Overcoming Anxiety in pregnancy after previous miscarriages- Mindfulness techniquesToronTek

Overcoming Anxiety in pregnancy after previous miscarriages

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Pregnancy should be a time of anticipation and joy, but for those who have experienced the heartbreak of miscarriages, it can also bring a shadow of anxiety and fear. If you’ve faced such losses, you’re not alone, and there are ways to navigate through this complex emotional landscape towards a place of hope and resilience.

Understanding Anxiety in Pregnancy

Anxiety during pregnancy, especially after previous miscarriages, is a natural response. It stems from the fear of the unknown and the desire to protect oneself from further emotional pain. However, it’s crucial to address this anxiety because it can affect both your well-being and that of your developing baby.

Strategies for Managing Anxiety

Seek Professional Support

One of the most effective steps you can take is to seek support from a healthcare provider who understands the nuances of pregnancy after loss. A therapist specializing in prenatal mental health can offer strategies tailored to your needs.

Build a Support Network

Surround yourself with people who understand what you’re going through. Support groups, both in-person and online, can connect you with others who share your experiences and fears.

Focus on What You Can Control

Focus on maintaining a healthy lifestyle, attending all prenatal appointments, and following your healthcare provider’s advice. Engaging in prenatal yoga or meditation can also help manage stress levels.

Educate Yourself

Understanding the facts about pregnancy after miscarriage can empower you. However, balance is key; too much information can sometimes increase anxiety.

Allow Yourself to Grieve and Heal

Recognize that it’s okay to grieve your losses even as you hope for the future. Acknowledging these emotions is a vital step toward healing.

Create a Plan with Your Healthcare Provider

Work with your healthcare provider to create a plan that addresses your concerns and outlines the steps to take should you encounter any issues during your pregnancy.

Practice Mindfulness and Relaxation Techniques

Mindfulness and relaxation techniques can be particularly beneficial in managing anxiety. Practices such as guided imagery, deep breathing exercises, and progressive muscle relaxation can help ground your thoughts in the present, reducing feelings of anxiety.

Supporting Data and External Links

  • According to the American Pregnancy Association, mindfulness and relaxation techniques can significantly reduce stress and anxiety during pregnancy.
  • The Miscarriage Association provides resources and support for those who have experienced loss, offering a community where your feelings are validated and understood.
A serene image of a pregnant woman practicing prenatal yoga in a peaceful setting, symbolizing calm and hope.

Conclusion

Experiencing anxiety during pregnancy after miscarriages is a journey filled with mixed emotions. Yet, by employing strategies to manage anxiety, seeking support, and focusing on your well-being, you can navigate this path with greater peace and confidence. Remember, it’s okay to seek help, and it’s important to take care of yourself both physically and emotionally. Your feelings are valid, and there’s hope for a joyful outcome.

Let’s embrace this journey together, sharing stories of resilience and hope. If you’ve found particular strategies helpful, or if you have questions or concerns, please share them in the comments below. Your story can be a beacon of hope for others walking this path.

For further reading and resources, visit the American Pregnancy Association and The Miscarriage Association websites. These platforms offer valuable information and support networks to help you through this time.

Remember, you’re not alone on this journey. Together, we can navigate the complexities of pregnancy after loss, finding strength and hope in each other’s stories.

  • American Pregnancy Association (Visit Here): Offers comprehensive information on pregnancy, including managing stress and anxiety during pregnancy, and provides resources for those who have experienced miscarriages.
  • The Miscarriage Association (Visit Here): Provides support and information to anyone affected by miscarriage, ectopic pregnancy, or molar pregnancy. They offer resources that help individuals cope with grief and plan for future pregnancies.

Disclaimer

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

What is a Septate Uterus?

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Septate uterus is the most common congenital uterine malformation, affecting 1 percent of all women, which happens during fetal development before birth. A membrane called the septum divides the inner portion of the uterus, at its middle. This dividing septum is a fibrous and muscular band of tissue that can be thick or thin. 

It’s possible for a septate uterus to be misdiagnosed as a bicornuate uterus. A bicornuate uterus has a heart shape. In this condition, the top portion of the uterus, or fundus, dips in towards the midline of the uterus. This dip can range from shallow to deep. A bicornuate uterus does not typically affect a woman’s chances of successful pregnancies unless the dip is extreme. There are also rare cases of a bicornuate uterus and a septate uterus occurring together. 

How does a Septate Uterus affect pregnancy?

Women can have a normal reproductive life, but complications may arise during pregnancy.. The rate of miscarriage in the general population is around 10 to 20 percent in women who know they are pregnant. The estimated rate of miscarriage in women with septate uteris is between 20 to 25 percent. Some research shows it may be as high as forty percent.

It is believed to be the most common type of abnormal uterine development, with estimates suggesting that over half of developmental problems of the uterus involve a septum.

Women with a septate uterus have an increased risk of both miscarriage and recurrent miscarriage. Pregnancies that occur within a uterus with any type of abnormal development increase the risk for:

  • Premature labor
  • Breech Positions 
  • C-Section Delivery 
  • Bleeding complications after delivery

What are the symptoms?

  • unusual pain before or during a menstrual period.
  • a tampon may not prevent menstrual blood from leaking out.

What causes septate uterus?

  • A septate uterus forms during embryological development when the tubes that eventually become one uterus don’t fuse together properly.
  • Septate uterus is a genetic abnormality.

Does this symptom affect sexual and reproductive life?

  • It does not affect a woman’s sexual pleasure or fertility.
  • Women with a septate uterus can have a normal reproductive life, but it may add complications to pregnancy. 

Diagnosis?

A septate uterus often remains undiagnosed until a woman experiences repeated miscarriage. At other times, the doctor may stumble upon it during a routine physical exam. This is because a septate uterus is often accompanied by similar malformations of the cervix and vagina. Typically referred to as a “double cervix” and “double vagina,” these are often the first clues of a similar abnormality in the uterus.

 A standard 2-D pelvic ultrasound may reveal a septate uterus. An MRI can be a more accurate way to identify problems of the uterus. A definitive diagnosis may be required on a hysterosalpingogram (an X-ray procedure highlighting the uterus) and/or hysteroscopy (a visual examination using a lighted scope). Even with these examinations, a septate uterus can sometimes be misdiagnosed as a bicornuate uterus, also known as a “heart-shaped uterus.” While the malformation is by no means considered normal, it does not typically increase the risk of miscarriage.

Treatment

Most commonly, treatment involves surgery to remove the septum during a hysteroscopy. This is a fairly minor procedure usually performed on an outpatient basis. The surgery, called metroplasty, is minimally invasive and involves the insertion of a medical device through the cervix and into the uterus to cut away excess tissue.
This usually takes between 30 and 60 minutes to perform. Afterward, healthcare providers may prescribe antibiotics and estrogen to prevent infection and aid in healing. Hysteroscopic metroplasty can improve chances of a successful pregnancy in women with recurrent pregnancy by 53.5 percent, according to a comprehensive analysis of 29 studies conducted from 1986 to 2011.

Disclaimer

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Resources:

https://www.webmd.com/baby/septate-uterus

https://www.childrenshospital.org/conditions/septate-uterus#:~:text=A%20woman%20with%20a%20septate,there%20is%20recurrent%20pregnancy%20loss.

https://www.healthline.com/health/septate-uterus#septate-uterus-and-pregnancy

FALSE PREGNANCY (Pseudocyesis)

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What is a False Pregnancy?

In this, women experience more pronounced symptoms of pregnancy including missed periods, a growing abdomen, and even baby kicks. False pregnancy is not only common in women, but men also experience it at times. They develop similar pregnancy symptoms like their partner, including weight gain, nausea, and backache, which is referred to as couvade or sympathetic pregnancy. But this isn’t related to a miscarriage. In a false pregnancy, there was no conception and there is no baby. Despite this, symptoms can last long enough to make a woman, and even those around her, believe she’s expecting.

In simple terms, pseudocyesis or false pregnancy is believing that you are pregnant when in reality you are not carrying a child. Pseudocyesis is the medical term for a false pregnancy or what some people refer to as a phantom pregnancy. People with pseudocyesis have many, if not all, symptoms of pregnancy, with the exception of an actual fetus. 

A woman’s intuition is a funny thing. Most women know they are pregnant before they are even far enough along to take a test.

How Common Is Pseudocyesis?

In the general population, pseudocyesis occurs in about 1-6 out of every 22,000 births.  Most instances of pseudocyesis occur in women of childbearing ages, between the ages of 20-44 years. Rarely, men experience “sympathetic pregnancy,” known as pseudocyesis. You can experience pseudocyesis more than once in your life.

What Causes False Pregnancy?

Pseudocyesis is extremely rare in both men and women and just recently doctors have begun to understand the psychological and physical root of pseudocyesis. Although the exact causes still aren’t known, doctors suspect the cause comes from trauma, either a physical or mental trauma, while others believe it is a chemical imbalance. In some cases, there are other medical conditions that may cause pregnancy symptoms to be experienced.

Here are some of the reasons a person might experience symptoms of pseudocyesis:

  • An intense desire to get pregnant after miscarriage or impending menopause and hormonal imbalance which causes pregnancy symptoms to appear.
  • Abdominal distention from other physical factors such as weight gain, gas, or tumors, in combination with psychological delusions of pregnancy, may cause a woman to believe she is pregnant
  • Other physical and hormonal factors such as pituitary tumors or ovarian/uterine cysts or growths along with a desire to become pregnant.
  • The woman’s brain then misinterprets those signals as pregnancy, and triggers the release of hormones (such as estrogen and prolactin) that lead to actual pregnancy symptoms.

Symptoms

  • Enlarged and tender breasts, changes in the nipples, and possibly milk production
  • Interruption of the menstrual period
  • Weight gain
  • Morning sickness and vomiting
  • Reduced appetite

Tests for False Pregnancy

Ultimately, the only way to know for sure if someone is experiencing pseudocyesis is to administer a pregnancy test or ultrasound. The most definitive test to check for pregnancy would be an ultrasound that checks for the presence or absence of a developing fetus. In a case of false pregnancy, your health professionals will not see any baby in the ultrasound, and there won’t be any heartbeat. 

If the absence of pregnancy is confirmed, but concerning physical symptoms linger, another testing might be administered to rule out other medical issues, such as hormonal imbalances or tumor growth. Certain medical conditions can mimic the symptoms of pregnancy, including ectopic pregnancy, morbid obesity, and cancer. health professionals conduct further tests to rule out these.

Treating False Pregnancy

Pregnancy, whether true or false, is an exciting time for an expectant mother. When women believe they are pregnant, especially for a period of several months, it can be very upsetting for them to learn that they are not. The grief that comes next may be intense.  In this case, they may need to be under the care of a psychiatrist or psychologist. In some cases, psychotropic drugs, in combination with psychotherapy, may be helpful.

Bottom line

It’s important to understand that pseudocyesis is a very complex issue. If you are caring for a loved one who has experienced pseudocyesis, it’s important to be gentle. Very often, pseudocyesis stems from the trauma of having lost a pregnancy or having experienced infertility. 

Pseudocyesis is treatable and can be resolved, but it may be painful for the person who is experiencing it as well as their loved ones. So be kind and also encourage your loved one to seek professional help when the situation warrants it. Most of all, remember that you are not alone, and with proper care, you will feel like yourself again before you know it.

Disclaimer

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

References:

https://www.webmd.com/baby/false-pregnancy-pseudocyesis#1 https://americanpregnancy.org/getting-pregnant/false-pregnancy/ 

https://www.healthline.com/health/pregnancy/phantom-pregnancy

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.