A miscarriage can make a difference if it occurs in the first or second trimester. We will tell you below.
If you have ever had a miscarriage, you will know that miscarriages occur at some point during pregnancy before 20 weeks of gestation. It usually occurs between 12 and 20 weeks, although it may occur earlier. It is generally considered stillbirth or neonatal death if it occurs after 20 weeks of gestation.
Miscarriages occur in 10 to 20% of pregnancies, most occurring before 13 weeks. Miscarriage can vary from woman to woman, depending on the cause and timing of the miscarriage. What happens in the first trimester can be very different from what happens in the second or third trimester. In some cases, a miscarriage can happen almost unnoticed if missed. Women have no apparent symptoms and sometimes mistake a miscarriage for a hefty period.
Miscarriage in the first trimester
In most early pregnancy miscarriages, the embryo or fetus stops developing early. The woman’s body recognizes that the pregnancy is no longer viable, and the endometrium begins to shed. When this happens, severe menstrual cramps and vaginal bleeding occur, often accompanied by blood clots.
Not all women have these symptoms. In some cases, the bleeding may be light, while in others, it may be subtle, such as morning sickness or breast tenderness. It may take several weeks for the first symptoms to appear in other people.
If a miscarriage occurs early in pregnancy, an ultrasound and blood test may be used to confirm the diagnosis. Depending on the timing or cause, women may choose to have a spontaneous abortion or seek help in the form of medications or a surgical procedure called dilation and curettage.
In most miscarriages, the baby’s heart stops beating before outward symptoms of miscarriage appear. However, in some cases, vaginal bleeding occurs when a heartbeat is still detected, and the cervix is still closed. This is called threatened abortion.
In most cases, bleeding stops, and pregnancy is still possible. For others, a threatening legacy will end in loss. There is no way to predict the outcome. Some doctors recommend rest and avoiding sexual activity, exercise, tampons, and heavy lifting, but there is little evidence that this helps. Like pregnancies, some miscarriages end in miscarriages, while others often have little reason to survive to full term.
Second miscarriage during pregnancy
A miscarriage in the first trimester is handled much the same as in the first trimester. However, as the fetus develops further, the loss is usually identified by the lack of a fetal heartbeat. Causes of miscarriage during the second trimester may include cervical insufficiency (premature dilatation of the cervix) or early labor.
With cervical insufficiency, babies are born too soon to survive. Doctors can sometimes use cervical adhesions (a needle to close the cervix) to delay or prevent labor, but only if the condition is detected early. In the case of preterm labor, if signs are detected early, doctors may stop the process with anticonvulsants and bed rest.
Loss of pregnancy in the second trimester can also result from maternal infection (bacterial vaginosis, amniotic fluid infection), congenital disease, chronic uncontrolled disease (diabetes, high blood pressure), or problems with the placenta. On the other hand, a pregnancy loss after 20 weeks is considered a stillbirth. In this case, the baby will die, and the mother will no longer feel any movement. In most cases, a woman will ask for a D&C without waiting for the procedure to happen naturally.