Recovery after a miscarriage

Spontaneous miscarriage is a fairly common problem faced by women. There are many reasons leading to an abortion. It is the right choice of recovery that will help to avoid repeated cases of abortion.

General recommendations for recovery

How to restore the body after a miscarriage, you need to seek medical help. During the first week after a miscarriage, the following activities should be carried out:

• Compliance with bed rest in the first two days, get enough sleep and exclude heavy lifting.
• Eat well, with the intake of a sufficient amount of vitamins and essential nutrients. It is important for a woman to exclude a calorie deficit, as this will reduce the state of immunity.
• Measure body temperature regularly. This is important, since an increase in body temperature may indicate the development of an inflammatory process.
• To relieve discomfort and pain in the lower abdomen, the use of cold and hot compresses is recommended. A woman can do them on her own. Thanks to the setting of compresses, muscle spasm is reduced and pain syndrome is eliminated.
• If there are indications, drug therapy is carried out, which is performed in full.

Treatment

Treatment after a miscarriage is a mandatory procedure, which is aimed at preventing the development of infection and the subsequent chronic process, as well as restoring the hormonal background of a woman. Among the main groups of drugs are:

• Antibiotics.
  With a miscarriage that occurred in the early stages and was not complicated by an inflammatory reaction, one antibiotic or antimicrobial agent is enough. Preference is given to drugs based on metronidazole. The route of administration of the drug depends on how the woman tolerates the treatment. Oral or intravenous administration is possible. The course of treatment is at least 7 days. If you suspect the infectious nature of the miscarriage, the prolonged presence of parts of the fetus or its membranes in the uterine cavity, repeated curettage, and the presence of other factors, it is necessary to use a combination of several drugs.
  As a rule, these are agents with a different mechanism of action. The most effective are agents with bactericidal and bacteriostatic action. Currently, agents based on metronidazole, doxycycline or the cephalosporin group are widely used. The course of treatment should be increased, in severe cases it reaches three weeks of continuous use of drugs. It is preferable to carry out an antibiotic susceptibility testing procedure before prescribing treatment. Precisely selected Medicines help prevent the development of resistance and the development of complications.
• Uterotonic drugs. These funds are used to increase the tone of the uterus. They are prescribed to quickly restore her condition after a late miscarriage, prevent bleeding and exclude the development of hematomas caused by the accumulation of blood clots. The most popular means of this group is oxytocin. It is prescribed for a duration of no more than three to five days, injecting the solution intramuscularly.
• Non-steroidal anti-inflammatory drugs. The group of NSAIDs helps to comprehensively affect the pathological focus, preventing inflammation, in addition, they help reduce pain. Preference is given to selective anti-inflammatory. These include namesil, nise or ketorol.
• Hormonal contraceptives. Such drugs are prescribed to women immediately after curettage. Their task is to restore hormonal function from the ovaries, as well as to prevent pregnancy in the early period after a miscarriage. The contraceptive effect helps to prepare for a subsequent pregnancy, to carry out the necessary treatment and diagnosis. In addition, after the abolition of coc, the chance of pregnancy increases.

Hygiene

Recovery after a spontaneous miscarriage involves not only the inclusion of drug therapy, but also hygiene measures. Hygiene plays an important role in the recovery of the body and the prevention of inflammatory conditions. Among the basic rules for maintaining the purity of the intimate area are:

• Regular washing.
  A woman needs to wash herself in the first two days after a miscarriage in the morning and in the evening, as well as after each act of defecation or changing the pad. Water should be at a comfortable temperature, it is forbidden to use hot water, as burns or leukoplakia may occur. When washing, the movements are directed towards the rectum, this helps to prevent the reflux of bacteria to the vagina. When using washcloths or sponges, it is not recommended to wash the genitals, rectum or other areas at the same time. After washing each area, the washcloth should be washed and a new hygiene product should be used. As personal care products, preference should be given to substances that have a soft texture. These include liquid soap, mousse, or other forms. The composition should not contain sulfates or other substances that contribute to the washing off of the protective film. Also, the pH of the product is selected based on the special environment of the intimate zone, without the presence of dyes or flavors. Preference is given to specialized tools.
• Douching is not recommended, as this may cause the vaginal contents to reflux into the uterine cavity. Douching is carried out no earlier than a month after the miscarriage.
• Washing can be carried out using herbal remedies. To do this, use chamomile, calendula or celandine.
• For a week after the miscarriage, sanitary pads can be used to collect the discharge. These hygiene items should not contain fragrances or other substances. It is recommended to use pads with antibacterial impregnation, as they prevent the growth of bacteria in the accumulated secretions. It is necessary to change them after each trip to the toilet and as they fill up, you can not use it for more than 10 hours. Tampons within a month after a spontaneous miscarriage are contraindicated, as they cause active growth of microbes and can lead to inflammation.

Recovery after scraping

Curettage of the uterine cavity is a common procedure that is performed on patients after a spontaneous miscarriage. The only exceptions are cases of abortion in the early stages, in which the absence of fetal particles in the uterine cavity is confirmed.

The procedure is highly traumatic and requires special specialist skills. This is due to the fact that there is a high probability of deep damage to the mucous membrane. Rehabilitation after a miscarriage requires contraception for 3-4 months. This period is important for the full recovery of the body and the preparation of a subsequent pregnancy. Among the main activities that are necessary for recovery are:

• No douching for a month.
• The exclusion of exposure to high temperatures, which can contribute to the development of the inflammatory process. Therefore, hygienic measures will consist in the use of a shower and the complete absence of hot baths, baths and saunas.
• Replacing sanitary tampons with pads.
• Normalization of the regime of work and rest, in order to protect a woman from lifting weights and hard physical work.
• Avoiding sexual intercourse within a month after the miscarriage.

Complications after a miscarriage

Termination of pregnancy can lead to a large number of complications that disrupt the state of the reproductive system and cause infertility or chronic diseases. Full recovery after a miscarriage will help prevent the occurrence of such conditions.

Among the most common complications are:

• inflammatory processes. Endometritis, endomyometritis, salpingitis, and other inflammatory conditions can result from several causes. If the miscarriage was accompanied by curettage of the uterine cavity, then the option of introducing an infection from the vagina or cervix is ​​not excluded. Also, the death of an embryo or fetus leads to destructive processes in its tissues, chorionic villi or placenta, which causes subsequent suppuration with an inflammatory reaction. These diseases can not only worsen the quality of life of a woman in the future, but also cause secondary infertility.
• Violation of the integrity of the uterine cavity. This is one of the most dangerous complication options after a miscarriage. A gap occurs as a result of the need for curettage at an early date or manual control at a later date. The condition is dangerous due to possible damage to other organs of the abdominal cavity and the ingestion of the contents of the uterus into them. In addition, a scar is formed in the wall of the organ, which may prevent further attachment of the embryo. Uterine ruptures are accompanied by massive bleeding.
• Isthmic-cervical insufficiency. An unpleasant consequence of abortion, which was accompanied by curettage of the uterine cavity. Since the cervix is ​​not ready to fully open up, in order to pass the instruments freely, it is necessary to carry out a procedure aimed at expanding the cervical canal. For this, bougienage is used, which provides a gradual expansion of the channel to the desired size. As a result of inadequate anesthesia, a woman's emotional overstrain, or a pathological reaction on the neck, difficulties arise with opening, which lead to trauma to the organ.
• Rhesus is a conflict. This condition develops in women after vyuduyu against the background of a negative Rh factor. Antibodies are thrown into the mother's body, which begin to act against the upcoming pregnancy in the future. That is why, at present, specific treatment is being carried out, which will be aimed at the development of sensitization and subsequent unhindered pregnancy.
• placenta previa. Presenting arises as a result of earlier traumatization of the uterine cavity, due to which the endometrium becomes damaged and a child's place cannot be fully formed in its place. In such cases, the placental can not always fully supply the fetus with blood, forming a functional insufficiency.

A woman needs to seek medical help, as only a specialist will determine how to be treated after a miscarriage individually.

Preparing for pregnancy after a miscarriage

There are also recommendations on how to quickly recover from a miscarriage and prepare for a new pregnancy. For this you need:

• Eliminate the impact of all bad habits. Both partners need to stop smoking, using drugs and alcohol-containing drugs.
• Conduct a study on the presence of infectious factors. This requires, after the study, to receive drug therapy, taking into account sensitivity to the pathogen.
• During the recovery period, it is necessary to determine the most appropriate method of contraception, which will allow you to fully plan the next pregnancy.
• Observe the regime of work and rest. This will avoid hormonal imbalances.
• Maintain a balanced diet. Vitamins, minerals and other essential components from food will create the necessary supply of nutrients that will be required for the course of a subsequent pregnancy.

The rehabilitation period after a miscarriage is an important step in restoring health. The state of the reproductive function of a woman depends on its full implementation.