Medications after early miscarriage. How to restore your body after a miscarriage. Recovery after miscarriage

How many days do you have to stay in the hospital after a miscarriage?

When a woman finds out about her pregnancy, she changes her rhythm of life, especially if the pregnancy is desired. However, depending on many circumstances, a miscarriage , that is, a natural termination of pregnancy, may occur.
Statistics say that up to 20 percent of pregnancies end in pathological abortions. Often, a woman may not know that she was pregnant, since a miscarriage sometimes occurs in very early stages and seems to be just a normal delay in menstruation followed by heavy discharge. If a woman finds out that she is pregnant and wants to become a mother, she should be very attentive to her condition. The threat of miscarriage often occurs in the early stages of pregnancy and therefore you need to know what symptoms and signs precede a sudden miscarriage.

Signs

The main sign of a suspected miscarriage is bleeding from the uterus. They are sparse, pale scarlet or gray-brown in color. The discharge most often gradually intensifies and is characterized by sudden cramps or nagging pain in the lower abdomen. These symptoms may last for some time.

The pain is often so weak that the woman simply does not pay attention to it. They can be interrupted, and the woman simply forgets about them, especially if the discharge has also stopped, and before that it was insignificant. Meanwhile, the very first symptoms should alert you and you should urgently go to a gynecologist for examination and consultation. Even if the process has stopped, after a few days you can feel a sharp deterioration in health, and then you may no longer be able to save the life of the unborn child. You definitely need to pay attention to what exactly comes out along with the discharge; if there are tissue fragments, it means that a miscarriage has already occurred. Therefore, you should not hesitate to go to the doctor; the fetus may come out, entirely or in parts, and there may be white particles or a rounded gray bubble. When the body is completely cleansed, the pain will subside, but before that it may continue for some time.

Timing of miscarriages

A miscarriage is considered early if it occurs before twelve weeks of pregnancy. Starting from the 22nd week, if a spontaneous miscarriage occurs, it is considered late. If the termination of pregnancy occurs before thirty-seven weeks, then this is already called premature birth. All subsequent fetal rejections are called term births and are generally considered normal, since mostly children capable of surviving are born during this period. In modern medicine, children born after 22 weeks are nursed and subsequently are no different from those born at term with normal weight.

Types of miscarriages

Experts have identified several types of miscarriages.

Complete or inevitable - characterized by pain in the lower back and dilatation of the cervix, hemorrhages from it. The membrane necessarily bursts, and the pregnancy is terminated. The fetus comes out of the uterus, and all unpleasant sensations in the form of pain and bleeding stop.
A failed miscarriage is distinguished by the fact that the fetus died but remained in the mother’s body. A doctor can detect this when examining a woman and listening to the fetal heartbeat.
Repeated miscarriage is rare, it occurs only some time after the first and can occur up to three times in a row in the early stages.

Causes of spontaneous abortion

The overwhelming majority of women, having learned about their pregnancy, want to give birth to a healthy baby. And if a spontaneous miscarriage occurs , then for the failed mother this is a real tragedy. Many, having experienced an abortion, try to conceive a child again as quickly as possible, but first you need to know the reasons for what happened in order to subsequently save the fetus. According to statistics, the largest number of miscarriages occur in the early stages.

There are several reasons for this:

Most often, it is for this reason that a miscarriage occurs. This is not due to heredity, it is a consequence of a mutation of parental germ cells that accidentally ended up in unfavorable conditions. This is also the influence of radiation, poisoning, viruses, that is, temporary situations that affected the quality of germ cells. The body thus gets rid of a weak, non-viable fetus. It is neither possible nor necessary to prevent such spontaneous abortion. Once you decide to get pregnant, you just have to try to cleanse your body of possible harmful influences.

The reason for miscarriage at a very early stage is also a lack of the hormone progesterone, or that the woman has an excess of male sex hormones that suppress the production of estrogens and progesterones in her body. In this case, the fetus can be saved with medication by administering the necessary medications to the woman. The work of the adrenal glands and the thyroid gland influences the production of hormones, so much depends on the work of these glands during pregnancy.

In this case, the viability of the fetus is directly affected by the Rh conflict. The embryo will inherit the man’s positive Rh, and if the partner’s is negative, then her body simply rejects cells that are foreign to it. This situation can be prevented by administering a type of progesterone to the expectant mother, a process called immunomodulation.

Sexually transmitted infections, such as toxoplasmosis, syphilis, trichomoniasis, chlamydia and others, pose a great danger. Infection from the outside: bacteria and viruses infect the membranes, and the body will inevitably reject the embryo. Therefore, before becoming pregnant, you should be examined to know for sure that there are no infections, and if the result is positive, undergo treatment.

In addition, all inflammatory processes, various diseases of internal organs, which are accompanied by a persistent high temperature, can also lead to unexpected rejection of the fetus. Rubella is especially dangerous, and viral hepatitis is common. But even sore throat, mild pneumonia, appendicitis sometimes play a key role and lead to miscarriage, so the expectant mother must undergo a careful examination even before conceiving a child, and then protect herself from all kinds of infections and weakening of the body.

If a woman had an abortion in a hospital and then became pregnant and decided to give birth, there is a danger that she will have a miscarriage. Abortion is a stressful factor for the body, ovarian dysfunction is often observed, inflammatory processes can begin in the female genital organs, and all this will lead, at best, to a miscarriage and subsequent repeated miscarriages, at worst, to infertility. Therefore, you need to think very seriously before going for an abortion.

Medicines and some herbs.

It is advisable for a pregnant woman not to take any medications at all, especially in the first three calendar months. Medicines and herbs can cause various defects in the fetus, which in turn will lead to its rejection. Analgesics and uncontrolled hormonal contraceptives are especially dangerous. You should eat parsley and nettles with caution - they cause high tone of the uterus, which in turn can reject the fetus.

It is no coincidence that in ancient times pregnant women were protected from worries, comfortable conditions were created for them, and they tried to give them as many positive emotions as possible. It has now been proven that the health of the unborn baby is directly dependent on the mental state during pregnancy. Any stress, fear and overexertion can cause an unexpected termination of pregnancy. If you have a problem (death of a loved one, divorce, etc.), you need to find sedatives with the help of a doctor, they will help you cope with this period.

Summarize

From the article you were able to learn a step-by-step plan for recovery after spontaneous abortion. If a miscarriage occurs in the early stages, its cause is often not possible to determine. Be sure to monitor your health. If vaginal discharge after a miscarriage acquires a strange color and an unpleasant odor, then an infection has probably occurred. Don't think that everything will go away on its own. The sooner you see a doctor, the fewer negative consequences will be for you. Gynecologists categorically do not recommend trying to solve the problem on your own. Do not take any medications on the advice of your girlfriends. This can only worsen the existing situation. Speedy recovery to you!

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Do they give sick leave after an abortion?

Surgical, medical or mini-abortion is a procedure that causes harm to a woman’s body in any case, even if performed in the earliest stages. Many women are interested in whether sick leave is given after an abortion and for how many days. This issue is regulated by law and largely depends on the causes and consequences of the operation.

Cleaning

All women experience recovery after a miscarriage differently. At a young age, especially if this is a long-awaited child and the first pregnancy, girls often withdraw into themselves and experience severe psychological trauma. It is important to understand that if the fetus does not take root and is rejected by the body, you should not fall into depression, but you need to understand why this happened and try to eliminate the cause.

So, first of all, you need to know, if a miscarriage occurs, what to do, in particular, this question concerns cleaning the uterine cavity, how to understand that this procedure cannot be avoided. First of all, a woman should go to a gynecologist, who will advise her to undergo an examination on a chair, as well as an ultrasound screening of the pelvic organs.

Thanks to such a study, the diagnostician will be able to understand the condition of the uterus and its mucous membrane. In situations where the organ is clean, cleaning is not prescribed. However, even in the presence of the smallest inclusions (remnants of the fertilized egg), the procedure must be carried out. It should be performed immediately, since if time is missed, serious consequences may develop, including sepsis.

A leading specialist will tell you how to recover after a miscarriage. As for curettage, it is almost always performed on women whose spontaneous abortion occurred after the 7th week of gestation. Since the procedure is performed on an outpatient basis, a natural question arises: how long do they stay in the hospital after a miscarriage?

Read more Give birth after conization of the cervix

The period of stay within the walls of a medical institution depends on many factors. Often the cleaning itself takes no more than 15 minutes, and it is done with intravenous anesthesia. If everything went without complications, then they stay in the clinic for several hours until the condition stabilizes, and then go home.

A complete miscarriage at an early stage without cleaning is possible. But in the second trimester, this procedure is mandatory, and the woman will need to stay in the hospital for several days after it.

How long are you in the hospital after the procedure?

With different methods of terminating pregnancy, women are hospitalized for a certain period of time. Instrumental methods assume the following:

Mini-abortion, or vacuum aspiration . The procedure lasts up to 25 minutes, after which the woman remains in the hospital for up to 3 hours. If complications arise, this time increases to 1-2 days or more.
Surgical abortion . It is done at a period of 9 weeks, and the patient is given anesthesia (general or spinal). After the operation, the woman remains in the hospital for up to 1 day, and if there are complications, this time is extended to 2-3 days. A woman spends the same amount of time in the ward during a late-term abortion.

But a woman can leave the hospital of her own free will by signing a waiver. This is dangerous to health, so it is better to use the services of doctors.

How you feel after scraping

Curettage after a miscarriage should not cause any significant pain - in the first days, doctors may prescribe painkillers if the woman cannot tolerate the pain. But in general, the stomach will hurt the same or a little more than during menstruation.

The bleeding also resembles your period, perhaps a little heavier. If the following symptoms occur (in the hospital or at home), you should immediately report them to your doctor:

If you feel unwell, feel dizzy or faint;
If you have a fever;
If the abdominal pain is too severe;
If the bleeding is bright and profuse;
On the contrary, if the spotting suddenly disappears.

Cleaning after a miscarriage requires compliance with certain rehabilitation conditions. Just like after any other manipulation, you should not take a hot bath, visit a bathhouse, sauna, or beach. Physical activity must be limited. Sexual activity should not be carried out for about a month. Depending on the reasons that caused the miscarriage, the woman may be prescribed hormone therapy for several months. But in any case, you need to remember that pregnancy can occur literally in the next cycle, when the body is not yet completely ready for it. Therefore, for at least three months after curettage, you need to take care of contraception.

Cleaning after a miscarriage - is it necessary and in what cases? Doctors really don’t like this name for the procedure - “cleaning”; officially it is called “curettage”, “curettage” or “revision” of the uterus, but for women it is more familiar and understandable. And this doesn’t change the essence.

So, the woman had a spontaneous termination of her long-awaited pregnancy. Bleeding began and uterine spasms appeared. What is she doing? He immediately goes to the doctor if it is a weekday, and on the weekend he goes independently to the gynecological department or calls an ambulance.

There the doctors examine her. In good hospitals they also do ultrasound right away. And they decide whether to send the woman home, leave her in a hospital under observation, or immediately perform uterine curettage.

The last surgical procedure is quite traumatic and foreign doctors are always surprised by the question of whether cleaning is always necessary after a miscarriage. After all, only in 10% of cases this procedure is necessary. Whereas in Russia and the CIS countries it is done to almost everyone for “preventive purposes”...

In Europe, post-cleaning is carried out only if there are signs of infection of the uterus, if the pregnancy was more than 10 weeks, or if the woman is bleeding heavily. That is, only in cases where the procedure cannot be avoided. And then they try to choose not the classic revision of the uterus with the help of instruments, but vacuum aspiration. After all, they can be more dangerous for women’s health than non-intervention...

If a woman has lost a child at a short period of time, for example, at 6 weeks, and there is no severe, life-threatening bleeding or severe pain, she should visit a doctor and have an ultrasound scan. Moreover, if the ultrasound does not see significant deviations in the condition of the endometrium or remnants of the membranes, the woman is left under observation and is recommended to go for another ultrasound in another 2-3 weeks. In some cases, anti-inflammatory drugs are prescribed to prevent infectious complications. But a woman should know that if the uterus has completely emptied, the discharge should end very soon. Literally in 2-3 days.

Another important point is to measure the level of hCG if no remains of the fertilized egg are found in the uterus and the presence of intrauterine pregnancy has not previously been confirmed by ultrasound. If hCG is high and continues to rise, most likely the pregnancy remains. Moreover, it is quite possible that it is ectopic. And then surgery will be needed.

As for whether it hurts to clean the uterus after a miscarriage, much depends on the type of anesthesia, as well as whether the cervix is dilated. During dilation, local anesthesia is often used. When the woman is conscious. If not, then intravenous short-term anesthesia is given. Then the woman simply “falls asleep.” And if the anesthesia was “good”, then the woman will recover from it easily, and will not feel any pain afterwards.

Discharge after a miscarriage cleaning usually lasts no longer than a normal period. And for some they are just a “daub” and completely disappear in just a few hours. The amount of bleeding largely depends on the quality of the gynecological intervention performed, the length of pregnancy at the time of its termination, as well as the individual characteristics of the female body.

And the real ones, in case of taking hormonal contraception (it is usually recommended after this event for a period of three months) come after 24-28 days. If hormonal drugs are not taken, there may be slight delays. It should be taken into account that pregnancy after cleaning a miscarriage can occur within a few days. And if this is not yet included in the plans, measures must be taken to prevent its occurrence.

If a miscarriage occurs, is it necessary to clean the uterus or can you “forget” about this incident, not go to the doctors and live peacefully? Much depends on the duration of pregnancy, the presence or absence of bleeding, its abundance, pain, etc.

Many women have gone without a cleanse at least once in their lives, and all because they did not even know that they were pregnant. Quite often, pregnancy is terminated in the first days after the start of the delay, and if a woman does not carefully monitor her menstrual cycle, she may not notice it at all.

How is menstrual bleeding different from what happens during a miscarriage? Usually nothing. There may be a little more clots in the discharge, but usually not much if everything happened in the first days of the delay. Well, the fertilized egg is still so small that it is usually mistaken for a small clot. And you can’t really see the embryo in it yet.

Necessary if the uterus is not completely cleared. And this threatens with a complication - endometritis, inflammation of the lining of the uterus. You can understand that not everything has come out of your uterus yet by prolonged discharge. Or if the discharge stops, but after a few days it starts again. Remember how long the blood will bleed after a miscarriage without curettage is normal - this is no more than 7-8 days. That is, approximately the same as with simple menstruation. If bleeding continues longer, this threatens not only the inflammatory process, but also iron deficiency anemia.

But even in this case, when there is an incomplete miscarriage in the early stages, cleaning is not recommended in many cases. If the pregnancy was terminated with a delay of no more than 2-3 weeks, vacuum aspiration is possible. This procedure requires a very slight dilatation of the cervix, nothing needs to be scraped out, that is, the uterine cavity is not injured. And the procedure itself is much easier for women to tolerate; it does not require anesthesia; only local anesthesia is sufficient. That is, during the procedure the woman is conscious and can leave the clinic almost immediately. This procedure is also performed in regular antenatal clinics.

But one way or another, it is possible to accurately judge what is wrong with the uterus only by the results of an ultrasound examination.

The question remains unclear - without cleaning, are there any restrictions on the minimum terms? If you are planning a child, you should do an ultrasound. Based on the condition of the uterus, it will be clear when this can be done. If there are no remnants of membranes in the uterus, there are no infectious diseases, there is nothing to worry about, this was the first miscarriage, and the woman had previously undergone an examination, which is optimal for those who are planning a child, then conception is possible in the near future.

After a miscarriage, it is necessary in cases where, as a result of termination of pregnancy, parts of the fertilized egg or fetal membranes do not come out of the uterus. If there are existing threats to a woman’s health, such as bleeding and signs of infection, curettage after a miscarriage is carried out immediately. Sometimes doctors recommend waiting a few days to allow the tissue to come out of the uterus on its own.

In some cases, a woman is prescribed medications that speed up cleansing. But the use of medications can provoke the development of side effects, such as nausea or even vomiting, diarrhea and other digestive system disorders.

How does cleansing happen after a miscarriage?

During curettage, the top layer of the uterine mucosa is removed. This can be done using special tools or a vacuum system. This procedure is quite painful and is often done under anesthesia. Cleaning lasts from fifteen to twenty minutes. After the anesthesia wears off, the woman feels pain in the lower abdomen, as during menstruation. Their duration can be from several hours to several days. In this case, no special treatment is required.

Immediately after the procedure, heavy bleeding is possible. After two to three hours they shrink, but a woman can observe them for up to ten days. If after curettage the discharge quickly stops, this may indicate a spasm of the uterus and the accumulation of blood clots in it.

Consequences of cleaning after a miscarriage

The main complications of curettage may be:

If a woman’s body temperature rises above thirty-eight degrees Celsius, the bleeding quickly stops or, conversely, does not stop for a long time, it is necessary to contact a specialist who can prevent the development of complications.

Women's misconceptions about how cleansing occurs after a miscarriage cause a lot of unnecessary worry. Only a doctor can tell you whether cleaning is necessary after a miscarriage, after examining the woman with an ultrasound. And only based on the results of the study can we say whether cleaning is necessary after a miscarriage.

Doctors call the first 12 weeks after conception the most difficult, because it is during this period that the bulk of bad outcomes occur. If the potential mother's body is not able to bear the fetus, a natural termination of pregnancy will occur at an early stage.

External factors also have their maximum influence at the beginning of the first trimester. How to recognize an early miscarriage, is cleaning necessary after it? What is the likelihood of another pregnancy after this?

As for the reasons that provoke spontaneous abortion, they can be based on both external factors and internal disorders. Genetic prerequisites for which a woman cannot bear a child or the fetus itself has genetic abnormalities, as well as Rh conflict, weakening of the mother’s body, her infectious diseases, a history of abortions - all this reduces the chances of a successful pregnancy outcome. Stress, intense physical activity (if the body is not prepared for it), and injuries can also have a negative impact. Some doctors suggest that even a very hot bath promotes uterine contractions and dilation of the cervix.

Sick leave after termination of pregnancy

Induced termination of pregnancy and spontaneous termination of pregnancy are two different terms found in legal documents. Termination of pregnancy occurs for indications that pose a threat to the woman’s life, as well as at the request of the patient.

By law, abortion is possible up to 12 weeks. In the 2-3 trimesters, the decision to terminate a pregnancy can only be made by a medical commission.

Sick leave for various types of abortion is issued for up to 3 days (subject to medical indications). If a medical or mini-abortion is performed at the woman’s request, then she is not given sick leave. Exceptions are cases of medical complications, as well as surgical abortion, in which the woman remains in the hospital for at least a day.

Blood after a miscarriage: normal or not?

All women and girls after a spontaneous abortion are warned about the likelihood of copious amounts of bleeding.

During a miscarriage, the fetus inside the mother's womb is separated from the walls of the placenta. This causes damage to the vessels that are tightly located around it, resulting in an open wound from which copious amounts of blood flow. In this case, the main goal is to protect this place from various infections.

The number of days during which the wound bleeds is individual for each patient. It all depends on the physiological individual characteristics of the body. In gynecology, the normal duration of bleeding is about 10 days. However, if a girl notices that such discharge lasts longer than necessary, then she urgently needs to consult a doctor. This may be a signal that the wound has become infected. The cause of infection is most often incorrect adherence to personal hygiene rules. Sometimes the cause of infection of the internal organs of reproduction is the fetus that has not fully emerged. The remains inside begin to decompose and cause infection.

If bleeding drags on for a long time and this process is progressive, which is expressed in:

drowsiness;
headaches;
nausea;
dizziness;
fatigue;
general malaise of the body.

In this case, you need to contact a specialist, since such signs may indicate internal bleeding. which is dangerous for a woman's life.

Legal regulation

These regulatory documents note that doctors are not required to issue sick leave to all patients after an abortion. Thus, early abortions, especially medical ones and carried out at the request of the patient, do not require sick leave in most cases. But late pregnancy termination, as well as spontaneous miscarriages and major surgical operations are grounds for issuing BC for at least 3 days.

Based on this, it is better not to count on receiving a certificate when making an independent decision to terminate a pregnancy. The time should be calculated so that after the procedure there are at least 2 days off. This will help avoid unpleasant consequences, because even a medical abortion is a significant stress for the body.

Is it possible to extend the received BL?

If, after 2-3 days while on sick leave, a woman’s condition worsens, signs of infection and other complications arise, she should consult a doctor. The doctor will decide on hospitalization or extension of sick leave, in such cases this is possible.

Causes

If a woman has a spontaneous abortion, then, first of all, it is necessary to establish what caused this problem. Accordingly, it is not surprising that girls are wondering how to do this, and whether this is even possible. It is worth noting that maximum diagnostic information can be obtained only after cleaning.

During the procedure, the doctor takes a small amount of biological material and sends it for subsequent histological examination. In certain cases, the results can determine what caused the termination of pregnancy. However, this is not always enough, so a woman is prescribed tests after an early miscarriage.

It is imperative to donate blood for general clinical diagnostics and determine the level of concentration of sex hormones in the blood. Biological fluid is also given to determine the presence or absence of sexually transmitted infections, inflammatory processes, and genetic predispositions.

The examination after a miscarriage also includes visits to highly specialized doctors, including a urologist, endocrinologist, cardiologist, and therapist. During the examination, doctors can identify pathologies according to their specialization, which are often an indirect or direct cause of spontaneous abortion in the early stages.

Design rules

Certificate of incapacity for work after termination of pregnancy

At the top right, the doctor puts code 31, which indicates a reference to the social insurance fund.
The columns “Diagnosis” and “Final diagnosis” remain empty.
In the paragraph “Type of disability” it is indicated “disabled for medical reasons if the abortion was performed for health reasons. If at the request of the patient, they will compile the date - month, day and year.
In the “Regimen” paragraph, the doctor must indicate whether an inpatient or outpatient method of further observation is indicated.
In the section “Exemption from work” it is prescribed according to the general rules.
In the “Get to work” section, the doctor indicates when you need to return to work, taking into account the next day after receiving the BL.

Both diagnosis fields are left blank.
The disease is written in the “Type of disability” column.
“Regime” indicates the method of further therapy.
“Exemption” specifies the duration of inpatient and outpatient treatment.
“Return to work” – the date of return to work after examination by a doctor.

Miscarriage or menstruation

It is not easy to distinguish between the loss of a child and menstruation, since the nature of the discharge depends on the woman’s health and her lifestyle. Menstrual bleeding that begins on time makes one think that fertilization has not occurred. But pay attention to the calendar: if there was a delay of only a couple of days, this may not indicate an irregular cycle, but a spontaneous termination of pregnancy. During such periods, a woman suffers from pain more than usual.

If a spontaneous abortion occurs, the menstrual cycle is delayed, lengthened, and the volume and color of the discharge changes. Upon careful examination, elements of the fertilized egg are revealed.

You can distinguish the fertilized egg from other secretions by density and size. The appearance of a large mucous-blood clot may indicate an interrupted pregnancy.

Women rarely pay attention to this, so at home it is almost impossible to understand that a miscarriage has occurred.

If menstruation does not come on time, and unusual pain is noted in the lower third of the abdomen, a spontaneous abortion is likely to occur in the lumbar region. In a situation where a woman regularly suffers from pain during menstruation, it will be quite difficult to recognize a spontaneous miscarriage.

Determine exactly what is happening using one of two methods:

Ultrasound;
hCG analysis.

With an ultrasound examination, the doctor sees whether a fertilized egg is present in the uterus, checks the heartbeat, and monitors the degree of development of the embryo. The gynecologist will tell you exactly whether there is a high probability of losing the fetus. Ultrasound allows you to assess the condition of the cervix and the organ itself.

The first days after fertilization, the egg is so small that even ultrasound will not provide accurate information. A blood test for human chorionic gonadotropin comes to the rescue. This is the name given to the hormone produced by the female body during pregnancy. If a miscarriage occurs, the level of hCG in the blood remains for 5-7 days. The concentration of hCG in the event of a threatened miscarriage or an ongoing abortion will be lower than it should be at this stage of pregnancy.

If a gynecological examination shows that the cervix is open, the pregnancy cannot be maintained. If the cervix is closed and the embryo is alive (according to ultrasound), there is a chance that the pregnancy will continue. For this purpose, hormonal therapy, antispasmodics and other drugs are prescribed.

How long do you have to stay in the hospital after an abortion?

Abortion is the artificial termination of pregnancy. They go for it for various reasons, but it is very important to know that in any case such intervention can have unpleasant consequences.

Abortion can be early, late, surgical or medical. Before an abortion, a woman must undergo a full examination, based on the results of which the doctor will choose the most appropriate method of disposing of the fetus. Depending on the situation, the chosen method, and the general condition of the body, the patient may spend from several hours to several days in the hospital.

Medical abortion is the safest, but is less effective. Such an abortion is carried out at home, but always after agreement with the doctor, who selects the drugs and prescribes their dosage. The disadvantage of this method is that it may require repeated medical intervention to remove the remaining fetal fragments, but this does not necessarily require going to the hospital.

“Medical abortion is performed only under the close supervision of an obstetrician-gynecologist; performing the procedure yourself can be life-threatening.”

Surgical abortion is performed using a vacuum method or curettage. During the operation, short-term gynecological anesthesia is used, in some cases general anesthesia. After the procedure, a woman can leave the medical facility after 3-5 hours, if no unpredictable consequences have arisen. Vacuum abortion is less dangerous, the risk of infection and contamination is less frequent, and recovery is faster.

“Infection is not uncommon. Even the use of absolutely sterile instruments does not guarantee complete safety.”

After an abortion, not only an inflammatory process can develop, but also thrombosis, chronic inflammatory diseases, and mental disorders often occur. It is simply impossible to say exactly how long a woman should stay in a medical facility after an abortion, because numerous factors are of great importance here. Under no circumstances should you resort to traditional methods of getting rid of pregnancy; this will lead to dire consequences, the least of which is long-term hospitalization and prolonged treatment. Abortion at home can lead to infertility and even death, remember this.

Recovery after a miscarriage: step-by-step instructions. What to do after a miscarriage?

But don't give up. Today's article will tell you what to do after a miscarriage and how to regain your health. It is worth recalling that the information below should not encourage you to self-medicate or refuse medical care.

If you are faced with a similar problem, then you will not be able to cope with it without doctors.

General concept of miscarriage

Spontaneous termination of pregnancy is called miscarriage. In this case, the membranes may come out of the uterus completely (this often happens in the early stages) or remain partially in it. Such an event can occur at any time.

If termination of pregnancy occurs in the first 12 weeks, then they speak of an early miscarriage. The situation is more complicated when a similar condition develops in the second trimester.

After 25 weeks, we are already talking about premature birth, since at this time the embryo can be viable (if the right conditions are organized).

Is cleaning necessary after a miscarriage?

If this happens, then nothing can be fixed. There is no need to withdraw into yourself and refuse medical help. The consequences of such renunciation can be very dangerous. It's not uncommon for women to need a cleaning after a miscarriage. How to find out about such a need?

Contact your gynecologist and visit the ultrasound room. During the examination, the physician will determine the condition of the uterus and its inner lining.

If the remains of the fertilized egg (even the smallest ones) are visible in it, then you will definitely be prescribed curettage. You cannot hesitate in such a situation, since wasted time is fraught with unpleasant consequences and even sepsis.

When no remains of membranes are found in the reproductive organ, you can safely proceed to subsequent actions.

It lasts no more than 10-15 minutes. After this, the patient remains under medical supervision for several hours and, if she feels well, can go home.

A miscarriage in the second trimester requires the woman to be hospitalized for several days for medical supervision.

What medications will you need first?

If the termination of pregnancy occurs spontaneously with complete removal of the fertilized egg, then no medications are prescribed after this (except in certain situations). When curettage was performed after a miscarriage, the gynecologist prescribes appropriate medications. Among them, the most popular are the following:

Antibiotics (preference is given to penicillins and macrolides, other groups are prescribed less frequently). Bacteriostatic and bactericidal medications are prescribed to prevent infection. Often such consequences arise from cleaning. You need to take antibiotics for 3-10 days in accordance with the doctor’s recommendation.
Uterine remedies (most often they use Oxytocin or medications based on it). These drugs enhance the contractility of the myometrium. Due to this, the mucous layer is quickly rejected, preventing extensive bleeding and speeding up the recovery process.
Immunomodulators (“Isoprinosine”, “Derinat”). These drugs increase the body's resistance; they are also intended to eliminate viral infections obtained during or after curettage.

Any medications after a miscarriage should be prescribed by a doctor. Self-administration of drugs can be fraught with unpleasant consequences. Don't listen to experienced friends. Trust only your gynecologist.

Recovery period for the reproductive organ

The uterus recovers quite quickly after a miscarriage. Even if spontaneous termination of pregnancy occurs at a long term, the reproductive organ returns to its usual size within a few days. If this does not happen, then, again, the patient is prescribed appropriate contractile medications.

https://www.youtube.com/watch?v=9MqgGABmbZg

Sex after a miscarriage should be completely avoided until the arrival of the first natural menstruation. Despite this warning, many couples rush into another sexual encounter. The consequence of this may be infection, inflammation, bleeding and other troubles.

Sexual intercourse without a condom is strictly contraindicated for the patient! Even if you are accustomed to other methods of contraception, now they need to be replaced with barrier ones. The fact is that condoms protect well against sexually transmitted infections.

And your women's health is especially vulnerable now.

First menstruation after termination of pregnancy

What does the first period look like after a miscarriage? Many patients confuse discharge after cleansing with their first menstruation. In fact, this is not entirely correct. In fact, the doctor cleared the cavity of the reproductive organ from the endometrium.

It turns out that the doctor did in a few minutes what usually takes 3-7 days. From this moment you can start a new cycle. But postoperative discharge should not be confused with menstruation. The next bleeding normally occurs after 3-5 weeks.

It is preferable to use gaskets with it. Tampons can cause bacterial infections.

The first menstruation after termination of pregnancy can be scanty or, on the contrary, abundant. This happens due to hormonal changes. An important role in this issue is played by the period at which the miscarriage occurred. If the cessation of embryo development occurs before 8 weeks, then the woman’s body has not yet had time to fully adjust to pregnancy.

The cycle will be restored quickly and with minimal consequences. When a miscarriage occurs after 12 weeks, the placenta is already fully functioning. Here everything is more complicated. A woman's body needs more time to restore normal functioning.

There are cases where hormonal diseases (mastopathy, endometriosis, ovarian tumors) became a consequence of late miscarriage.

Determine the cause and carry out treatment

Is it possible to determine the cause of this outcome after a miscarriage? Is it possible to find out why the pregnancy was terminated? After all, awareness of the problem is already half the way to solving it.

It is possible to reliably establish the cause of a miscarriage only after curettage. The materials obtained during the manipulation are sent for histological diagnosis. Its result helps determine why this situation arose. But this is not always enough. The patient definitely needs to get tested.

Depending on the state of health and obstetric history, the doctor prescribes appropriate studies: blood tests, determination of sexually transmitted infections, identification of genetic abnormalities. You definitely need to visit such specialists as a urologist, cardiologist, therapist, endocrinologist. These doctors may find pathologies in their area that contributed to the miscarriage.

A comprehensive examination will allow you to prescribe the most correct treatment.

Organize your nutrition properly

Many women complain of pain after a miscarriage. If gynecological pathology is excluded, then the issue may be in digestion.

Often the described condition causes stress, which, in turn, leads to constipation and increased flatulence. This is why it is so important to establish proper nutrition in the first months after a miscarriage.

It will promote normal metabolism and good digestion.

Fill your diet with foods rich in protein and fiber. Eat lean meats and fish. Be sure to eat greens, vegetables and fruits. Drink plenty of water.

After gynecological curettage, the likelihood of thrombosis increases. To prevent this from happening, thin your blood in a natural way: drinking water. Avoid any alcoholic beverages.

They are actually contraindicated for you, since restorative drug therapy is present.

If constipation persists even after changing your diet, then it is necessary to eliminate it with the help of medications. Poor bowel movements contribute to stagnation of blood in the cavity of the reproductive organ. This is fraught with its consequences, for example, inflammation.

Your doctor will tell you what medications to use to soften stool.

Usually, safe drugs “Guttalax”, “Duphalak” are prescribed for long-term use, or medications “Glycerol”, “Microlax” for quick action, but one-time use.

Psychological side

After an early miscarriage, patients often withdraw into themselves. If spontaneous abortion occurs in the second trimester, then the situation is even worse. Women become depressed.

There are cases when patients after this decided to commit suicide. It is not simply impossible to remain in this state. This can be very dangerous. We definitely need to talk about this problem. Such topics are rarely discussed with a partner.

Therefore, the most correct decision would be to contact a psychologist.

During the consultation, the specialist will listen to your complaints and concerns. This doctor will help you cope with negative emotions after a miscarriage. After a few sessions you will already feel much better. If necessary, the doctor will prescribe you sedatives and antidepressants. Only the right approach to the problem will help solve it once and for all.

When can you plan your next pregnancy?

Absolutely all women for whom pregnancy was desired ask the question: is it possible to immediately plan a new one after a miscarriage? Any doctor will tell you that this cannot be done.

Even if the interruption occurred for a short period of time and did not have negative consequences, your body needs time to restore strength and hormonal levels. We also need to find out what exactly caused such a tragic outcome.

Otherwise, the situation may repeat itself again.

If the woman’s health is fine, and the cause of the miscarriage is not the presence of pathologies (the miscarriage occurred due to taking some kind of medication or injury, nervous breakdown), then doctors allow planning after 3-6 months. In this case, the menstrual cycle should be restored completely.

When the cause of the problem is discovered, treatment is prescribed. It can be short or long. Planning for a subsequent pregnancy is postponed indefinitely. Remember that patients are often prescribed antibiotics.

After a miscarriage, you can start planning only for the next cycle, starting with the completion of antibacterial therapy. But practically you can conceive a new life in the same cycle.

Therefore, the entire designated time period must be carefully protected.

Medical advice: step-by-step instructions

What kind of reminder can be provided to a woman who finds herself in a similar situation? What to do after a miscarriage? Doctors give the following step-by-step instructions.

Go for an ultrasound and find out if there are remnants of membranes in the uterus. With the result obtained, go to the gynecologist.
If the doctor prescribes curettage, then be sure to undergo this procedure. Otherwise, complications await you.
Strictly follow the doctor’s recommendations: take medications, follow the regimen, adjust your diet.
Find out the cause of your miscarriage with your doctor, after which the doctor will develop a treatment plan for you. Follow it, do not plan a new pregnancy at this time.
If there is mental anguish, depression and stress, consult a psychologist, do not withdraw into yourself.
Start new planning when the specialist allows it. Try not to remember negative moments, set yourself up for the positive.

Summarize

If vaginal discharge after a miscarriage acquires a strange color and an unpleasant odor, then an infection has probably occurred. Don't think that everything will go away on its own. The sooner you see a doctor, the fewer negative consequences will be for you. Gynecologists categorically do not recommend trying to solve the problem on your own.

Do not take any medications on the advice of your girlfriends. This can only worsen the existing situation. Speedy recovery to you!

Source: https://FB.ru/article/277498/vosstanovlenie-posle-vyikidyisha-poshagovaya-instruktsiya-chto-delat-posle-vyikidyisha

Letters from people who have had abortions

When curettage in the morning, go in on an empty stomach, then lie down, 2 hours later in the room with ice on your stomach, and then until your date. A week later, follow-up ultrasound. + antibiotics all this time to avoid complications (they will prescribe you on the spot)

“How long were you in the hospital?”

A few hours, then I got more sleep at home, otherwise such withdrawal was from the anesthesia, I was already turning inside out.

I spent one day in the hospital. In the morning there was an operation under general anesthesia, I woke up around lunchtime, they looked again and said that everything went well, everything was fine, but it was better to stay overnight just in case.

By the way, after the operation my immunity decreased greatly. Now it seems like she’s starting to come to her senses.

In our hospital, for those who have a period of up to 8 weeks. They had an abortion and after 2 hours they were sent home. And those who had more were left in the hospital for a day. I did it 2 times. Of course, a lot depends on the hospital and doctor, and the quality of anesthesia. After the first time I thought I was going to die, complications arose, I had to have surgery, but the second time in another hospital everything went fine. No sensations, pain or complications. The crits begin immediately. days and from this moment the starting point of menstruation begins (by the way, the same is true after gynecological operations). After anesthesia, you feel as if you are waking up from a hangover, but you quickly come to your senses, not like with a hangover

Today we had a surgical abortion, I was terribly afraid, in principle everything went fine. I went into the operating room and lay down, everything was done under general anesthesia, I didn’t feel anything. I certainly didn’t recover from the anesthesia very well, I felt nauseous, dizzy, my lower abdomen ached.

I had a surgical abortion at the age of 20, it was a long time ago, I don’t know if anything has changed since then, but I think there’s nothing much to change here. Except that general anesthesia is now given to everyone, and not just to those who tearfully ask for it, as I did in my time. My bleeding after the abortion stopped after about a week. The pain was severe, but not fatal. The cycle was restored within a month. The first periods “after” were VERY painful, almost to the point of loss of consciousness. But then it turned out that I had a complication in the appendages, I took a course of injections for two years in the fall and spring (twice a year). Then there were problems with pregnancy. There was a miscarriage. After it, I couldn’t get pregnant for four years; I even planned to undergo treatment for infertility. True, everything worked out without treatment - now the two children are almost adults. And the problems with inflammation after childbirth went away.

What to do after a miscarriage - how to restore your physical and moral condition

A miscarriage is the spontaneous interruption of embryo development in the early stages of pregnancy. Loss of pregnancy can occur in any trimester. In the early stages, the fetus dies; in the last weeks there is a chance to save the baby. If a girl has a miscarriage, then after it the body should be restored so that complications do not arise.

General information

If we consider the concept of miscarriage from a medical point of view, then when such a situation arises, experts say that a spontaneous termination of pregnancy or rejection of the embryo by the body has occurred. Often, shortly after conception, the membranes completely leave the cavity of the reproductive organ, but they can also remain partially there.

Recovery after a miscarriage occurs most quickly in the early stages, that is, before 12 weeks of fetal development. However, it is possible that this condition may occur in the second trimester. So, for example, if the 25th week has already arrived, then it is not about arbitrary termination of pregnancy, but about premature birth.

Regardless of the period in which the problem arose, a woman must contact a medical institution to determine the state of her health, as well as confirm the absence of complications. Let's take a closer look at what to do if a miscarriage occurs at home, what to do, whether cleaning and taking medications is necessary.

Possible complications after a miscarriage

Any type of termination of pregnancy leads to serious consequences. Therefore, girls are not recommended to have abortions at an early age. During pregnancy, a woman's body undergoes restructuring. Physical changes and hormonal changes occur in it.

After the development of the fetus is interrupted, it has to change again and adapt to the normal regime. Hormonal imbalances impair the functioning of all organs, which can lead to serious pathologies.

In addition, the following complications may occur due to a miscarriage:

Isthmic - ecclesiastical insufficiency. Pathology appears due to severe damage to the cervix. Most often it occurs during the first abortion while carrying the first child. This is due to the fact that the cervix is not elastic enough during the first pregnancy. Therefore, during an abortion, when the canals expand, she is injured. The likelihood of a cyst developing increases.
Low attachment of the egg. During an artificial abortion (surgical operation), the endometrium, on which the placenta is fixed, is damaged. After scraping, the tissues become thinner and adhesions form on them. It takes quite a long time for the endometrium to recover. Therefore, if the next pregnancy after a miscarriage occurs early, there is a possibility that the embryo will not be able to attach to the walls and the girl will be diagnosed with fetal diligence.
Rhesus conflict. If a pregnancy is terminated, the risk of Rh conflict increases, provided that the girl has a negative blood group. Due to curettage, the concentration of oxytocin in the female body increases, which causes an acute form of Rh conflict.
Uterine rupture. If the walls of the uterus are weak and loose due to repeated miscarriages, then the vagina may not withstand such pressure. As a result, during a new pregnancy, the uterus ruptures.

Bleeding during miscarriage: causes

In the vast majority of cases, patients experience bleeding during a miscarriage. The causes of this condition are difficult to clearly determine. But, in most cases, the following root causes can be identified:

Damage to blood vessels during detachment of the fertilized egg. Blood comes directly from the genital tract.
Instrumental cleaning of the uterus or vacuum aspiration of the endometrium. In most cases, bleeding is very scanty. It can last up to 2 days, as the endometrium is completely cleared.
Damage to the wall of the uterus or cervical canal by the curette. Bleeding, albeit minor, occurs directly from the damaged area. Of particular danger is the possibility of developing inflammatory processes.
Miscarriage without cleaning. Bleeding can last up to 7 days, since the endometrium was not removed and its detachment takes much longer.

Bleeding after a miscarriage occurs very often. Therefore, you need to be prepared for such a situation. If you begin to worry about pain in the lower abdomen, then contacting a specialist is necessary.

Bleeding after miscarriage without cleaning

It is in this case that heavy bleeding most often occurs, in appearance most reminiscent of menstruation. But the difference is that the endometrium literally comes off in pieces. Bleeding after a miscarriage without cleaning depends on the area of the detachment. During the process of spontaneous miscarriage, damage to a large number of blood vessels occurs. Bleeding is less active if there is a complete miscarriage. In this case, the endometrium and fertilized egg come out in full on the first day.

Miscarriage without bleeding

Almost always, a miscarriage without bleeding occurs after cleaning. With vacuum aspiration of the endometrium, it is completely removed. As a result, there are much fewer damaged vessels. Instrumental cleaning of the uterus, if carried out correctly, allows you to get rid of all remnants of the fertilized egg and the endometrium surrounding it.

Bleeding with threatened miscarriage

The threat of miscarriage is quite a serious thing. But the good thing is that in this case the child can be saved. When there is a threat of miscarriage, bleeding begins from the genital tract. As a result of a slight detachment of the ovum, the vessels are severely damaged and begin to bleed. As soon as the first signs of such bleeding appear, you must urgently contact a gynecologist or an ambulance. Bleeding can still be stopped with the help of hemostatic drugs. The expectant mother is admitted to the hospital for preservation in order to relieve the tone of the uterus under the supervision of doctors. The lower the number of uterine contractions, the higher the likelihood of preserving the fetus and carrying it to term.

Bleeding after early miscarriage

It happens that you practically don’t pay attention to it. If bleeding occurs after a miscarriage in early pregnancy, then in many ways it resembles standard menstrual pain in its course and pain. Often, all remnants of the endometrium disappear within a period of no more than a week. In some cases, it may be even less, since the number of vessels during detachment of the ovum was minimal, and the endometrium in the early stages is not as abundant as at 10-14 weeks of pregnancy.

How long does it take to bleed after a spontaneous abortion?

After a miscarriage, a woman begins to bleed (often dark red or brown in color). This is due to the fact that when the fetus is detached, the vessels of the uterus are damaged, which causes internal bleeding. During this period, the risk of infection of the genital and reproductive organs increases. Therefore, the girl must be very careful, using various methods of protection.

If after a miscarriage there is a delay in menstruation and severe chest pain, then the reason for this is the remainder of placenta particles in the womb. This can occur in the 2nd trimester of pregnancy. In this situation, the test performed will show a positive result, since the hCG level does not decrease due to the presence of fetal residues inside. If this complication occurs, surgical cleaning will be required.

How long does it take to bleed? It is impossible to give exact figures for how long the bleeding will last, since the body is female. Everyone needs different time for recovery and healing. According to doctors' reviews, on average, bleeding stops within 7–10 days. If heavy menstruation has not stopped after 2 weeks, then you need to consult a gynecologist. The doctor will prescribe tests, and you may need to undergo an ultrasound. During this period, hCG drops significantly, which can be dangerous to health.

Pathological bleeding is characterized by the following symptoms:

weakness, fatigue;
constant feeling of sleepiness even after waking up;
toxicosis;
migraine;
dizziness and fainting;
prostration.

All these signs with prolonged release of blood particles indicate that pathological processes have arisen in the body that require drug treatment.

Early miscarriage, is cleaning necessary?

Pregnancy is a period of joyful anticipation, which, unfortunately, is often cut short by such a terrible phenomenon as a miscarriage. According to statistics, approximately 1/5 of all pregnancies end in miscarriage. Although we note that most of them happen in very early stages, that is, at a time when many still do not even know about their pregnancy.

Note! If a miscarriage occurs before two weeks, then no symptoms are often observed.

But sometimes tragedy happens to those who have already sincerely fallen in love with the baby, and the only ray of light for them is the realization that they can soon try to get pregnant again. But to ensure that a miscarriage never happens again, you need to know about the main factors that provoke it. So, today we will talk about early miscarriage (no later than the 12th week).

It is worth noting that in later stages this happens extremely rarely.

The most common symptoms are aching pain in the lower abdomen and bleeding (of any intensity). The pain (it has a wave-like character) is sometimes transmitted to the lower back. Discharge may also indicate a threat of miscarriage, and if it is brown or red, you should definitely go to the hospital.

Note! With severe bleeding, the chances of saving the child are much less than with minor bleeding. But if the discharge contains pieces of flesh, then a miscarriage has already occurred.

A less common symptom is uterine tone, accompanied by pain and discomfort. And if the tone is not accompanied by anything, then in such cases doctors advise reducing the number of stressful situations and reducing physical activity. Sometimes, even in the presence of all the above symptoms, pregnancy proceeds normally, but, of course, exclusively under medical supervision.

If at least one of the symptoms is noticed, you should immediately go to the hospital.

Main reasons

Genetic abnormalities cause miscarriage in ¾ of cases. But there is no need to panic, because these disorders are usually random and occur due to radiation, various types of viral infections, etc. Such miscarriages can be considered one of the forms of natural selection, when nature gets rid of sick or non-viable offspring.
Hormonal imbalances can also trigger an interruption. This is often caused by progesterone deficiency, although with timely diagnosis and treatment the child can be saved (a course of hormonal medications is prescribed). Another disorder is an increased concentration of the male hormone, which prevents the production of estrogen and progesterone.
Sometimes a Rh conflict occurs, that is, when the mother and the fetus have different Rh factors. As a result, the mother’s body sees something foreign in the embryo and, therefore, rejects it.
Infectious diseases that are sexually transmitted also cause abortion. These include chlamydia, gonorrhea, syphilis, etc. In addition, there is also cytomegalovirus and herpes, which provoke miscarriage in about 1/5 of cases. It must be remembered that most infections occur without any symptoms, so it is recommended to be tested for STIs before conception and, if necessary, undergo treatment, otherwise the pathogenic virus will infect the fetus and cause a miscarriage.
Previous abortions. If a woman has already had an abortion, this can lead to miscarriage or, in the worst case, infertility.
Wrong lifestyle. Even at the planning stage, you should give up bad habits.
In the early stages, taking any medications is undesirable, otherwise defects in the development of the embryo may occur.
Severe stress, tension, grief - all this can have a negative impact on the development of a new life. In such cases, it is permissible to use some sedatives, but only as prescribed by a doctor.
Spontaneous miscarriages are rarely caused by too frequent hot baths. Of course, no one forbids pregnant women to swim, but they should not forget about safety. Thus, the water temperature should not be too high, and the duration of the procedure should not exceed 15 minutes.
Excessive exercise or accidental falls can lead to miscarriage, but only if one of the above reasons is present.

Note! Usually the fetus dies before hatching begins.

An incomplete miscarriage is characterized by pain in the lower abdomen and lower back, as well as heavy bleeding. And if the membranes have burst and the uterine lumen has increased, then a miscarriage is inevitable. The discharge, as well as the pain, does not stop.
Repeated miscarriage means that a woman has already had a pregnancy interrupted more than 3 times. This occurs rarely, occurring in approximately 1% of cases.
A frozen pregnancy is when the fetus dies, but continues to be in the uterine cavity. This pathology can only be detected by listening to the heartbeat of the embryo.
Complete miscarriage - the pregnancy is spontaneously terminated, and the fetus is entirely expelled from the uterus. At this time, blood flow stops completely and discomfort may occur.
Anaembronia is when fertilization has occurred, but the embryo does not form. The egg attaches to the uterus, and a gestational sac may even appear, containing a yolk sac (a temporary organ). There is no fetus as such, but signs of pregnancy may be observed.
Finally, chorionadenoma is a disorder caused by genetic abnormalities in which a small piece of flesh is formed instead of a fetus (over time, the latter increases in size).

Note! The most effective way to diagnose a miscarriage is an ultrasound examination performed by an experienced doctor.

Contact your gynecologist and visit the ultrasound room. During the examination, the physician will determine the condition of the uterus and its inner lining. If the remains of the fertilized egg (even the smallest ones) are visible in it, then you will definitely be prescribed curettage. You cannot hesitate in such a situation, since wasted time is fraught with unpleasant consequences and even sepsis. When no remains of membranes are found in the reproductive organ, you can safely proceed to subsequent actions.

Curettage after a miscarriage is performed more often if the interruption occurred after 6-7 weeks. The manipulation is carried out exclusively within the walls of a medical institution using intravenous anesthesia. It lasts no more than 10-15 minutes. After this, the patient remains under medical supervision for several hours and, if she feels well, can go home. A miscarriage in the second trimester requires the woman to be hospitalized for several days for medical supervision.

Lifestyle after miscarriage

While recovering from a miscarriage, it is important to maintain a healthy lifestyle. During this period, hygiene, nutrition and sex life play an important role. In addition, it is important that the girl can recover both mentally and physically.

After an interruption, it is important to adhere to the following rules regarding female hygiene:

Water procedures are carried out at least 2 times a day. It is advisable to take a warm shower 2-3 times a day. Taking hot baths and steaming during this period is prohibited, as this may increase bleeding due to vasodilation. It is also not recommended to swim in open reservoirs, the sea and public showers.
During the first days of sick leave, a woman is allowed only sanitary pads. On days 4–5, you can use tampons. It is necessary to change gaskets 5-6 times a day, regardless of contamination.
When washing your body and vagina, it is best to use sulfate-free natural cleansers. It is advisable to use baby soap and shower gel. It is not recommended to use deodorants, creams and body lotions/milks, as they can cause irritation in the groin area.

Often girls complain that their lower abdomen hurts after an abortion. If the doctor does not identify gynecological complications, then the problem is in digestion. Therefore, the girl is recommended to adjust her diet. It will help improve metabolism, launch repair processes in the body, and increase muscle tone.

The girl’s menu should include the following products:

lean poultry meat;
fish;
fresh vegetables and fruits;
greenery;
tea, fruit drinks, juices, purified drinking water;
porridge;
durum pasta.

Sex life

Since after a premature pregnancy, a woman’s uterus and vagina are injured, the risk of infection increases. You can't have sex. If we talk about how long it takes to have sex again, the gynecologist should warn the spouses that sex is allowed only 1–2 months after a miscarriage. Over time, the walls of the uterus will recover, and you can gradually try to improve your intimate life. But not before the deadline.

Planning a pregnancy

After deciding on the date of the desired conception, a woman must:

streamline your lifestyle;
Determine with your doctor the appropriate method of contraception;
change your job temporarily if it is a provoking factor due to exposure to teratogenic factors;
start taking vitamins - folic acid, the dose is determined by the doctor;
all medications are taken under control - too large doses of vitamins A and D can cause miscarriage;
during the period of preparation of the body for conception, fasting, dieting, heavy physical activity are eliminated, and nutrition is made nutritious;
physical activity is dosed, best of all - walks in the fresh air 2 hours a day, physical therapy prescribed by a doctor;
coffee is limited to 2 standard cups per day;
Get vaccinated against rubella and chickenpox if you do not have immunity to these diseases. To prevent toxoplasmosis, monitor the purity of the vegetables and fruits you eat, and work with raw meat with great care.

Conceiving after a miscarriage is possible. The optimal period for this is six months after the interruption; the method of contraception should be selected together with a doctor. If there is a single miscarriage, a repeated attempt in most cases ends in the conception of a healthy child.

MAKE AN APPOINTMENT

Abortion and contraception clinic in St. Petersburg - department of the medical gynecological association "Diana"

Make an appointment, tests or ultrasound via the contact form or by calling +8 (812) 62-962-77. We work seven days a week from 09:00 to 21:00.

We are located in the Krasnogvardeisky district, next to the Novocherkasskaya, Ploshchad Alexander Nevsky and Ladozhskaya metro stations.

The cost of a medical abortion in our clinic is 3,300 rubles. The price includes all pills, an examination by a gynecologist and an ultrasound to determine the timing of pregnancy.

Physical rehabilitation

After an abortion, the girl must stay in the hospital for 2-3 days under the supervision of doctors. Restorative procedures will help heal damaged areas and quickly return the ovaries to full function.

The doctor prescribes medication, which includes:

Prophylactic antibiotics (To reduce the risk of infectious complications).
Anti-inflammatory antibiotics (Relieve inflammation and acute pain).
Contraceptives for oral administration (Regulon).

The patient is prescribed drugs to increase progesterone levels (Duphaston) and immunoglobulin to quickly restore the body and minimize the risk of Rh conflict. To restore blood vessels, the drug Borovaya uterus is prescribed.

To eliminate the risk of complications, it is recommended:

Avoid sex for at least 1 month.
Do not visit places with high air temperatures (bathhouse, sauna).
Do not take hot baths (it is also forbidden to steam or stay in warm water for a long time).
Eliminate alcohol and cigarettes from your life.
Follow all doctor's recommendations regarding medication and lifestyle.

Why doesn't it stop?

The reasons why bleeding does not stop after a miscarriage may be the following:

damage as a result of instrumental abortion or intrauterine device (for example, rupture of the uterine wall with a probe, perforation);
reaction to the anesthesia used;
incomplete cleansing of the fallopian tubes;
poor blood clotting.

Wounds formed when the uterus or its inner wall are damaged by curettage will not heal, and bleeding will continue if, after an abortion, the woman lifts weights (more than 4-5 kg) or exercises:

runs;
floats;
rides a motorcycle (bicycle) or an exercise bike;
does exercises for the abdominal muscles or the middle and lower spine.

Important information: Arrosive bleeding in destructive forms of pancreatitis (pancreatic necrosis)

Doctors recommend refraining from physical activity for 1 month until the wounds are covered with connective tissue scars. In women who have been involved in sports professionally for more than 5 years, the healing process is faster.

Bleeding after a miscarriage without cleaning and with cleaning increases when drinking alcohol, because... it prevents the contraction of the muscles of the uterus. Its combination with antibiotics is especially dangerous. Overheating of the body can provoke discharge, so a woman should not take a hot bath or shower, sunbathe or visit any type of bathhouse for 3-4 weeks.

In order for the uterine tissue to heal normally, you can have sex after 3-4 weeks, no more than twice a week, so that the penis does not penetrate deeply into the vagina.

How to restore moral health

Improving a woman’s psycho-emotional state after losing a child is much more difficult than resuming reproductive work. Depression and nervous breakdowns are possible during the rehabilitation period. It is especially difficult to cope with the loss of a child at 37 weeks of pregnancy, when dramatic changes have already occurred in the body.

To completely restore the girl’s psychological state, you will need:

support from loved ones;
psychological assistance from a qualified psychologist;
sedatives;
time to pull yourself together and come to terms with your loss.

A spontaneous miscarriage will in any case leave a wound in the soul. But a woman must be able to cope with this and prepare herself for re-fertilization and the birth of a baby.

How to prepare for a new pregnancy

After the body has been completely rehabilitated, the woman can become pregnant again. It is important to understand that ovulation after such a stressful state will occur much less frequently due to injury to the organs. Therefore, sometimes it is not possible to get pregnant for a long time.

Doctors recommend the following to prepare for conceiving a child:

Protect a woman from stress, tension, nerves and excitement.
Get rid of bad habits for both future parents.
How can you take different groups of medications?
Adjust your diet.
Visit a gynecologist and get advice on taking vitamins.
Undergo a full medical examination and determine whether there are any risks for the unborn baby.

If a woman becomes pregnant too quickly after a miscarriage, there is a possibility that it will be difficult to carry the child to term, since the body has not been fully restored.

Watch a video about how a girl coped with depression after a frozen pregnancy:

Recommendations

If a woman is faced with a problem such as spontaneous abortion, then after a miscarriage, the doctors’ recommendations will be as follows:

First of all, you should go for an ultrasound examination of the pelvic organs to determine whether there are any particles of fertilized egg left in the uterus;
If there are medical indications, then it is necessary to undergo a curettage procedure so that complications do not arise in the future;
The gynecologist will definitely tell you what to drink after a miscarriage, in what dose and for what period of time;
After a miscarriage, it will be necessary to undergo a full medical examination, thanks to which there is a chance to establish the cause of spontaneous abortion;
Planning for the next pregnancy can begin only after approval of these wishes by the leading specialist.

At first, it is better to take contraceptive medications after a miscarriage, which will help avoid unwanted fertilization during the first months. The body needs to recover as completely as possible. It is imperative to treat all associated pathologies. During the recovery period, it is also recommended to take vitamins after a miscarriage.

Sports can be replaced by walking. Source: pulseparty.ru

Physiotherapy after a miscarriage helps well during the rehabilitation period. However, which procedures are best done, and for how long, should be discussed with your doctor. If there are emotional problems, they are advised to be resolved together with an experienced psychologist. Also, girls often ask when they can play sports after a miscarriage.