Action For Missed Abortion?
Afternoon,u003cbru003eOn April 5th, I went to the obstetrician and had an ultrasound that my pregnancy was 6 weeks 1 day old (HPHT 7 weeks) with a size of 0.44 cm. But the doctor also said that he couldn’t find the heartbeat of the fetus. Finally I was told to come back 1 week later. On April 14th, I went back to the obstetrician, and on an ultrasound with the same result that the fetal heartbeat was not present (the HPHT was 8 weeks 2 days). And the doctor said that I missed abortion.
Hello, good morning Mira.
First of all, I would like to express my condolences for the loss you have experienced.
Missed abortion, or delayed abortion, is a condition where the growth and development of the fetus stops in the womb without any signs of expulsion (no bleeding from the birth canal or lower abdominal cramps). Signs of a missed abortion include the absence of a heartbeat on examination and the height of the uterine fundus (top of the uterus) on palpation does not match the gestational age.
There are two choices of treatment methods for missed abortion, the first option is to wait until the tissue is shed and comes out naturally. This option takes a relatively long time, which is about 1-2 weeks even up to 4 weeks, so it is very likely to cause emotional distress. In addition, if fetal tissue that has stopped developing and growing is still in the uterus for a long time, it can cause complications in the form of infection in the reproductive tract. If infection occurs, then treatment procedures with curettage need to be done immediately. Immediately consult a doctor or the nearest Emergency Unit if you experience heavy bleeding (more than two pads in an hour), severe abdominal pain, high fever, fainting, and smelly bleeding.
The second treatment option is with drugs or curettage. Drugs (both taken orally) will react within 24 hours to speed up the process of removing the remaining tissue from the uterus. While the curettage method is a minor surgical procedure with a procedure to widen the cervix and remove tissue from the uterus using a medical device. The risk of this action is injury to the cervical tissue and uterine wall. The curettage procedure requires a relatively short time and in patients with good condition hospitalization is not required.
It is recommended that you and wait at least until a normal menstrual cycle returns (about 4-6 weeks) before trying to get pregnant again, as there is a slightly higher risk of another miscarriage if you get pregnant immediately after the miscarriage. There is a possibility that you will get pregnant immediately after the miscarriage, therefore the use of contraception can be considered if you and your husband intend to delay. It is highly recommended that you consult your obstetrician (obstetrician) about your plans after the current miscarriage. The doctor will direct the follow-up examinations that may need to be carried out (considering this is the second miscarriage) and when is the best time to restart the pregnancy program.
That's all, hope it helps :)
Regards, dr. Denisa