How To Cope With Miscarriage

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How To Cope With Miscarriage

 

Different people handle miscarriage in different ways, but it’s not uncommon to feel devastated as you would after any other loss in your life. If you’re having trouble coping with a miscarriage or it’s causing a rift in your relationship with your partner, ask your doctor for a referral to a therapist for counseling services.

 

Try not to let distance grow between you and your partner. 

This one’s easily done. He’ll see the whole situation differently. He might try to fix it. He might wonder why it’s taking you so long to get over it. He probably won’t have a clue about the million and one ways it affects you every day. Unless you explain it in terms he’ll understand.

 

 Get your Friends around you 

Friends or relatives; it really doesn’t matter – you need women you can trust. Women you can cry with. Women who can hug you. Because no matter how sympathetic a man is, a woman will understand you in a very different way, and part of the healing lies in fully comprehending the loss, all its implications, navigating the train wreck and beginning to get a little perspective.

Take your time to “get over it”

Grief affects everyone differently. Don’t anticipate a certain length of time before you feel ‘normal’. Go with what works for you at the moment. Don’t rush. Whatever you’re feeling is normal, has been felt by others before you, is not completely mad. If you need it, seek professional help to get through this.

Take care of yourself

It should go without saying, but it’s easy to let grief swallow you whole. It’s a vile, heartbroken place to be, (and you may hate me for saying it if you’re still in that darkness) but you did not stop living. You will do yourself no favors in the short or long run if you grind to a halt. You need to eat, you need to wash, you need to get up in the morning and do *something*. Even if these things seem hollow and pointless, keep going – persist and it will help you later. Do it for the ‘you’ in a few months time.

 

The loss of a child in pregnancy is a terrible tragedy which can never un-happen. If it’s happened to you, you’re part of the Invisible Moms Club. Your life was altered the moment conception took place; you are a Mom, and it’s heartbreaking that you haven’t that child to show for it. Yet Good can still be wrought, even of this pain – whether it’s sharing your story so that understanding and compassion can be spread, or being able to offer a shred of comfort and hope to a young woman suddenly faced with the loss of her unborn child and all that entails.

 

Miscarriage Causes

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Miscarriage Causes

Experiencing the loss of a pregnancy can be devastating and you’ll probably have a lot of questions, including why did this happen? It’s not uncommon to start blaming yourself, but most miscarriages happen in the first trimester of pregnancy for reasons that are beyond your control. In the majority of cases, there’s no way to prevent a miscarriage and nothing you could or should have done differently. Below are three common miscarriage causes.

 

What Causes Miscarriage?

A miscarriage sometimes happens because there is a weakness of the cervix, called an incompetent cervix, which cannot hold the pregnancy. A miscarriage from an incompetent cervix usually occurs in the second trimester. There are usually few symptoms of a miscarriage caused by cervical insufficiency.

 

Chromosomal abnormalities

More than half of early miscarriages are due to a chromosomal abnormality when the sperm and egg come together but one of them has too many or too few chromosomes, those tiny structures in each cell that carries our genes. A chromosome abnormality, disorder, anomaly, aberration, or mutation is a missing, extra, or irregular portion of chromosomal DNA. It can be from a typical number of chromosomes or a structural abnormality in one or more chromosomes.

Medical disorders

Chronic medical conditions such as blood clotting disorders, thyroid disease, and diabetes can increase your miscarriage risk. Certain autoimmune diseases, such as lupus, can also directly affect pregnancy. That doesn’t mean that if you have an autoimmune problem, you can’t deliver a healthy baby, but you do need to talk to your doctor about the risks of miscarriage and complications, and the best ways to plan for pregnancy.

Uterine abnormalities

A uterine malformation is a type of female genital malformation resulting from an abnormal development of the Müllerian duct(s) during embryogenesis. Symptoms range from amenorrhea, infertility, recurrent pregnancy loss, and pain, to normal functioning depending on the nature of the defect.

Missed miscarriage or miscarriage at 4 weeks

A missed miscarriage, also sometimes known as a silent miscarriage or missed abortion, can happen anytime prior to week 20 when an embryo or fetus dies but the body hasn’t recognized the loss or gotten rid of the pregnancy tissue. Since the placenta may still continue to release hormones, some women keep having pregnancy symptoms, but others may have a loss of pregnancy symptoms and a brownish discharge. A missed miscarriage is often diagnosed during a checkup when a doctor no longer finds a heartbeat.

Threatened miscarriage

A missed miscarriage, also known as a missed abortion or a silent miscarriage, occurs when a fetus dies, but the body does not recognize the pregnancy loss or expel the pregnancy tissue. As a result, the placenta may still continue to release hormones, so the woman may continue to experience signs of pregnancy. A threatened miscarriage is your body’s way of giving you a warning sign that miscarriage is a possibility during the first three months. You may experience symptoms of vaginal bleeding and abdominal pain, but the cervix remains closed and a heartbeat remains.

Incomplete miscarriage

An incomplete miscarriage happens when your body only pushes out some of the pregnancy tissue. Symptoms include bleeding, cramping and a dilated cervix. A pregnancy test might still be positive but the fetus is no longer viable. Most of the time an incomplete miscarriage will become complete on its own, but you may need medical intervention to help remove the remaining tissue. An incomplete miscarriage often requires treatment. Medicine or a procedure call dilation and curettage (D&C) is used to clear the tissue from the uterus.

Blighted ovum

A blighted ovum occurs when a fertilized egg implants in the uterus but doesn’t develop into an embryo. It is also referred to as an anembryonic (no embryo) pregnancy and is a leading cause of early pregnancy failure or miscarriage. Often it occurs so early that you don’t even know you are pregnant. Your doctor may call this an “anembryonic pregnancy,” and it almost always happens in the first trimester. It means that the fertilized egg attached to the wall of your uterus, and while it may have begun to develop a placenta, it never developed into an embryo.

 

What Does Miscarriage Feel Like?

The amount of pain varies for everyone. Some women feel nothing and don’t even realize it’s happening; others feel a range of aching and cramping, from mild to strong, like a really bad period; and some women experience full-on, painful labor contractions that last for hours or even days.

If the pain is really intense, the bleeding is very heavy (you’re soaking a pad every hour) or the remains of the pregnancy don’t pass completely (an ultrasound will confirm this), your doctor may perform a D&C (dilation and curettage) or, if you’re beyond the 14-week mark, a D&E (dilation and evacuation). Brief surgical procedures will put an end to cramps and bleed and help prevent an infection, which may happen if any of that tissue remains behind in the uterus. Both procedures are typically done in a hospital or surgical center, and you’ll either get local or general anesthesia, so you shouldn’t feel anything. Unless there are complications (which are rare), you can usually go home the same day. Expect some strong cramping the first 24 hours after the procedure—that’s totally normal—and then mild cramping and light spotting for a few days up to two weeks. Taking Tylenol or Advil can help alleviate any post-procedure pain.

 

Can stress cause miscarriage?

There’s no evidence that stress directly affects miscarriage risk, but it may play a role. Research shows that a mother’s physical and emotional state—including her fitness level and quality of nutrition—can raise or lower her level of stress sensitivity, potentially influencing everything from fertility and conception to the quality of the placenta and the risk for premature labor. Focusing on nutrition, exercise (approved by your doctor) and mind-body relaxation, especially in the first and second trimesters of pregnancy are best options. But there’s no need to check yourself into a month-long spa retreat (well, unless you want to!). It could be as simple as taking an extra 15 minutes after lunch to listen to some relaxing music, decompress and let your body absorb the nutrients you’ve just eaten.

 

Healthy pregnancy after a miscarriage

 

How soon after a miscarriage can you try to get pregnant again?

It depends on physical and emotional factors. Every case is different, but unless you’ve had other physical complications from your miscarriage, you can usually start trying to conceive once your doctor has given you a green light. Usually can wait until your next normal cycle, anywhere from four to six week. If you want to wait longer that’s totally normal too—give your mind and body the time they need to heal, and you’ll know when you’re ready to try again.

Miscarriage is usually a one-time occurrence. Most women who miscarry go on to have healthy pregnancies after a miscarriage. A small number of women — 1 percent — will have two or more miscarriages. The predicted risk of miscarriage in a future pregnancy remains about 14 percent after one miscarriage.

If the cause of your miscarriages can’t be identified, don’t lose hope. Most women who experience repeated miscarriages are likely to eventually have healthy pregnancies.

 

Symptoms of Miscarriage

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Symptoms of Miscarriage

Numerous environmental and biological effects may cause a number of issues to the developing fetus. A miscarriage or spontaneous abortion is defined as the loss of a pregnancy during the first 20 weeks of pregnancy. However, up to 75% of miscarriages happen in the first trimester.

The unhealthy living is unquestionably the greatest enemy of a developing fetus, while there can be much milder or serious medical conditions that can harm the growing baby. For example, smoking, drinking alcohol, and drug use during pregnancy cause extreme damage to the fetus and most frequently result in miscarriages or severely damaged babies. Ultimately, no matter the numerous potential causes, every woman should note when the miscarriage actually takes place.

What is a miscarriage?

Miscarriage or spontaneous abortion, which is defined as the spontaneous loss of a pregnancy in the first 20 weeks, is the most common type of pregnancy loss but there are many different types of miscarriage depending on when and how it happens.

To help with the confusion, here’s a look at the specific meanings behind some different symptoms of miscarriage.

 

Bleeding

Bleeding or spotting is the most common miscarriage sign. Bleeding and pain similar to those during periods can potentially signify that something wrong is occurring in the womb. This is the most basic symptom of a miscarriage, and it’s generally always present, no matter the nature of the cause. Bleeding is somewhat frequent during normal pregnancies as well, but only if this involves a transient spotting. If you’re experiencing symptoms of heavy bleeding, clotting, and/or if you feel dizzy or faint during pregnancy, head to the nearest emergency room.

Extreme pain

Cramping is very common during pregnancy. Some women experience more than just cramping. If you’re having painful contractions 5 to 20 minutes apart, this could be a sign of premature labor.However if the pain is intense and extending to the pelvic area and lower back it could be a warning of miscarriage,

especially if bleeding and labor contractions accompany this. Women that have experienced a miscarriage often say that it was the greatest pain they’ve ever felt.

Chills

Chills with fever or pain can be signs of an infection and should be treated by a health professional. Infection might seriously jeopardize the pregnancy. Chills can accompany heavy bleeding during spontaneous abortion due to resulting low blood pressure which hampers a normal distribution of the blood in the body, and thus, leads to a decreased body temperature.

Cramps

Usually, cramps aren’t a worrying sign, since they can also be experienced during normal pregnancies as the body adjusts to a growing baby. However, a pregnant woman who has heavy period-like cramps that don’t cease quickly should seek a medical advice. Cramping might also present as lower back pain or as pelvic pressure. As with bleeding, persisting cramps after the expulsion of the fetus may orient towards an incomplete abortion. In such case, surgical assistance might be needed to expel all the uterine contents.

Experiencing miscarriage is emotionally challenging and having a family consultation is a good approach to helping to pave the path for next pregnancy. Many parents who have experienced miscarriages use the Fetal dopplers in future pregnancies to give them a sense of reassurance and peace.

Pregnant with Twins

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Things You Need to Know If you’re Pregnant with Twins

 

A twin pregnancy is a double blessing, but it can also carry greater risks than singleton pregnancies.

 

Twins account for over 90 per cent of multiple births. There are two types of twins– identical (monozygotic) and fraternal (dizygotic). To form identical twins, one fertilised egg (ovum) splits and develops two babies with exactly the same genetic information.

1.  You are technically a high-risk patient

The risk of many potential pregnancy complications – including preterm delivery, cesarean birth, pre-eclampsia (a blood pressure disorder) and gestational diabetes – is elevated among women carrying multiples, according to the American College of Obstetricians and Gynecologists. That’s why you need to be especially careful about following your OB-GYN’s recommendations for visits, screenings and other care. “With that extra diligence, we can hopefully keep risks of adverse outcomes at a minimum,”

2. You should ask if you have multiple placentas

While all identical twins share a placenta, fraternal twins or other multiples may not – and sharing has implications for their health, since one developing baby may get the shorter end of the nutrient-and-blood stick, says Dr. Mary Norton, president of the Society for Maternal-Fetal Medicine and a perinatologist and medical geneticist at the UCSF Medical Center. “Like any siblings,” she says, “if they’re sharing, they don’t always share well.” In that case, moms-to-be need closer and more frequent monitoring.

3. There’s a good chance you’ll deliver early

The most common risk of carrying multiples is preterm delivery. “For each additional fetus that’s in there, you deliver about a month earlier. Average twins deliver around 36 weeks instead of the 39 to 40 weeks that’s considered full-term for singletons. “Most babies do fine [when they’re delivered at 36 weeks], but they’re at higher risk for complications,  such as respiratory, cognitive and other short- and long-term problems. Again, that means it’s important to talk to your doctor about what symptoms might signal an early labor. Worry a little bit more about things that might be common symptoms that could be premature labor if you’re pregnant with twins.

4. You’ll be a regular at the doctor’s office

Twin pregnancies require more monitoring than single pregnancies. “We tend to do more frequent ultrasounds for growth in twin pregnancies, compared with one anatomy scan and one growth scan in a singleton pregnancy.”

But along with additional testing comes risk. For example, the chance of miscarriage after amniocentesis is higher in twin pregnancies.  “You are sticking the mother twice, so if the risk of miscarriage is one of 1,000 in singleton pregnancies, it would increase it to one in 500 for twins.”

5. You’ll get bigger faster

“Women pregnant with multiples should be prepared to have a lack of clothes at the end – especially tops,” says Blair, who now relies on leggings, long tank tops and maternity shirts. “[My tops] no longer cover my full belly.” Her exercise routine also took a hit earlier this time around, which is to be expected, although movement is still recommended during pregnancy with multiples, “[Women] will be more fatigued, their hips will hurt, their joints will hurt,” and  “It’s just not going to be the same.”

Swimming for Pregnant Women

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Swimming for Pregnant Women

Swimming is the safest form of exercise for expectant moms. It can benefit you – and your baby – by strengthening your heart and making it more efficient at pumping blood. This improves circulation to your whole body and boosts oxygen levels in your blood. Swimming gives you all this and more!

The benefits of swimming during pregnancy

  • It works both of your large muscle groups (arms and legs).
  • The water keeps you from overheating and prevents injury by supporting your joints and ligaments as you exercise, which is especially helpful for moms-to-be with round ligament pain. The buoyancy of the water lets you enjoy a feeling of weightlessness despite the extra pounds of pregnancy.
  • It counteracts increased back strain from your expanding belly. Pregnancy can make your spine and shoulders round forward and tilt your pelvis out of alignment, but swimming gently strengthens the muscles and offsets this tendency.
  • Immersing yourself in water alleviates swelling in your arms and legs.

Getting enough exercise is essential especially for breathing which will be very helpful during labor and getting the right doppler will be very helpful to ease fear and anxiety during pregnancy.

Swimming tips for the first, second and third semester

First: Swimming first thing in the morning may prevent nausea and energize you for the rest of the day. Use a kickboard, noodle, or another type of pool equipment to vary your workout and keep it fun.

If the smell of chlorine triggers nausea or causes skin or eye discomfort, see if there’s a saltwater pool in your area. If you want to swim in a body of water like an ocean, lake, or pond, check your healthcare provider first because germs and bacteria in open water can cause illness.

Second:  As your pregnancy progresses and you grow larger, you won’t need to cut down on swimming very much because it’s such a gentle activity for expectant moms.

The water’s buoyancy also reduces the effects of gravity on your body, so you can lie on your back to do the backstroke without risking the impaired blood flow such positions can cause on dry land.

Third: Comfort is key during the last weeks of pregnancy, so try different strokes to see which ones feel most comfortable. You may also want to get a maternity swimsuit to accommodate your expanding belly. You can use a snorkel to relieve the pressure on your neck when you bob up and down for air.

If you have sore or tight muscles, try walking in the shallow end of the pool instead of swimming. Move your arms through the water as you walk for more resistance. If you feel tired, use a paddle board to support your upper body, and take breaks as needed.Be extra careful when getting out of the pool, and wear non-slip footwear for walking on wet surfaces.

General Tips

Try to swim for 20 to 30 minutes on most, if not all, days of the week. If you swam regularly before pregnancy, you should be able to continue without much modification. Just be sure you know the warning signs to slow down or stop exercising.

A good guideline is to aim to drink one 8-ounce glass before you start your swim, one glass for every 20 minutes of exercise, and one glass after you get out of the pool. In hot or humid weather, you need more.

 

Importance of Knowing your Blood Oxygen Level

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While most people are concerned over vital signs including their pulse, temperature, blood pressure and respiratory rate, a little less understood science when measuring fitness levels of an individual is the idea of measuring one’s blood oxygen level, SPo2. Oxygen saturation is presented in the form of a percentage that refers to the fraction of oxygen-saturated hemoglobin that is relative to the total hemoglobin, unsaturated and saturated, in the blood. In simpler terms, it is the level of oxygen available in the blood. If the individual is in good health, normal blood oxygen levels almost always fall within a very predictable range of between 95% to 100%. This means that the body is getting sufficient oxygen to be able to perform the necessary basic functions and that the internal organs are performing at their best. Not only that, blood oxygen levels in the body also has an effect on how effective workout sessions are.

The usual procedure of measuring oxygen saturation, to measure the blood that is still carrying or is saturated with oxygen, is with the use of a pulse oximeter http://www.torontek.com. Pulse oximetry is considered to be a non-invasive and painless method of getting a general idea of oxygen delivery to peripheral tissues, like the finger, earlobe and nose, where a clip-like device called a probe, is placed on those body parts. However, it is necessary at times to analyze blood taken directly from the artery, more commonly known as arterial blood oxygen. A normal arterial blood oxygen level usually falls between 75 and 100 mmHg. Blood carbon dioxide level and pH, the measure of acidity or alkalinity, can also be measured with the arterial blood oxygen level.

“Pulse oximetry is a way to measure how much oxygen your blood is carrying. By using a small device called a pulse oximeter, your blood oxygen level can be checked without needing to be stuck with a needle. The blood oxygen level measured with an Oximeter is called your oxygen saturation level.”

Regularly checking of your SPo2 levels can help you keep track of how the body is performing over time, and can provide early warning signs to potential problems that your body may potentially be facing.

 

How does a pulse oximeter work?

A pulse oximeter comes either as a small unit with a built in finger/toe clip, or a small hand held device that has a wire probe that can attach or be applied to your finger, toe or earlobe. The small unit is less expensive and more practical for home use. Beams of light from the device pass through the Pulse oximetry is a way to measure how much oxygen your blood is carrying. By using a small device called a pulse oximeter, your blood oxygen level can be checked without needing to be stuck with a needle. The blood oxygen level measured with an oximeter is called your oxygen saturation level (abbreviated O2sat or SaO2). This is a percentage of how much oxygen your blood is carrying compared to the maximum it is capable of carrying. Normally, more than 89% of your red blood should be carrying oxygen. blood in your finger (earlobe or toe) to measure your oxygen. You will not feel this happen. The beams of light are “read” to calculate the percentage of your blood that is carrying oxygen. It also provides a reading of your heart rate (pulse). To make sure the oximeter is giving you a good reading, count your pulse for one minute and compare the number you get to the pulse number on the oximeter. If they are the same, you are getting a good signal.

 

Should I get a pulse oximeter?

Most people do not need a pulse oximeter. Some people are prescribed a pulse oximeter if they have or could have periods of low oxygen; for example, when you are exercising or if you travel to high altitude. Having a pulse oximeter in these cases will allow you to monitor your blood oxygen level and know when you need to increase your supplemental oxygen flow rate. Ask your health care provider what oxygen saturation number(s) they want you to maintain. Pulse oximeters are available online http://www.torontek.com  or by prescription from your local pharmacy or medical supply company.

 

The Importance of Exercise During Pregnancy

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Your body is changing and your belly is growing, but that doesn’t usually mean that exercise during pregnancy has to stop. Some women believe that physical activity during pregnancy could negatively affect the baby. Fortunately, exercise is safe for most pregnant women under a few conditions. In fact, it could even be beneficial for you and your baby.

Exercise is also known to relieve stress. If you’re stressing about the big change happening in your life or just have general anxieties, moving your body can help you stay calm. Evidence shows that chronic stress may affect your baby’s health, so even a relaxing walk around the block can be helpful.

Exercising for 30 minutes on most, or all, days can benefit your health during pregnancy. Exercising for just 20 minutes, 3 or 4 days a week, is still beneficial, as well. The important thing is to be active and get your blood flowing.

Exercises to avoid while pregnant:

  • Scuba diving
  • Exercises where falling is possible, such as skiing
  • Extensive skipping or bouncing
  • Exercises that require you to hold your breath, such as underwater swimming
  • Lying on your back or right side for three minutes or longer
  • Exercising in heat, such as hot yoga

Stop or slow down exercising if:

  • You’re too out of breath to have a conversation
  • You feel faint
  • Your heart rate is above 140 beats per minute
  • You feel completely drained of energy
  • You get a headache
  • You feel overheated
  • You have chest pain
  • You experience vaginal bleeding

Benefits from exercise during pregnancy:

  • Helps reduce backaches, constipation, bloating, and swelling
  • May help prevent, or treat, gestational diabetes
  • Increases your energy level
  • Improves your mood
  • Improves your posture
  • Promotes muscle tone, strength, and endurance
  • Helps you sleep better

Regular activity also helps keep you fit during pregnancy and may improve your ability to cope with labor. This will make it easier for you to get back in shape after your baby is born.

There are many changes happening in your body during pregnancy.  First, joints are more flexible from the hormones which cause certain muscles to relax during pregnancy.  Your center of gravity or equilibrium is shifted from the extra weight in the front, as well as, your shifting hips.

This can affect your balance as you near your due date. The extra weight will also cause your body to work harder than before you were pregnant.

Worry NO More

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Every individual aim to have a peace of mind knowing there is device we can carry along in monitoring pulse rate.

Pulse oximetry is universally used for monitoring patients in the critical care setting.It is, a straightforward method for estimating arterial oxygen saturation, can detect hypoxemia early; Using spectrophotometric methodology, pulse oximetry measures oxygen saturation by illuminating the skin and measuring changes in light absorption of oxygenated (oxyhemoglobin) and deoxygenated blood (reduced hemoglobin).It’s a device intended for the non-invasive measurement of arterial blood oxygen saturation (SpO2) and pulse rate.

Patients should monitor oxygen saturation with pulse oximeters while exercising so they can adjust the pace as the oxygen saturation decreases.Oximeters are inexpensive and can report an accurate reading within seconds. Speed is important especially in an emergency situation.For many patients, doctors often recommend exercise to improve their physical stamina and overall fitness. However exercise can result in increasing shortness of breath. It can also help athletes in high altitude training. The reduction in oxygen level can increase red blood cells in athletes and help to increase his/her endurance. This is a must have device for every individual!