Even a few days ago, abortion and premature death of babies were common occurrences in Bangladesh. As a result of the improvement of medical science, it has reduced a lot. Even now, miscarriages are happening in rural as well as urban areas. Conceiving at a young age or having a baby later increases the risk of conceiving. Today we will learn about the causes of miscarriage or recurrent miscarriage in early pregnancy, molar pregnancy and ectopic pregnancy.
Still many girls in Bangladesh or other family members do not know much about this issue. It is important to have basic knowledge about miscarriage or abortion. Miscarriage is the spontaneous death of a fetus before the 20th week of gestation. If the baby dies after the 20th week of pregnancy, it is called ‘stillbirth’. Miscarriage or abortion is a common occurrence in medical or surgical field, many around us go through this terrible experience.
Why is miscarriage in early pregnancy?
Miscarriage in early pregnancy
Many find that the fetus does not survive, miscarries, or requires hospitalization and discharge within weeks of conception. Lupus (Lupus anticoagulant), excessive physical exertion, high-risk pregnancy, repeated intercourse can cause miscarriage at any time. The cause of miscarriage in early pregnancy is controversial, in all cases the cause cannot be specifically determined. Yet some common factors are involved. For example-
Inadequate immune system of the mother
If the mother has any previous problems in the uterus and cervix
High blood sugar (uncontrolled diabetes mellitus)
Hypothyroidism or thyroid disease
Some common risk factors like overweight, smoking habit, older age etc
Sometimes certain drugs are also considered as a cause of miscarriage, such as NSAIDs, methotrexate. In addition, infection or different types of germs can cause miscarriage in early pregnancy. In many cases, even if the egg is fertilized, the embryo or fetus is not formed, sometimes the heartbeat of the fetus stops. Basically, if there is a genetic problem and the development of the embryo is not proper according to the time, then the pregnancy does not continue. In many cases the cause cannot even be identified.
Let’s now know what is ectopic pregnancy
Ectopic pregnancy basically means pregnancy outside the uterus. In this case, the fertilized egg is implanted anywhere outside the uterus. In some cases in the fallopian tube, sometimes in the ovary, but this pregnancy should be terminated as soon as possible. An ectopic pregnancy is not a normal pregnancy and the woman’s life may be in doubt. Fallopian tubes can rupture, internal bleeding can occur, and many other problems can occur.
Now let’s know what is molar pregnancy
Molar pregnancy, also commonly known as hydatidiform mole. It is a rare complication of pregnancy caused by abnormal growth of trophoblast and looks like a bunch of grapes. These types of cells normally develop in the placenta. Ectopic pregnancy or molar pregnancy or miscarriage may seem like the same thing, but they are not. All are different terms in medicine and are completely different things.
How risky is pregnancy at a young age?
Still, most girls in rural Bangladesh are married off at a very young age, or before the age of 18, and become mothers too soon. The leading cause of miscarriage resulting from early pregnancy is weak cervical tissue (incompetent cervix). If you go to have a baby at an older age, the risk increases. If you have a history of miscarriage in the past, you must be under the close supervision of a doctor in the next pregnancy or if you are planning to have a baby.
Symptoms of Miscarriage
In many cases there is bleeding or vaginal discharge, many have lower abdominal pain. While many have no symptoms, ultrasounds show that the fetus has no heartbeat. After that DNC should be done on doctor’s advice or it should be cleared through medicine. But do not think at all that if you miscarry again and again, you will not be able to give birth to a healthy baby. Even after miscarriage, the number of women who conceived again and gave birth to a healthy child is not less.
Even if you have a miscarriage in early pregnancy, stay under the treatment of a specialist gynecologist without breaking down. During this time other family members also have to support him. Every girl has the right to live beautifully. We should all take care that marriage or pregnancy at an immature age does not become the cause of premature death of any girl. Until today, stay well, stay healthy.