level decreases.

The doctor on ultrasound sees the absence of an embryo in the fetal egg (in the first type of missed pregnancy), the absence (or presence) of a heartbeat in the fetus and the growth of the embryo (in the second type of pregnancy) ..

What is the danger of fetal fading and what to do if it happens?

When diagnosing a missed pregnancy, one should not hesitate, the fetus must be removed as soon as possible. If this is not done, the following complications are guaranteed:

• Intoxication (severe poisoning) . The tissues of the dead embryo begin to disintegrate, and the decay products are immediately absorbed into the woman's blood.
• Violation of blood clotting.
• Inflammation of the uterus and nearby organs. Severe inflammation will lead to infertility, and if sepsis (purulent infection) begins, the uterus will have to be removed.

When confirming the diagnosis, you need to undergo a course of treatment to eliminate a missed pregnancy and undergo a diagnosis to identify the causes of the pathology - this will protect against relapses in the future.

How is a missed pregnancy treated?

In connection with the most severe complications, with a diagnosis of missed pregnancy, a medical termination of pregnancy is indicated. Treatment is strictly individual. It depends on the characteristics of pregnancy and the woman's body. The following options are possible:

• For periods up to 6 weeks . This low-traumatic technique is necessary if the pregnancy has stopped for a long time and some processes have already begun. The fertilized egg is sucked off with a special device. It is also a low-impact procedure. It is performed using local anesthesia.
• If the period is long, the procedure is carried out . This is actually a real surgical abortion.
• Sometimes, if there are signs of an incipient miscarriage, the doctor uses expectant management so that a spontaneous abortion occurs.

After the extraction of the embryo, a course of antibiotics is prescribed to prevent endometritis and chorionamnionitis. After 1-2 weeks, a woman needs to undergo an ultrasound examination to make sure that the uterus is clean and healthy, postoperative recovery is successful.

The extracted embryo must be sent for histology. An additional genetic study of its tissues is carried out if there is a suspicion of a chromosomal pathology.

How to make sure that a frozen pregnancy does not happen again?

To determine the causes of fetal freezing and prevent its possible recurrence, both partners must undergo an examination. Spouses will be assigned:

• tests for thyroid hormones and sex hormones;
• screening for all sexually transmitted infections;
• screening for TORCH infection.

In addition, a woman undergoes an ultrasound examination of the pelvic organs, a blood test is taken for coagulation and for.

Any treatment and prevention will directly depend on the cause found. If the test results are normal, then treatment may not be required at all: genetic disorders most likely provoked the pathology.

To prevent a recurrence of the situation, the doctor prescribes oral contraception and a balanced diet with multivitamins to the woman. This will not only strengthen the body, but also prepare for future pregnancy. Subsequent conception is recommended to be planned at least six months later. The prognosis after a missed pregnancy, if the cause was found and eliminated, is positive. The probability of the situation repeating is less than 10%.

The fetus froze - this is perhaps one of the most terrible words from a doctor for a couple who dream of children. You can hear them for various reasons at the very beginning of the development of a new life (the most dangerous are from 3 to 4, from 8 to 11 and from 16 to 18 weeks from conception). Sometimes the diagnosis is made at a later date, but the likelihood of hearing it is much lower. An analogue is the development of an empty gestational sac: in this case, fertilization has occurred, but the embryo does not develop. Pathology occurs spontaneously, maybe several times in a row throughout a woman's life. From it, unfortunately, no one is immune. However, it is better to know the causes and signs of a missed pregnancy in the early stages in order to take action in time and consult a doctor, as well as prevent the development of pathology before conception. Anything can influence the development of a small life. And the worst thing about it is that it’s not so easy to notice the changes.

Why is there a frozen pregnancy in the early stages? This question excites and frightens young mothers. There are actually quite a few reasons:

• Genetic deviations occupy a leading place. They are diagnosed in 70% of cases for up to 8 weeks. They are associated with many factors, including hereditary diseases, as well as the result of taking drugs by one of the partners. That is why it is important not to refuse screenings and other examinations proposed by a geneticist and gynecologist.

• Excessive use can also provoke developmental arrest. It is especially dangerous if the mother cannot give up bad habits after conception.
• Medications can also provoke the development of abnormalities. That is why the doctors themselves strongly recommend to refuse any medication. An exception can only be serious diseases, the treatment of which folk remedies just impossible. It is worth noting that for up to 10 days and after 8-10 weeks, when the fetus becomes partly protected by the placenta, the effect of the drugs is not so significant. As for herbs, they also need to be taken only under the supervision of a doctor, because some of them can provoke a breakdown or stop in the development of the embryo.
• The causes of a missed pregnancy in the early stages may lie in the mother and child. If a woman has had abortions before, then the chances of a happy development are not so great. Antibodies produced by the mother's body in relation to the child accumulate over time. And after several abortions, it is very difficult for a conceived baby to resist such an attack.
• Infections of both the genital organs and viral (flu) are a serious threat at the very beginning of the birth of life. The mother’s body is already weakened by the new situation, so it’s not at all difficult to get sick. But here are the consequences high temperature, virus attacks can be very severe. Rubella is a formidable enemy, in the event of which pregnancy not only freezes, the fetus may develop severe anomalies. And already in this case, the mother will have to decide whether she can raise a special child or is it better to terminate the pregnancy.

Consequences of congenital rubella for a child

• Hormonal disorders. And non-developing pregnancy in the early stages, the reasons for which lie precisely in this factor, it can freeze both due to a lack of prolactin and an excess of testosterone. If a woman has regular disruptions of the menstrual cycle, then it is imperative to be examined during planning, as well as regularly check the state of the hormone after conception.
• Harmful factors at work, diabetes, weight lifting, stress - all these factors can also cause the development of pathology.

Women who have a higher risk of developing pathology

But not only this lies the answer to the question of why early pregnancy freezes. Doctors allocate certain group risk, which includes:

• old-timers or expectant mothers over the age of 35;
• in the presence of multiple abortions in the past;
• if during a previous pregnancy were ectopic;
• in the presence of a congenital anomaly of the uterus.

In the presence of one or all factors, the woman will be under constant medical supervision.

Expectant mothers who do not want to visit a gynecologist in the early stages also fall into the risk group. There can be many reasons for such a decision, but the result will be a serious threat to the health of not only the woman, but also the child.

What are the signs of a missed pregnancy?

The saddest thing is the fact that the symptoms of a missed pregnancy in the early stages are not pronounced. So future mom may not even be aware of a change in the condition of the fetus. Only a qualified doctor, after examining and prescribing an additional examination, can state the absence of embryo development.

You should not look for symptoms of an undeveloped pregnancy in the early stages and, even more so, ask for advice from friends or on forums. In each case, everything goes purely individually and depends on many factors.

Symptoms of an approaching disaster

At a later date, it is easier for a woman to navigate, because she already feels the baby move. This is very difficult to do early on. A frozen pregnancy, the signs in the first trimester of which may be similar to less serious abnormalities, manifests itself as follows:

• passes;
• no more ;
• lowered;
• cramping pains began to appear;
• smearing appeared (discharge during a frozen pregnancy in the early stages has just such a consistency and a red-brown color);
• increased overall body temperature.

If any of these symptoms are detected, a woman should immediately consult a doctor! If the signs of pregnancy have disappeared, then this should also alert mommy and become a reason to visit a specialist!

What does a pregnant woman feel during the development of pathology

Feelings during a frozen pregnancy in women are very different. They are even affected by the fact whether this happened for the first time or whether a similar situation has happened before. Fatigue, apathy, fever - all this in any case should alert the expectant mother.

It is worth noting that all the symptoms that indicate the development of pathology may turn out to be false! No need to immediately set yourself up for the approach of a disaster. Quite often, they turn out to be similar to less serious ones, or the body is simply reconfiguring.

Diagnosis of the fact of fetal fading

Only a doctor knows exactly how to recognize a missed pregnancy at an early stage. To do this, he will do the following:

1. , evaluate the state of the secreted mucus, ask to measure the basal temperature.
2. If there is a suspicion of a deviation from the norm, the doctor will send the pregnant woman to pass. However, it is worth noting that hCG during a missed pregnancy in the early stages can be completely within the normal range for several weeks after the death of the fetus. And yet, more often, a urine test will show an underestimated level of the hormone, which is uncharacteristic for the first trimester.
3. The final stage of examinations will be an ultrasound. With the help of an ultrasound examination, it will become clear whether the heart of the embryo is beating or not.

Tellingly, a test with a frozen pregnancy in the early stages can show all the same two stripes. This is again related to the level of hCG in the urine.

After the specialist makes sure of the diagnosis, he will choose the necessary set of procedures for the mother, and also in the future will help her prepare for new pregnancy.

What do doctors do if the fetus froze

Depending on how a frozen pregnancy manifests itself in the early stages, as well as directly on the number of days from the moment of conception, the doctor will choose the most alternative method of treatment. After all, when such a diagnosis we are talking already about saving the life and health of the mother. There are two main methods of treatment:

• With the help of drugs that provoke. Applies up to 8 weeks.
• (vacuum aspiration). Under anesthesia, the woman is cleaned of the uterine cavity, using a vacuum suction.

In any case, you will definitely need professional help, because in order to avoid adverse consequences, it is necessary to clean the uterine cavity (the remains of the amniotic egg, which will be indicated by ultrasound).

There is a third option, in which even the woman herself does not have time to realize that she was pregnant. This is a spontaneous abortion. If the fetus froze almost from the first days of life, then the body can reject it like a foreign body. In this case, a woman will simply notice a delay in menstruation. Sometimes doctors prefer to observe the patient's condition, waiting for a spontaneous abortion, so as not to interfere with the body once again.

Why is it so scary not to see a doctor in time

Sometimes a woman does not fully realize how difficult the consequences of a missed early pregnancy can be for her. But the body itself does not always reject the fetus. If an embryo that has stopped developing is in the womb for a long time, then intoxication is likely to develop. In this case, not only the temperature rises, the woman begins to suffer from acute pain and weakness, it is quite possible to delay the time until the blood becomes infected with the elements of fetal decay.

If the gestational age is more than 6 weeks, then in this case the woman has every chance of earning disseminated intravascular coagulation (DIC). The danger is that the blood loses its ability to clot. As a result, a woman can die from bleeding.

How to prevent fetal fading during pregnancy

A couple, regardless of whether they are preparing to become parents for the first time or have children, must undergo an examination. It is he who will be able to reduce the risks and give an answer on how to avoid a missed pregnancy in the early stages in their case. The doctor will offer to pass several tests: hormones, genetic examinations, ultrasound of the pelvic organs, blood for infections and other additional ones that will be prescribed taking into account the anamnesis of the parents. It is also recommended to refrain from conception for up to six months after diseases such as SARS, influenza, chicken pox.

If a woman works in a children's team, then she will be asked to get preventive vaccinations. Additional will need to adjust the hormonal background. Do not ignore a visit to a geneticist. A healthy lifestyle will only increase the chances of becoming parents. In the first months, it is recommended to refrain from flights, a sharp change in climate and prolonged exposure to the sun.

If the previous pregnancy ended in a halt in the development of the embryo - do not give up! With proper planning, the chance of carrying out and giving birth normally is 80% -90%. And how to prevent a frozen pregnancy at an early stage will be prompted by a gynecologist involved in the management of a couple.

Pregnancy after fetal arrest

Doctors predict good chances of conception only on the condition that the couple will not ignore the visits of specialized specialists, undergo a course of treatment, and also give up the thought of a child for the next six months after an unsuccessful experience. On average, such a period is necessary not only for a detailed examination and finding out the cause of pregnancy fading, but also for the physical recovery of the mother's body.

Sadly, but with 100% certainty, it is possible to say exactly about the reasons for stopping a pregnancy in quite rare cases. However, parents do not need to despair! Try to avoid stress, harmful factors, and don't forget to get tested - and let everything work out for you, and the baby will be born healthy and happy!

Not always a successful pregnancy ends with a positive outcome. In medical practice, the first trimester is considered the most dangerous period of time when carrying a child, during which various complications can occur, leading to the death of the fetus.

A frozen pregnancy is a pathology in which the fetus stops growing and developing, it dies in the womb. Sometimes this complication ends spontaneous miscarriage. However, quite often the dead embryo remains in the uterine cavity, which can cause inflammation, and if the process worsens, sepsis is a serious infectious disease in which microorganisms circulate in the blood.

10 Signs of Missed Pregnancy

No toxicosis

The cessation of morning sickness and vomiting is a sign of a missed pregnancy in the first trimester. However, women do not always pay attention to this phenomenon, because they believe that the unpleasant symptoms have simply passed, and the body has adapted to the appearance of the child. As a rule, toxicosis during a frozen pregnancy ends very abruptly. Usually, this symptom does not appear immediately after the death of the fetus, but after a few days or even weeks.

Return of the breast to the state before the conception of the child

The absence of swelling of the mammary glands and hyperpigmentation of the nipples is another sign of a missed pregnancy. These changes in the chest are also dramatic. In addition, the signs of a missed pregnancy include a one-time cessation of colostrum secretion, if it was secreted earlier.

Decrease in basal body temperature

If a pregnant woman follows her own, then when it decreases, a missed pregnancy can be suspected. When the fetus dies, the thermometer displays a temperature of less than 37 degrees Celsius (usually 36.4-36.9). However, on this basis of a missed pregnancy in the first trimester, it is impossible to accurately diagnose, since an incorrect measurement or thermometer error is possible.

The appearance of pain

The appearance of pain similar to menstrual pain in the lower abdomen may indicate a missed pregnancy. However, this symptom appears after a long period of time, sometimes up to several weeks after the death of the embryo. On the contrary, pulling pains in the lower abdomen, accompanied by spotting, often speak of.

Pathological discharge from the vagina

The appearance of spotting vaginal discharge streaked with blood or red may be a symptom of a missed pregnancy. But much more often this symptom indicates the beginning of a spontaneous miscarriage.

Increase in body temperature

In the presence of an infectious process in the uterus due to the decay of a dead fetus, a woman has an increase in body temperature to subfebrile values ​​​​(up to 38 degrees). However, if this process begins to be systemic, hyperthermia is possible up to very high values ​​​​(40-41 degrees) and the general serious condition of the woman's body.

Missed pregnancy is not a rare complication and can occur in a completely healthy woman, therefore, when making this diagnosis, you should not despair too much, since the probability of the next successful childbearing and subsequent birth is 80-90%.

Lack of drowsiness, fatigue

With a decrease in progesterone due to the death of the fetus, its effect on the woman's body decreases. She no longer feels tired and sleepy. This sign of a missed pregnancy is extremely unreliable, however, if there are other symptoms, a woman should be examined.

No rise in hCG

With a frozen pregnancy, chorionic gonadotropin ceases to increase after the death of the fetus, and then it begins to decrease altogether. Therefore, if this pathology is suspected, the dynamics of hCG should be monitored by passing a second analysis after 2-3 days.

Gynecological examination

During the examination, the obstetrician-gynecologist measures the volume of the uterus. During a frozen pregnancy, there is a lag in size, which can serve as a diagnostic criterion for pathology. However, this sign cannot be used in the first weeks of the gestational age, since at this time the volume of the uterus practically does not differ from its dimensions before conception.

ultrasound

During an ultrasound examination, the doctor can detect a missed pregnancy. This method is considered the "gold" standard in the diagnosis of this pathology. The absence of heartbeats and the lag of the fetus in size are the main symptoms of a missed pregnancy with ultrasound.

Behavior during a frozen pregnancy

If subjective symptoms of a missed pregnancy appear, you should immediately consult a doctor for a thorough diagnosis. If this diagnosis is confirmed with the help of a blood test for hCG and ultrasound, measures are taken to remove the embryo from the uterine cavity.

Sometimes doctors take expectant tactics, the purpose of which is the spontaneous onset of a miscarriage. When this does not happen, or the fetus died a long time ago and there is a possibility of infection of the uterus, an abortion is performed. With a period of less than 8 weeks of pregnancy, it is possible to use artificial miscarriage with the help of.

At short gestational ages, it is possible to use vacuum aspiration, most safe method surgical abortion. In the later weeks of pregnancy, cleaning of the uterine cavity is used. This procedure is performed under general anesthesia, the resulting materials are sent for histological examination.

Risk group

A frozen pregnancy can occur in any, even a completely healthy woman. Usually it is associated with congenital anomalies of the embryo that are incompatible with life, or due to increased emotional and physical stress. The risk group for this pathology includes those who have an untreated sexual infection, as well as those who have a history of abortion or recurrent miscarriage. In addition, the chances of developing a missed pregnancy in people with somatic diseases such as diabetes, thyroid dysfunction and thyrotoxicosis are increased.

Sometimes pregnancy ends due to fetal fading. The death of a long-awaited child can occur on different terms pregnancy. What to do in this case?

One of the most difficult tragedies in a woman's life is missed pregnancy. Unfortunately, this sometimes happens, despite the woman's compliance with all the recommendations of the gynecologist. The realization that the life of a long-awaited child was cut short even before the baby appeared in this world can cause serious depression in both parents.

Most often, missed pregnancy occurs in the first trimester.

It is the risk of freezing of the fetal egg that makes the first 12 weeks of pregnancy the most critical. This pathology occurs in about 13% of women. As a rule, a woman does not immediately discover that her baby's heart has stopped beating. The first signs of the freezing of the fetal egg can appear only 2-3 weeks after the tragedy. It is through this period of time that a non-developing fetal egg begins to be torn away from the uterine mucosa. The fetal egg can leave the woman's body on its own, but in some cases, part of the fetal membranes remains in the uterus.

Missed pregnancy can happen in women of any age. Such a tragedy is due to the impact on the body of a pregnant woman of multiple circumstances. To reduce the risk of death of the fetal egg in the first trimester of pregnancy, it is necessary to be fully examined by a gynecologist even before conception.

Signs of fetal fading at a later date are significantly different from the symptoms of a frozen pregnancy in the first trimester.

One of the varieties of missed pregnancy is anembryony - a condition when conception occurs, but due to the influence of environmental and internal factors on the body, the embryo does not develop, that is, a woman is diagnosed with the presence of an empty fetal egg in the uterus.

Causes of missed pregnancy

Gynecologists still cannot pinpoint the exact cause of fetal fading. In the early stages of development, in the first weeks of pregnancy, the reason for stopping the development and dying of the embryo is severe malformations that are incompatible with life. Genetic disorders occur in 70% of all miscarriages.

The death of the fetus at a later date (after 14 weeks) is often provoked by the viral and infectious diseases. Sometimes the cause of fetal death is an abdominal injury caused by a fall or blow to the mother.

In gynecology, there are cases when a normally developing pregnancy freezes for no apparent reason. Some women may have several of these cases in a row. In any case, you should not lose heart and put up with the problems of miscarriage. To understand the cause of the tragedy, a woman should be examined by a gynecologist.

Pregnancy fading in the early stages can happen due to the impact on the body of such factors:

• Father's smoking during pregnancy planning;
• The use of alcohol and drugs by a woman in the first weeks of pregnancy;
• The presence in the body of a woman of such infections as cytomegalovirus, rubella, ureaplasmosis, herpes, papillomavirus, mycoplasmosis and others;
• Infection of a woman with sexual infections (gonorrhea, syphilis, trichomoniasis);
• Serious hormonal disruptions;
• Diseases of the endocrine system (maternal diabetes);
• The presence of Rh-conflict (with negative Rh factor in the mother and positive in the fetus) - the woman's body perceives pregnancy as something alien and tries by all means to get rid of the fetus;
• Lifting weights in early pregnancy;
• Constant stress of a pregnant woman.

At risk are women after 35 years of age, patients who have had many abortions in the past, women with congenital anomalies in the development of the uterus.

How to recognize a frozen pregnancy at an early stage?

The most accurate and reliable way to diagnose fetal fading in the early stages is to conduct an ultrasound examination of the uterus. With the help of ultrasound, it is possible to accurately determine the presence or absence of heart contractions in a growing embryo. A normally developing pregnancy can also be diagnosed based on the results of a blood test for the level of the hCG hormone; every day, the levels of chorionic gonadotropin in the blood increase.

You can determine the fading of the fetus using ultrasound

The expectant mother herself may suspect a threat of miscarriage and a possible fading of the fetus due to the appearance of spotting bloody discharge from the external genitalia. This symptom is characteristic of the cessation of the fetal heartbeat in early pregnancy. In the later stages, in the second and third trimester, a woman may suspect that something is wrong with her baby due to the lack of movement for several hours.

When the fetus fades in the early stages of pregnancy, a woman, in addition to spotting, may experience severe cramping pains in the lower abdomen. If before that a woman suffered from toxicosis, then when pregnancy fades, all symptoms of ailments disappear sharply.

If a woman ignores the above signs and does not turn to a gynecologist, then symptoms of severe intoxication of the body soon develop - nausea, vomiting, fever up to 39 degrees, increasing weakness and pallor skin. Blood pressure drops and the pulse becomes thready. In the absence of an emergency medical care the woman develops sepsis and death.

As a rule, when the fetal egg freezes in the first weeks of pregnancy, the body gets rid of the embryo on its own. The uterus begins to contract intensively, removing the fetal egg and its membranes from the body. Uterine contractions provoke pain in the lower abdomen and lower back in a woman, as well as intense spotting and clots from the genital tract.

In any case, a woman should appear to a gynecologist. It happens that the fetal egg is not completely removed from the uterus, then the woman is prescribed a surgical “cleansing”, during which the remains of the embryo and its membranes are scraped.

Signs of a late pregnancy

Alas, sometimes it happens that a woman goes through the tragedy of losing a child in late pregnancy. The cause of fetal death is infectious diseases transferred by the mother, abdominal trauma or strangulation of the child by her own umbilical cord.

In the later stages, the fetus may freeze from infection or injury.

You can recognize the symptoms of the termination of a baby's life in late pregnancy by the absence of movements for more than 5 hours.

A woman can feel the first movements of the fetus, starting from the 17th week of pregnancy. As the child grows, the intensity of the baby's movements only increases. The expectant mother can accurately determine when her baby is sleeping and when she is awake. Of course, it all depends on the activity of the kids, some kids push often and intensely, and some develop more calmly. However, if the baby does not move for more than 4 hours, and during various conversations with the child and stroking the abdomen, there are no movements on his part, the woman should urgently contact the department of the maternity hospital. No need to wait for time, believing that the baby is just sleeping. The absence of movements may indicate a strong oxygen starvation of the baby, for example, as a result of a tight entanglement of the umbilical cord around the neck or torso. If the expectant mother immediately consult a doctor, then the life of the baby can possibly be saved.

One of the clinical symptoms of a missed late pregnancy is a change in the mammary glands. If the death of the fetus occurred before the 25th week of pregnancy, then the breast in most cases abruptly returns to its previous size, however, if the pregnancy froze after the 25th week, then colostrum may begin to be released from the mammary glands.

Of course, there are also women who absolutely do not listen to the movements of their baby and cannot say for sure when the fetus moved for the last time. Fortunately, there are very few such people. However, it should be said that another symptom of a missed late pregnancy is the appearance of pain in the lower abdomen and lower back, nausea and vomiting. As well as a significant reduction in the volume of the abdomen. The last symptom is due to the fact that during the death of the fetus, the amount amniotic fluid decreases. These symptoms can be observed in a woman a few days after the death of the fetus in the womb.

Of course, the death of a fetus is a terrible tragedy, especially for those women who already felt the movements of their baby well, talked to him, stroked their tummy. All this can lead to severe prolonged depression and apathy in a woman. If such a tragedy nevertheless occurred and the doctors confirmed the death of the baby in the womb, then the question of delivery arises. One way or another, a dead fetus cannot remain in a woman's uterus, as this can lead to the development of sepsis and death. Depending on the gestational age when the tragedy occurred, a woman may undergo surgical cleaning or induce labor. Sometimes doctors can remove a dead baby from the womb with a small caesarean section.

Life after tragedy

A woman should understand that, despite the depression that happened to her after the loss of the desired baby, before planning a new pregnancy, you need to find out the cause of the fetal fading. If the parents do not know what could have caused the death of the baby, then both of them are shown a comprehensive gynecological and urological examination. This examination includes a consultation with a geneticist, an endocrinologist and tests for latent sexual infections. After establishing the cause that provoked the fetal fading, and undergoing treatment, spouses should plan a new pregnancy only 6-12 months after therapy.

It is desirable to find out exactly the cause of fetal fading

Planning for a new pregnancy

What period a married couple needs to wait before planning a conception after a missed pregnancy is determined by a gynecologist, depending on the cause of fetal death. This period is at least six months. Until the doctor has given permission to plan a new pregnancy, the spouses must be protected by a method suitable for them. Do not worry about the fact that a woman will be haunted by the same fate when a new pregnancy occurs. Such fears are sometimes completely unfounded. In most cases, a missed pregnancy is an isolated case for every patient who has experienced this grief, and does not at all indicate that the next time it will be the same.

However, you need to understand that in order not to encounter this disaster again, a married couple must carefully prepare for a new conception. To do this, the spouses must be examined and, if necessary, undergo a course of treatment.

A healthy lifestyle of spouses before the planned conception significantly increases the chance of a successful pregnancy. It is very important that not only the woman, but also her husband prepares for a new pregnancy. To do this, the couple must give up bad habits, revise their diet, engage in light physical exercise and spend more time in the fresh air. It is advisable if a woman starts taking prenatal vitamins before pregnancy. Thus, when the desired conception occurs in the fetus, the risk of congenital malformations of the neural tube is significantly reduced.

Separately, it must be said about the moral support of her husband. A woman who has experienced a frozen pregnancy becomes overly suspicious and anxious. She carefully listens to any changes in the work of her body during pregnancy, and looks for signs of a fading of the fetal egg. The task of the spouse is to surround his pregnant wife with care and attention, this will help the pregnant woman to distract from negative thoughts. It is necessary to surround a woman with positive emotions and support in every possible way. The successful outcome of pregnancy largely depends on the morale of the woman.

Of course, it is very difficult to survive such a tragedy as late pregnancy fading, and the depth of grief of parents is simply beyond words. In this case, a woman must find strength in herself and turn all her attention to her health. If necessary, you need to undergo a course of treatment, drink vitamin preparations, go to rest and gain strength before a new pregnancy.

Do not neglect these studies. Thus, the woman will save herself and the unborn baby from a possible repetition of the tragedy. By following all the above tips, a woman will be able to experience the joy of motherhood very soon!

Remember, a frozen pregnancy is not a sentence, a healthy, cured woman cannot have any consequences for the next pregnancy, and she has every chance of giving birth to a healthy baby.

Miscarriage is a pathology in which the fetus stops its development and dies. Another name for this pathology is. Its variety is an empty fetal egg. In this case, the fertilization of the egg occurs normally, but the embryo does not develop further.

Experts still cannot name the exact causes of a missed pregnancy; in the early stages, as a rule, these are serious genetic disorders in the embryo (in 70% of cases).

At a later date, a frozen pregnancy (second trimester and later) can be triggered by infectious diseases of a woman, traumatic effects, etc.

However, there are times when the pregnancy stops for no apparent reason; a woman can have two missed pregnancies and 3 missed pregnancies.

But do not despair! Just as spontaneous conception can occur after unsuccessful fertility treatment, it is also possible to become pregnant after a miscarriage.

At what time is a miscarriage likely to occur?

An embryo development stoppage can occur at any time, but doctors recommend paying special attention to signs of a missed pregnancy at an early stage, i.e. up to 14 weeks. The second trimester of pregnancy, of course, is considered no less dangerous, and if signs of a missed pregnancy are found, you should consult a doctor.

Week 8 deserves special attention. Since it is during this period that the "laying" of all the vital organs of the embryo takes place, and it is subject to the greatest influence of negative factors.

Definition

Missed pregnancy (ZB) is intrauterine fetal death. It can occur at any stage of pregnancy, although it most often occurs in the first trimester. Although the baby's heart begins to beat already in the first two weeks, the mother still cannot determine that a tragedy has occurred, because she often does not suspect that she is pregnant. Sometimes there is a discharge from the vagina, a particular soreness in the lower back.

If during routine examinations it turns out that there is a threat of "fading" of pregnancy, the woman is immediately hospitalized, they try to extend the baby's stay in the womb as long as possible. If the pregnancy is more than 30 weeks, all risks are weighed and a caesarean section is suggested.

A frozen pregnancy can occur at any age, due to the impact on the female body of a variety of circumstances. Therefore, it is so important to undergo systematic examinations by a gynecologist and an obstetrician.

What is the danger?

A pregnant woman makes an irreparable mistake, not coming to the doctor's appointment on time and not attaching importance to the manifestations of signs of a missed pregnancy, both in the early stages and in the second trimester. In rare cases, the pregnant woman's body itself rejects the frozen fetus - the process ends with a miscarriage and a successful outcome for the woman's health. After all, if a frozen fetus is in the womb for a long time, then intoxication can develop with fever, sharp pains and weakness.

With such symptoms of a missed pregnancy, urgent hospitalization is required, where the doctor will prescribe a special drug that will provoke uterine contractions and lead to miscarriage. The sooner this procedure is carried out, the better for the woman herself.

A fetal egg, being in the uterus for more than 6-7 weeks, can lead to disseminated intravascular coagulation - DIC syndrome, which is extremely life-threatening. With this diagnosis, the blood loses its ability to activate the clotting process, then possible bleeding can become fatal.

What is important to remember

In order to tune in and successfully bear the baby in a second pregnancy, you must adhere to several rules:

• consult each time you experience discomfort. Any unusual symptoms signal that you need to see a doctor;
• do not worry. Gynecologists agree that the chance of carrying a healthy baby during a second pregnancy is significantly high;
• find a psychologist. Psychological help- this is the key to success in re-pregnancy;
• try to relax. Find a new hobby, go on vacation, start learning a foreign language - all this gets rid of bad thoughts and sets you up for positive result.

After the scraping procedure, it is important to follow the same regimen as after childbirth: relax physically and mentally.

signs

It is dangerous that fetal death may not be detected for a long time and be asymptomatic for a pregnant woman. There are no problems with detecting a missed pregnancy if the expectant mother regularly takes tests and goes to see a doctor. It is he who can state the fact of a discrepancy in the size of the uterus, taking into account the gestational age, and an ultrasound check will allow you to accurately find out about the heartbeat of the embryo.

How to recognize a frozen pregnancy? In general, in all trimesters, a frozen pregnancy manifests itself in the same way:

• frequent discharge with blood;
• general weakness, chills and internal trembling;
• temperature increase;
• pulling and aching pain in the lower abdomen;
• causeless cessation of toxicosis;
• stop breast augmentation;
• an ultrasound examination ascertains the fact that the child's heartbeat has stopped;
• mismatch in the size of the uterus.

There are such exceptions when the symptoms of a missed pregnancy may have some differences.

The basal temperature during a frozen pregnancy drops to a level characteristic of the absence of pregnancy.

If a woman did not notice a frozen pregnancy on time, and the dead fetus is in the uterus for quite a long time, intoxication may begin, for her characters:

• sharp pain in the groin and lumbar region;
• temperature increase;
• pale skin;
• weakness.

A frozen pregnancy can be complicated by the development of blood and tissue infection - sepsis, since the decay products of a dead fetal egg enter the woman's bloodstream.

Can you feel a frozen pregnancy? It is worth noting that the manifestation of symptoms is extremely individual, and in some cases a woman does not know that the pregnancy has stopped in development, until the next examination. If a woman has feelings of a frozen pregnancy, she needs to see a doctor, but do not immediately panic and do rash acts. It is advisable to get advice from several specialists, at least two.

There is real cases when in one antenatal clinic a woman was diagnosed with a missed pregnancy, and in another they said that everything was in order, and as a result, this pregnancy was resolved by a successful delivery.

Signs of a missed pregnancy in the first trimester

With the cessation of fetal development, the basal body temperature (BT) often decreases. The signs of a missed pregnancy in the early stages are no different from the signs in the second trimester.

Signs of a missed pregnancy in the second trimester

Stopping the development of the fetus in this period has the only addition - this is the cessation of fetal movement. The signs of a missed pregnancy in the late and early stages are exactly the same.

Feel

What can a pregnant woman feel if the development of the fetus has stopped? Feelings can be different depending on whether the woman is faced with a similar situation for the first time or she has already had a sad experience. The most common sensations are an increase in the general body temperature, the appearance of weakness and fatigue, apathy and depression that suddenly began.

It is important to understand that these sensations cannot indicate the onset of pathology with 100% accuracy. These are only indirect symptoms that you need to pay attention to. There is no need to panic if such sensations begin to appear. Such sensations are very often experienced by pregnant women at the beginning of the term due to the fact that the body is simply rebuilt.

Another useful video on the topic:

Causes of missed pregnancy

Sometimes doctors themselves cannot give an exact answer: “What causes a frozen pregnancy in the early stages or in the second trimester?” But there is a list of the main reasons.

genetic failure

Genetic failure is the most common reason why fetal development stops. In 70% of women, fetal fading occurs before 8 weeks, due to chromosomal abnormalities in the fetus. Anomalies in genetics begin to appear quite early, and almost all of them are incompatible with life. Bad genetics can be passed on from both mother and father, or the fault is the unfortunate combination of parental genes. In the event that a woman’s fetus freezes more than three times, then a genetic disorder is to blame for everything.

Hormonal disorders

A hormonal disorder can affect the course of pregnancy for two reasons:

• the first reason for the fading of the fetus is the lack of progesterone, without it it cannot stay and develop in the uterus;
• The second reason for the development of a missed pregnancy in the first trimester is an excess of male androgen hormones.

It is desirable to determine hormonal disorders before pregnancy and undergo a full course of treatment. It is recommended to visit a gynecologist in advance, because only after the examination he will be able to say what kind of tests are needed.

infections

Infections are also common cause frozen pregnancy. With a successful conception, the immunity of the expectant mother weakens. The placenta and fetal membranes reliably protect the fetus from antibody attacks, but the mother herself becomes vulnerable to various viruses and bacteria. Her infectious diseases are exacerbated, the vaginal flora is activated, and then a dangerous moment comes for the baby - infection.

Detrimental effects are exerted by cytomegalovirus and rubella. Moreover, they are dangerous if they become infected during pregnancy, and with a “recovered” infection, on the contrary, antibodies are produced that prevent the exacerbation of the disease.

No less dangerous for the formation of a missed pregnancy is the usual SARS, which most often proceeds very hard, since the immune system works at half strength. The danger itself threatens not from the pathogen, but from the symptoms of the disease: fever and intoxication, which leads to disruption of the circulatory system. The fetus does not receive the necessary amount of nutrients and oxygen.

This is the reason for the development of a missed pregnancy, the signs of which may appear, or may be hidden.

Blood clotting disorder

Blood clotting disorders, which are caused by antiphospholipid syndrome, also affect the development of the fetus. Frozen pregnancy often occurs for several reasons:

• due to the direct effect of antiphospholipid antibodies on the egg, which interferes with the implantation of the fetal egg;
• the formation of placental vessels is reduced and in connection with this there is a decrease in its functions;
• signs of a missed pregnancy at week 6 may occur due to a violation of the full development of the fetus and the placenta itself. The reason for this is blockage and damage to the uteroplacental vessels.

Lifestyle

Wrong lifestyle leads to a missed pregnancy, and the first signs can appear immediately.

Improper and malnutrition, insufficient number of walks in the fresh air, tight clothes, spending a lot of time at the computer monitor - these are the factors that directly affect the development of the fetus.

Age

The age of the parents also plays a big role. According to statistics, at the age of 20, the risk of developing a missed pregnancy is 10%, while after 45 - 50%.

Risk factors

The main risk factors for miscarriage are:

1. Age under 18 years old.
2. Pregnancy in the older and late reproductive age of a woman or / and her partner - after 30 years for primiparas and over 35 years for multiparous. The risk in older and late reproductive age is associated with the gradual extinction of natural selection processes, as well as with various disorders in the partner's reproductive system. For comparison: the risk at the age of 20 - 24 is about 9%, at the age of 30 - 40 - 40%, at the age of 45 - 75%.
3. Repeated episodes of miscarriage in history. The greater the number of such episodes, the worse the prognosis for subsequent conception.

In addition, chronic diseases of the female genital organs or acute and, especially, chronic extragenital diseases contribute to miscarriage.

The main ones are:

• erased forms of hyperandrogenism of ovarian, adrenal or mixed etiology and ovarian hypofunction;
• PCOS (polycystic ovary syndrome);
• the presence in the body of a persistent bacterial-viral infection; most often (in 52%) it is a mixed viral-bacterial infection, as well as chlamydial (in 51%), ureaplasma and fungal microflora (about 42%);
• chronic inflammatory processes of the female genital organs, repeated abortions and intrauterine contraceptives;
• acute or chronic infectious diseases, they rarely cause fetal death on their own, but lead to the development of fetopathies that contribute to fetal death under the influence of other factors;
• endocrine diseases - insufficiently compensated diabetes mellitus, thyroid dysfunction, mainly hypothyroidism;
• chronic renal pathology;
• severe form of arterial hypertension and cardiovascular insufficiency;
• various systemic connective tissue pathologies in the form of systemic lupus erythematosus, systemic scleroderma, antiphospholipid syndrome, etc.

Less significant factors include:

• smoking;
• alcohol and drug addiction;
• certain medicines;
• excessive consumption of drinks containing caffeine (strongly brewed tea, coffee and other tonic drinks);
• low body mass index.

The sensitivity of the embryo or fetus to damaging factors is not the same in different periods of gestation. The shorter the term, the more vulnerable they are. The most critical periods are the 7th - 12th days, when the implantation of the fetal egg occurs, the 3rd - 8th weeks (the beginning of the development of the embryo), the 12th week (the period of placental formation) and the 20th - 24th weeks (the stage of formation of the most important fetal body systems).

In most cases, a missed pregnancy is based on any one dominant cause and several risk factors and interacting mechanisms for the development of this pathological condition. How to understand that the death of the embryo or fetus has occurred?

Diagnostics

The most accurate way to determine a missed pregnancy, both in the early stages and in the later stages, is an ultrasound scan, during which the specialist will check:

1. Inconsistency of the size of the uterus with the gestational age.
2. Absence of heartbeat and respiratory movements.
3. Incorrect position, deformation and contour around the body of the fetus in the later stages, indicating tissue decomposition.
4. Lack of visualization and growth of the embryo in early pregnancy. It is very rare, but it also happens that the fetal egg grows for some time, and the embryo does not form in it or stops developing.

This is also the reason for the problems that sometimes arise with the definition of a missed pregnancy according to the results of an analysis for hCG - the second method for diagnosing pathology. It happens that an ultrasound stops the development of pregnancy, and the level of hCG in the blood continues to grow, as it is produced by the membrane of the fetal egg or it itself rests on high level a few days after the death of the fetus.

As you can see, a test for a missed pregnancy can show a positive result, because its action is based on the detection of hCG in the urine.

Although, as a rule, the level of hCG during a missed pregnancy drops sharply or is equal to zero. More about hCG level during pregnancy →

Mechanisms of fetal retention in the uterus

The prolonged presence in the uterus of a frozen embryo or fetus in its development is assumed to occur due to the following mechanisms:

• Dense attachment of the developing placenta as a result of deep germination of chorionic villi. This may be due to:

A high degree of activity (in terms of proliferation) of chorionic villi; - structural and functional inferiority of the uterine mucosa at the site of implantation of a fertilized egg; - incomplete preparation of changes in the endometrium in the implantation zone.

• Inferiority of the immune system in relation to the reaction of rejection of immunologically foreign tissue.
• Decreased contractility of the myometrium due to:

Chronic course of inflammatory processes in the uterus; as a result of this, a deficiency of the receptor apparatus is formed, which leads to a decrease in sensitivity to substances formed during the death of the embryo and causing a decrease in the tone of the myometrium; - violations of enzymatic biochemical processes involved in protein metabolism; - continuation (for some time after the death of the embryo or fetus) trophoblast production of progesterone and placental lactogen, specific trophoblastic beta-globulin, and the placenta - some peptide hormones, biogenic amines and immunosuppressive peptides that suppress uterine contractility.

Consequences and termination of a missed pregnancy

As a result of a frozen pregnancy, two scenarios are possible:

1. Spontaneous miscarriage in the early stages, when the uterus rejects the dead embryo and removes it from the body.
2. medical intervention. If it is not carried out on time, then in the late stages of a frozen pregnancy, a decomposing fetus will poison the mother's body with decay products, which will lead to serious consequences for her health.

So, if a frozen pregnancy is diagnosed, then its interruption at the moment is possible in several ways:

• Medical abortion. This is a way to terminate a missed pregnancy in the early stages. A woman is prescribed drugs that provoke uterine contractions, and, as a result, a miscarriage.
• Curettage, or curettage (cleaning) during a missed pregnancy. Quite popular, although not the most desirable procedure, since tissues are injured during it and the likelihood of complications is high. The operation is performed under general anesthesia and is mechanical cleaning after a frozen pregnancy of the uterine cavity, removal of its upper mucous layer with a special instrument that is inserted into the cervical canal, having previously provided access there by installing dilators. After the operation, bleeding or inflammation may develop, so the woman must stay in the hospital for a few more days, where her well-being will be monitored.
• Vacuum aspiration. The operation, performed under anesthesia or local anesthesia, consists in cleaning the uterine cavity for a woman using vacuum suction. It looks like this: the tip of the vacuum apparatus is inserted into the cervical canal (without expansion). After the procedure, the woman should be under the supervision of a doctor for about two hours. Of course, this method of terminating a missed pregnancy is more gentle than scraping. In addition, the woman does not have to stay in the hospital for a long time.
• Childbirth. In the later stages, the termination of a missed pregnancy is much harder, mainly from a psychological point of view. The fact is that a non-developing pregnancy is a contraindication for caesarean section (the contents of the uterus can be infected), so there is only one way out - artificial induction of labor. That is, a woman cannot simply disconnect from the process, for example, under anesthesia, she must herself give birth to a dead fetus on an emergency basis.

In the early stages, doctors sometimes do not make any attempts to terminate a frozen pregnancy, waiting for the uterus to reject the fetus itself. But it is impossible to maintain a pregnancy after the fetus fades.

Rare types of ST

Fading of one fetus during multiple pregnancy

This pathology occurs once in a thousand multiple pregnancies. There are a lot of reasons for such a disaster - improper blood circulation, oxygen starvation, improper development of the placenta, and so on.

Very often this happens due to the intense competition of fruits.

At a very early stage (up to 2-3 weeks), a frozen embryo may simply “dissolve”, be absorbed by the survivor, or remain a small clot of mucus, which will become known at the time of birth. Much worse,

In the later stages, this is a dangerous situation for the second fetus and for the mother. But at multiple pregnancy the mother may not feel any changes, all the same movements, palpitations. It is determined, especially in the early stages, only upon examination.

The deceased has an extremely negative impact on the health of the remaining fetuses. They almost always observe a violation of their blood circulation, there is a heart disease, other disorders. If this pathology is detected at a later date, a decision is made individually. In the second trimester, this is most often the removal of a frozen fetus. After 28 weeks, look at the condition of the surviving fetus. Sometimes preterm delivery carries fewer risks.

Frozen ectopic pregnancy

An ectopic pregnancy is in itself a life-threatening condition for a woman. It is impossible to carry a child with her, the fetus always dies. Most often, with the growth of the embryo, a rupture of the tube occurs and the contents are released into abdominal cavity. This condition provokes peritonitis and the death of a woman.

Less commonly, such a pregnancy freezes and does not develop. The frozen embryo continues to remain outside the walls of the uterus. The symptoms of this pathology do not differ from those that occur with ordinary STD.

Treatment can be only one thing - an emergency operation.

Anembryony

A condition in which an embryo has not formed or is missing from a fertilized egg. If he is present there, then he stopped at the earliest stages of development - up to 6 weeks. This is a rare phenomenon, occurs by chance, the reasons for doctors are not fully understood. Doctors tend to believe that the bulk of anembryonic cases are associated with an unsuccessful combination of parental genes - when at least one of the parents had a cell with a serious pathology.

Another name for this condition is empty gestational sac syndrome. After all, with it, the fetal membranes are actively developing, in which there is no child.

Such a pregnancy is asymptomatic, all the usual signs are present - toxicosis, absence of menstruation, swelling of the glands. Pathology is monitored only during a planned ultrasound. But more often, spontaneous early miscarriage becomes a sign of anembryony.

Treatment and recovery after a frozen pregnancy

After a frozen pregnancy, an examination is prescribed to determine the cause of the pathology. If one can be established, it is recommended to undergo a course of treatment.

As a rule, tests after a frozen pregnancy include:

• blood test for hormone levels;
• smear and examination of the microflora of the vagina for the presence of genital infections;
• histology after a missed pregnancy - a study of the epithelium of the uterus. For analysis, a thin section of the upper layer of the uterus or tube is taken, or the material obtained during curettage is used.

As for the restoration of the uterus after surgery for a missed pregnancy, a course of antibiotics, hemostatic agents is usually prescribed, as well as abstinence from a subsequent pregnancy for a certain time (depending on concomitant factors).

In the case of identified genetic abnormalities of the fetus, after a missed pregnancy, a consultation with a geneticist will be required to determine the compatibility of partners.

Prevention of fading pregnancy

How to get pregnant after a missed pregnancy? Is it possible? Yes, it is possible! doctors say. Why pregnancy freezes is not exactly known until now. However, not one woman gave birth after a missed pregnancy; to give birth to a healthy child is quite real. Of course, if necessary (according to the results of the tests), you need to undergo treatment. Before planning a pregnancy, it is recommended to get vaccinated against rubella and chickenpox. This is especially true for women at risk - in this case this is work in children's institutions, where you can easily get infected with these diseases. You should also treat sexually transmitted diseases, take a general strengthening course of vitamins, and stimulate the immune system. The treatment regimen must be agreed with the attending physician. And if all test results are normal, then treatment may not be required. The best protection against fetal freezing is healthy lifestyle life when planning a pregnancy.

frozen pregnancy; diagnostics; missed pregnancy prevention

Recovery of the body

Planning for the conception of a child should be no earlier than six months after an unsuccessful attempt. During this time, a woman should carefully take care of her health, eat right, and avoid stress. In order to avoid an earlier onset of pregnancy, contraceptives selected by the attending physician should be used. Important! If a woman has psychologically suffered the death of an unborn child, you should contact a psychologist who will help you cope with depression and anxiety about the outcome of future pregnancies.

How to Diagnose

Fetal development for a short period is in a borderline state, when banal fatigue or stress, air travel or ultraviolet rays can terminate a pregnancy. It is possible to diagnose the condition only under conditions medical institution, with the help of complex laboratory research.

hCG

A fertilized egg begins to produce a special hormone on the 6-8th day. The tissue of the outer shell of the embryo, called the chorion, produces a characteristic protein, the hormone chorionic gonadotropin (hCG). Its growth indicates the successful development of the cub.

ultrasound

Ultrasound examination (ultrasound) allows you to verify the safety of the development of the embryo. It confirms the results of laboratory indications. Ultrasonic waves of extremely gentle frequency cannot harm a 3-5 week old embryo. The examination lasts within a quarter of an hour, sometimes 20 minutes. Two types of examination are practiced: either through the wall of the peritoneum or through the vagina. Indications for ultrasound are echographic signs of complications that have occurred (threat of miscarriage or spontaneous miscarriage that has begun).

If the fetus is frozen

Most suitable way treatment will be chosen by the doctor based on how the missed pregnancy manifested itself in the early stages and how many days have passed since conception. If such a terrible diagnosis was made, the first thing to do is to save the life of the mother and her health.

There are two types of treatment in total:

1. If no more than 60 days have passed since conception, a miscarriage is provoked by taking special drugs. If, after a subsequent ultrasound diagnosis, it is revealed that not all the remains of the fetal egg have come out, curettage is prescribed.
2. When the diagnosis is made after 60 days, a vacuum aspiration procedure (vacuum mini abortion) is performed. To do this, a woman under anesthesia is cleaned of the uterine cavity using vacuum suction, which creates a negative pressure. This operation takes about 10-15 minutes. With such an abortion, subsequent curettage is usually not required, the uterus is less injured. However, the decision to curettage may be made if the ultrasound has shown that not all remains of the embryo have been removed.

This is how a vacuum abortion is done.

There is another option - this is a spontaneous abortion at the earliest stage of pregnancy. Usually, with this type of abortion, the woman does not even realize that she was pregnant. The mother's body may reject the embryo already in the first days of its life for various reasons. In this case, there is a slight delay in menstruation. In some cases, the doctor may suggest waiting until a spontaneous abortion occurs, if it happens on its own, then you do not have to intervene in the body.

Why does pathology develop

Why pregnancy freezes, many ladies are interested. Most of the causes that provoke fetal fading, doctors include the following factors:

1. Infectious and viral diseases transferred during the period of gestation.
2. Blood diseases and diagnosing Rh - conflict.
3. Congenital or acquired pathology of the uterus, frequent abortions.
4. Violation of the level of hormonal levels and malnutrition, the use of harmful foods in the diet.
5. Constant stress and a woman's genetic predisposition.
6. Harmful and unfavorable working and living conditions, as well as previous IVF or artificial insemination.

In addition, bad habits and previous infectious diseases, pathogenic microorganisms, and STDs carry a certain danger.

How to get pregnant again if there was a fetal development stoppage

If you follow all the prescriptions of doctors and go through the prescribed course of treatment and recovery after an unsuccessful pregnancy, doctors guarantee a very high chance of a favorable outcome in the future. After suffering a failure, you need to take a break for six months, no less. During this time, the mother's body is fully restored. In addition to recovery, work will be carried out to diagnose and identify the causes of pregnancy fading.

Be sure to watch this video in which the girl tells how she endured and gave birth to a healthy child after a missed pregnancy:

It is very difficult and not always possible to establish the exact cause of pregnancy termination. Parents should not give up. You have to believe that everything will work out. Stress is detrimental to the health of any person, especially a woman who is preparing for pregnancy. When stressed, the body produces the hormone cortisol, which suppresses the production of other hormones, thus causing a hormonal disorder. Parents need to undergo a full examination and wait for the birth of their baby. May your child be healthy! Good luck everyone!

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Vacuum abortion - what is it

Vacuum aspiration is a gentle abortion method available up to 6 weeks. Removal of the fetal egg from the uterus is carried out by means of a special vacuum pump. The main advantage of the method is the absence of surgical intervention. The cost of a vacuum abortion depends on the level of the clinic, but you can’t save on your health. Considering the advantages of this method, its price is quite justified.

Advantages of vacuum abortion:

• No risk of mechanical damage to the cervix - the gynecologist does not use cutting instruments.
• The minimum stay of a woman in the clinic - together with an examination by a gynecologist and preparation, including ultrasound, the procedure will take no more than 40-50 minutes.
• Minimal mucosal damage fast healing uterine cavity - a vacuum aspirator sucks the fetal egg without causing injury to the organ itself.
• Less psychological stress - the procedure is unpleasant, but incomparable with surgical abortion.
• Rapid recovery of the menstrual cycle, hormonal levels.
• Significant reduction in health hazards.

How to determine at home?

You can detect the presence of pathology at home using the Inexscreen test. You can buy a test in every pharmacy, however, you should understand that it will not make an accurate diagnosis, but only: important! will determine whether there are deviations in the course of pregnancy or not. And then everything is in your hands. In order not to worry about your condition and the condition of the baby, you should see a gynecologist.

Frozen pregnancy is not a sentence. If one day this misfortune happened, this does not mean that there is no more chance to become a mother. It is necessary to follow all the recommendations of a specialist: take antibiotics, be examined, take care of yourself. After a period of rehabilitation and a follow-up examination by a gynecologist, you can again think about conception and bearing

What to do with an undeveloped pregnancy?

Independent cessation of fetal development is a natural defense mechanism. When its vital activity stops, the level of placental hormones decreases, substances are released into the uterus that contribute to its contraction in order to expel the dead embryo from the cavity. Before the 8-week period, a frozen pregnancy often ends in a spontaneous miscarriage.

The uterus independently rejects the embryo approximately 2 weeks after its death:

• in case of anembryony– 50% of cases;
• after incomplete miscarriage – 75%;
• arrest of fetal development – 33%.

Up to 2 months of pregnancy, spontaneous cessation of development ends in miscarriage

But a wait-and-see attitude is not always justified, so they carry out scraping or medical interruption so as not to lead to sepsis and other complications:

1. Scraping. The procedure is performed to remove the fetus and membranes from the uterine cavity. Types of cleaning: vacuum aspiration - up to 5 weeks, surgical curettage - up to 12 weeks, stimulation labor activity- in the late trimester up to 22 weeks.
2. Medical interruption spend up to 42 days of pregnancy, the size of the uterus should correspond to the beginning of the 8th week. Progesterone antagonists (Mifegin) are prescribed, after 36 hours prostaglandin (Cytotec) is required. On the following day, contractile movements of the uterus begin, the fetus leaves the uterine cavity on its own.

Artificial childbirth is carried out after 22 weeks in the second and third trimester.

After the evacuation of the fetal egg, treatment with antibacterial drugs is prescribed to reduce the risk of developing chorioamnionitis and endometritis. The tissues of the embryo and membranes are sent for histological and genetic testing. This is necessary to understand why the embryo stopped developing.

Complications

Even with such a gentle method of abortion, there is a risk of unwanted complications. Against the background of taking drugs, you may develop:

• anaphylactic shock;
• profuse uterine bleeding;
• violation of the menstrual cycle;
• pain syndrome;
• incomplete abortion.

The most serious complications are considered to be incomplete abortion and bleeding, which lead to the need for surgical intervention. A woman should be alerted by strong discharge, requiring frequent changes in personal hygiene items, and she needs to urgently see a doctor.

Pain after taking abortion pills is also perceived differently by women. Basically, it can be endured or, in extreme cases, stopped (suspended) by No-shpa. If medicines do not help to get rid of the pain, then the woman should consult a doctor.

The latest consequences of pharmaceutical abortion are menstrual irregularities. The absence of menstruation for 2-3 months or their increased duration is also a pathology and requires medical advice. In such cases, gynecologists prescribe ultrasound and drugs that help restore menstrual function.