Many pregnant women have had a miscarriage in the first months of pregnancy. Because the woman does not know about the occurrence of pregnancy or does not know some signs of pregnancy, especially when newlyweds. About 10% - 20% of pregnancies end in miscarriage.
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Abortion
It is the spontaneous loss of pregnancy before the twentieth week of pregnancy, and some miscarriages occur very early in pregnancy before the woman knows about the pregnancy. Most miscarriages are often caused by the fetus not developing as expected or for several other medical reasons.
The risk of miscarriage increases in the first weeks of pregnancy, but this risk decreases once the pregnancy reaches 6 weeks. However, caution should be exercised during pregnancy as the risk factors for miscarriage do not change.
Types of abortion
There are several types of abortion, including:
- Threatened miscarriage: bleeding and the cervix does not begin to dilate, this increases the risk of miscarriage, although it is possible that pregnancy can continue to occur.
- Inevitable miscarriage: The woman suffers from bleeding and dilation of the cervix with a spasm and this leads to miscarriage.
- Incomplete abortion: the presence of some pregnancy products in the womb, such as: part of the fetus or placenta.
- Missed abortion: In this type of abortion, the placental tissue remains in the uterus but the fetus has died but there is no uterine activity to expel the products of pregnancy.
- Complete abortion: loss and disposal of pregnancy without any surgical or medical intervention.
- Septic abortion: It occurs due to an infection in the uterus, and this infection may be severe and require immediate care.
- Recurrent miscarriages: A woman may have a miscarriage three or more times in a row.
- Twins abortion: This miscarriage occurs when only one fetus is detected. Especially if a twin pregnancy is diagnosed, this condition occurs when the disappeared twin is absorbed into the placenta.
Symptoms of miscarriage
Among the most important symptoms of abortion, we mention the following:
- Blood coming out of the vagina with pain in the abdomen and back.
- The occurrence of cramps in the body.
- Feeling short of breath.
- Clear fluid comes out of the vagina, forming the amniotic fluid surrounding the fetus.
- High temperature is an important symptom of miscarriage.
Causes of miscarriage
There are many reasons for the occurrence of miscarriage:
- Infection of the pregnant woman with microbial infection.
- Weakening of the immune system of pregnant women due to immune diseases such as AIDS, SLE and cancer.
- Exposure to radiation, especially X-rays.
- Malnutrition and severe anemia or exposure of pregnant women to bleeding.
- Imbalance in the secretion of hormones in the body, as a result of a disorder of the pituitary gland.
- Uterine malformations, the presence of intrauterine fibers, adhesion of the uterine wall, and congenital malformations.
- Diseases of the heart, kidneys and liver.
- Carrying heavy weights.
- Humiliates strenuous physical exertion.
- Pregnant women under 18 years of age or over 40 years old.
- Exposure to accidents, especially in the abdominal and back areas.
- Genetic genetic defect in chromosomes.
- Smoking or secondhand smoke (exposure of the pregnant woman to smoke from cigarettes(.
- Exposure to psychological stress.
- Uncontrolled diabetes.
- Trauma.
- High blood pressure.
- Food poisoning.
Complications of abortion
Not emptying the uterus of pregnancy products leads to some complications, including:
- The occurrence of placental bleeding.
- The occurrence of perforation of the uterus due to the long bones of the fetus.
- Hypovolume shock due to heavy bleeding
- Septic abortion, which leads to sepsis.
- Cervical rupture.
Diagnosis of abortion in Turkey
- Pelvic test: to check whether the cervix has dilated or not.
- Ultrasound: to check the fetal heartbeat and ensure that the fetus is growing properly.
- Blood tests: to check the level of pregnancy hormone, and human chorionic gonadotropin. If the level of these hormones is abnormal, this indicates a problem.
- Chromosomal test: This test is performed especially if they are. A woman has previous miscarriages.
Methods for diagnosing the cause of recurrent miscarriage
The cause of recurrent miscarriages must be investigated in the following ways:
o Endometrial biopsy.
o X-ray of the uterus and fallopian tubes.
o Hysteroscopy.
o Laparoscopy.
Abortion treatment in Turkey
Abortion treatment in Turkey include:
- Treatment of threatened miscarriage
For threatened natural miscarriage, the primary treatment is monitoring. There is no evidence to prove that bed rest reduces the risk of complete miscarriage.
Misoprostol is often used vaginally in repeated doses. It was also found that the use of mifepristone 24 hours before the first dose of misoprostol to reduce the dose of misoprostol.
- Treatment of inevitable and incomplete miscarriage
These types are treated by evacuating the uterus or waiting for the automatic elimination of pregnancy products and often performing dilatation and curettage, which is between 12 - 23 weeks.
Manual aspiration is also one of the treatments used that takes less than 12 weeks. If the woman suffers from severe bleeding or suffers from a septic abortion, surgical evacuation is resorted to immediately.
- Treatment of complete miscarriage
If a miscarriage occurs, the doctor performs an ultrasound scan to make sure there is no residue inside the uterus.
Recovering from miscarriage
Physical recovery from a miscarriage takes only a few hours to two days. But see your doctor directly if you have heavy bleeding, abdominal pain or fever.
Ovulation returns two weeks after the abortion as the menstrual cycle may occur within 4 - 6 weeks. However, you should avoid sex for two weeks after an abortion.
Prevention of miscarriage
The risk of miscarriage can be prevented by following preventive methods such as:
- Get regular and quality care during pregnancy.
- Stay away from manageable causes and risk factors.
- Maintain a healthy weight before pregnancy. and during it
- Take the necessary daily vitamins to ensure that the mother and her fetus get adequate nutrients.
- Reduce caffeine intake as it increases the risk of miscarriage.
- Follow a healthy and balanced diet.
- Consult a doctor in the event of any chronic health condition that needs treatment.
The cost of abortion treatment in Turkey
Turkey has a very high level of extensive experience of its doctors, the infrastructure of its hospitals and the medical services it provides. In addition, the cost of abortion treatment in Turkey is very low compared to other countries.
In conclusion, we have learned about Abortion Treatment in Turkey, what are its causes and methods of treatment. For more information, you can request a free and immediate consultation from the best gynecologist in Istanbul, Prof. Dr. med. Sona Özdemir.
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