What does frozen pregnancy mean. The first signs of a missed pregnancy. Frozen pregnancy in the early and late stages: causes and prevention
Frozen pregnancy- this is an abnormal stop in the development of the fetus, ending in its death. An undeveloped pregnancy proceeds with symptoms characteristic of healthy gestation: the mammary glands become sensitive, menstruation stops, the uterus enlarges, hormones are released. However, sometimes for unknown reasons, the fetus dies.
You should know that according to statistics, after a premature termination of pregnancy due to a missed pregnancy, up to 90% of women safely give birth to a healthy child.
Currently, statistical data make it possible to determine the periods most at risk for the development of pathology. Most cases a missed pregnancy was recorded at the 8th obstetric week, 3-4, 9-11, 16-18 weeks are less dangerous. In the second and third trimester of pregnancy, the risk of developing pathology is significantly lower.
What is the risk of missed pregnancy
In the early stages of pregnancy, due to the implicit signs of an anomaly, the expectant mother may not immediately pay attention to the cessation of fetal development. Rejection of the fetal egg occurs, as a rule, within 14-17 days, so a woman can walk with a dead embryo in the uterus for up to 2.5 weeks. And if spontaneous does not happen, and longer. In this case, the appeal to the gynecologist occurs already at the stage severe inflammation and poisoning of the body pregnant with fetal membranes.
At any stage of prenatal development, fetal pathology can lead to changes in blood clotting and further bleeding which poses a threat to the woman's life.
Possible changes in a woman's body can lead to reproductive dysfunction, so you should pay attention to even the smallest deviations in well-being.
Why does pregnancy freeze? Unfortunately, it is sometimes not possible to accurately determine the etiology of the appearance of a missed pregnancy. However, experts identify the most common causes of pathology:
Genetic disorders of the fetus
The most common cause that affects the appearance of a missed pregnancy in the early stages (in the first trimester), experts call chromosomal abnormalities the embryo itself. Pathology can be inherited from the father or mother. As a rule, the consequence of a genetic failure manifests itself in the early stages of pregnancy.
Obstetrician-gynecologists say that the probable cause second or third stop embryonic development is an unfortunate combination of the genetic material of the parents.
Hormonal disorders
The entire period of bearing a child proceeds under the influence of hormones produced by the woman's body. Therefore, any violation of the well-established production of biologically active substances can lead to the death of the fetus. The most common root cause of the pathological process is considered to be a lack of maternal blood and estrogen or an excess of the male hormone testosterone.
Rh conflict
The difference between a positive Rh factor of a child and a negative mother, doctors call the Rh conflict. Rhesus conflict is manifested in the production of antibodies by the mother's body, as a result of which fetal death may also develop. As a rule, specialists diagnose such a condition in time and take preventive measures to prevent it.
infections
During the prenatal period, due to a general weakening of the immune system, all chronic infectious processes are exacerbated in a woman. Those "harmless" infections (ureaplasmosis, mycoplasmosis), which previously did not manifest themselves in any way and did not cause any problems, during this period can provoke the death of the embryo.
Serious sexually transmitted diseases, such as syphilis and gonorrhea, pose a threat not only to the fetus, but also to the mother's body. Infection and rubella during pregnancy, in addition to the appearance of various defects, also leads to fetal fading. The influenza virus is dangerous not so much by the pathogen itself, but by the manifestation of the symptoms of the disease, especially an increase in body temperature.
Blood clotting disorders
Sometimes, due to a genetic predisposition, antiphospholipid syndrome (APS) occurs in the mother's body. The syndrome is manifested by the formation of blood clots in the vessels and capillaries of the placenta. Violation of blood flow interferes with the normal nutrition of the fetus, which subsequently leads to its death.
Medicines
Taking certain medications can lead to irreversible consequences for the embryo. Therefore, you should take medicines only after consultation with your doctor.
stress
Adverse emotional overload has a devastating effect on the health of the mother and fetus. A pregnant woman should try to exclude any stressful loads and overwork from her life.
physical impact
Heavy lifting, heavy physical exertion at work, or abdominal trauma can cause uterine hypertonicity and lead to fetal growth arrest. Therefore, one must adhere to the recommendations of the doctor, do not overload yourself, do not wear high heels to avoid falls.
Wrong way of life
The abuse of alcohol, drugs or smoking is harmful to anyone. However, the child in the womb is especially sensitive to these influences. For its further successful development, bad habits should be abandoned.
In most cases, miscarriage is the result of an unfavorable combination of various conditions and factors that are completely surmountable for any woman.
How a frozen pregnancy manifests itself: signs and symptoms
What are the first signs and symptoms of a missed pregnancy in the early stages, how to determine it? In the first trimester of pregnancy, a stop in the development of the embryo may not be noticeable to a woman.
Initially, a characteristic sign and symptom of a missed pregnancy in the first trimester can be disappearance and sensitivity of the mammary glands.
After detachment of the fetal egg from the uterus in the abdomen and lower back appear cramping pulling pains, at the same time, blood or are secreted from the genitals. Signs of intoxication with the decay products of the membranes may appear: sharp pain, fever, chills, weakness.
Does the test show a frozen pregnancy? The concentration in the blood of the hormone chorionic gonadotropin and progesterone is rapidly decreasing. This allows you to use a conventional pregnancy test for diagnosis, with a frozen embryo the test result is negative.
At all periods of bearing a child, a sign of fetal pathology is a decrease. It should be noted that a low basal temperature does not occur in all women with a missed pregnancy.
The main symptom of a missed pregnancy in the late stages of prenatal development is lack of physical activity child. If any of the above signs or symptoms appear, you should consult a doctor for an accurate diagnosis.
You can diagnose a fetal developmental stop with the help of a gynecological examination and ultrasound.
Blood or urine test for hCG used in early pregnancy or as an auxiliary marker in later stages to exclude miscarriage. The hormone human chorionic gonadotropin is produced by the chorion, which will later turn into the placenta of the fetus. With a frozen pregnancy, the hCG hormone ceases to be produced and shows significantly reduced rates within 5-7 days. With a frozen pregnancy, the test shows the absence of pregnancy. If the anomaly occurs during the second and third pregnancy, high levels of gonadotropin levels can last for a month.
During a gynecological examination fetal pathology is diagnosed by a discrepancy between the size of the uterus and the gestational age. The doctor also pays attention to the opening of the cervical canal, the nature of the discharge and the absence of cyanosis (cyanosis) of the cervix.
The most reliable results in the diagnosis of fetal fading are shown by ultrasound procedure. With the help of the doctor determines the presence or absence of a heartbeat in the embryo. However, this can be done only from the 5th obstetric week of development, it is at this time that the device will be able to record the heartbeat of the child. Although, there are cases of errors in diagnosing a miscarriage using ultrasound. Therefore, at the slightest suspicion of the incompetence of the doctor, we recommend duplicating with another specialist.
If the specialist doubts the diagnosis, as a rule, repeated studies are prescribed after a short period of time.
The tactics of treating fetal pathology will depend on the period of prenatal development and the state of health of the mother.
After making a diagnosis and taking tests after a frozen pregnancy, the doctor takes a wait-and-see attitude, because in most cases natural miscarriage- the most gentle way to remove the fetus for a woman's health. If the natural process did not occur, special medical preparations causing artificial contraction of the uterus. It should be noted that drug treatment is possible until the 8th week of pregnancy.
Another way to extract the ovum is called vacuum aspiration. Currently, this method of treatment is the most popular among specialists. The advantages of vacuum can be called: minimal damage to the mucous membrane of the uterus and cervix, rapid recovery of the uterine cavity after the procedure, the minimum time for the operation.
At a later date, the cleaning of the uterus after a frozen pregnancy occurs when surgical intervention(scraping). After a gynecological procedure, manifestations of various inflammatory processes, adhesions (synechia) and even perforations of the uterus are likely.
If timely treatment of a missed pregnancy is not carried out, health implications women can be very serious: from inflammation of the pelvic organs and intoxication of the body to infertility.
Prevention of missed pregnancy
Before planning your next pregnancy, you should preventive treatment to prevent recurrence of the pathology. To this end, it is necessary to take tests to identify possible reasons for stopping the development of the fetus.
What examinations and analyzes hand over after a frozen pregnancy?
- Ultrasound of the pelvic organs;
- analysis of the level of hormones in the blood;
- a blood test for the level of antibodies to viral diseases;
- smear test for STDs;
- genetic study of the compatibility of partners;
- results are also important.
If all tests show no abnormalities, treatment is likely not needed. In case of detection of deviations in the health of a woman, it is imperative to undergo a course of preventive treatment prescribed by a doctor.
Is it possible, how and when? Experts look at the question of planning a pregnancy in different ways. So, in European countries, pregnancy is already allowed 2-3 months after pathology, while in the countries of the former USSR, doctors recommend refraining from conception for 6 months.
For example, if a viral infection was the reason for the cessation of the development of the fetus, experts advise waiting until the body has developed an immune response against the infection.
A lot of people ask about planning!? After scraping, the gynecologist prescribes a mandatory three-month intake of contraceptives to restore the uterine mucosa. In the case of a chromosomal abnormality of the embryo, it is necessary to wait only until the restoration of the pelvic organs after the removal of the missed abortion. Then you can safely try again. As we wrote above, you have a 90% chance that the next pregnancy will be successful.
Prosperous prenatal development The child will be helped by following simple recommendations:
- take folic acid before conception;
- go through a general strengthening;
- lead a healthy lifestyle;
- monitor the microflora of the genital organs;
- do not self-medicate;
- follow the doctor's recommendations.
Statistics show that in most cases, repeated pregnancies end in the birth of a healthy baby, so do not despair and blame yourself or your partner.
Video about missed pregnancy
We invite you to watch a video about a missed pregnancy, in which the doctor will talk about the possible causes of such a process. It will help to look at this circumstance from a different angle.
Frozen pregnancy is a difficult period in the life of every woman. It is especially difficult to go through this in the late stages of pregnancy, when the expectant mother has already heard the baby's heartbeat or felt his movements. How did you cope with this period? How long did your doctor say that you can get pregnant after a missed pregnancy? Share your experience, perhaps it will be useful for another woman.
It is almost impossible to foresee the period at which the fading of pregnancy can occur. Dry statistics show that the most dangerous period is the first 13 weeks from the moment of conception. There are critical periods of the gestation period, in which the likelihood of pregnancy fading and miscarriage becomes maximum.
A woman cannot always understand that something is wrong with the development of the fetus. Especially if the pregnancy stopped developing in the early stages. How to understand that pregnancy does not develop, what gestation periods are critical, what symptoms do frozen pregnancy manifest at different times? We answer these most frequently asked questions in more detail.
During the period of observation of pregnant women, a lot of data has been collected. According to statistics, missed pregnancy occurs in about 15-25% of all cases of pregnancy pathologies. The WHO (World Health Organization) claims 300 miscarriages out of 1000.
Statistically, the risk of developing a missed pregnancy increases according to the woman's age:
- 19-34 years old - no more than 10%
- 35 -44 - about 25%
- 45 years and above - 50%
Approximately 65-75% of cases of non-developing pregnancies occur in the first 10-13 weeks from the moment of conception. Most often, the death of the embryo occurs at a period of 2 to 4 weeks from the moment of fertilization, and in these cases the woman may not be aware of her "interesting" position.
The failed pregnancy leaves the uterine cavity with bloody discharge, which the woman considers "slightly late" periods (which, in fact, they are). 25-30% of cases of fetal development fading are diagnosed at later stages of pregnancy, from about 12 to 25 weeks.
During the period of fetal formation (from 2 to 12 weeks), under the influence of a number of factors, the embryo may die. Also at the same time, various anomalies that are not compatible with life can develop. At 3-4 weeks, the placenta and chorion (the outer shell of the embryo) begin to form. Violations in the formation of these structures threatens to fading pregnancy.
According to the statistics of missed pregnancies by week, the most dangerous periods are:
- 2-4 weeks
- 8-12 weeks
- 16-20 week
In this case, the most dangerous is the 8th week of pregnancy from the moment of conception!
In general, there are several critical periods in the development of pregnancy:
- 0 to 10 days. The connection with the mother's body has not yet appeared; during this period, the embryo either dies or develops.
- From 10 days to 12 weeks. At this time, the formation of the organs and systems of the fetus. Under the influence of adverse conditions, the fetus may die, or it will develop numerous malformations.
- 3-4 weeks (within the second critical period). The placenta and chorion are formed. The likelihood of developing placental insufficiency is high.
- 12 to 16 weeks. Formation of the external genitalia.
- From 18 to 22 weeks. Completion of the formation of the nervous system.
Despite such frightening data, there is no need to be afraid of these periods. You should be more attentive to your body, and during the planning of pregnancy, undergo an examination and eliminate adverse factors (stress, disease, bad habits, etc.).
Symptoms
The symptomatology of a non-developing pregnancy depends on the period in which the pathology occurred.
It is not always possible to establish the diagnosis of "pregnancy" in the early stages. Especially in cases where the menstrual cycle is not regular. A woman may not be aware of the presence of conception at all, and, accordingly, not contact a gynecologist, considering another delay as a normal situation.
The exception is situations in which a woman consciously plans a pregnancy by constantly monitoring ovulation, measuring basal temperature and conducting pregnancy tests.
2-5 weeks. The delay in menstruation can be from 8 to 15 days. Frozen pregnancy manifests itself as an ordinary menstruation. 6-9 weeks. The delay in menstruation is long, the woman considers herself pregnant. When freezing, the following symptoms may appear:
- The appearance of bleeding from the vagina. The color of the discharge is brown, small clots may be present.
- At 6-7 weeks, there are no painful or cramping sensations in the lower abdomen. However, after 7 weeks, the discharge is accompanied by pulling or cramping pains in the lower abdomen, back, lower back.
- All indirect signs of pregnancy disappear: nausea, vomiting, heartburn, dizziness, taste preferences (stops pulling on "salty").
- The fetal heartbeat, which can be determined from the 6th week with the help of ultrasound, disappears.
- The chest becomes soft, painless
- The indicators of basal temperature decrease to non-pregnant values (36.5-36.8 ° C).
A single measurement of basal temperature is not an indicator. The last point should be taken into account only if the woman constantly kept a diary and took measurements.
10-13 weeks. At this time, pregnancy stops developing due to fetal chromosomal abnormalities. Typical symptoms are:
- Fatigue, weakness, lethargy.
- Abrupt disappearance of nausea, heartburn, taste cravings.
- The chest loses soreness, ceases to “swell”.
- There may be swelling of the legs.
A few days after the fetus fades, severe pains in the lower abdomen, back and lower back will appear. There may be heavy bleeding. This is due to the fact that the uterus strives to get rid of the failed pregnancy. The risk of pathologies in the first trimester of pregnancy increases, provided that there were pathologies of non-carrying in the genus.
13-16 weeks. The beginning of the second trimester with a fading of fetal development is characterized by the following symptoms:
- Weakness, lethargy, increasing fatigue.
- Pain: in the lower abdomen (cramping, like spasms), lower back, back.
- Bad appetite.
- The discharge is bloody, not infrequently profuse.
- When palpating (pressing) the abdomen, the pain increases.
- Increase in body temperature.
- At week 16, multiparous women already feel the movement of the fetus. At
- fading, the movements do not appear or disappear, just starting.
It is important to know that if the placenta is fixed on the anterior wall of the uterus, then the movement may not be felt until 21-22 weeks, even with 2-3 pregnancies. Therefore, in the absence of stirring, there is no need to panic, but you should contact the specialists. They will conduct ultrasound or cardiac monitoring, which will determine the condition of the fetus
17-18-19 weeks. A halt in fetal development provokes an insufficient level of progesterone.
Source: beremennost-po-nedeliam.com
At these times, multiparous people feel the movement of the fetus. A sign of fading will be the cessation of shocks. In addition, there will be painful and / or pulling sensations in the lower back, abdomen. Perhaps the appearance of a bloody daub of brown color.
20 weeks and above. The main sign will be the absence of fetal movement from 2 days and above. As a rule, there are no other signs. However, if you do not go to a medical institution, then there is a high probability of developing intoxication of the body and severe bleeding.
The above symptoms do not always appear, especially in the early stages up to 13 weeks. A woman may not feel at all any signs of stopping the development of the fetus. Such a condition is diagnosed using ultrasound monitoring or at the next examination by a gynecologist (the size of the uterus does not correspond to the deadline), and from the moment the embryo dies, it can take from 2 to 4 weeks.
In very rare cases, fetal development may freeze for a period of 30 or more weeks. The most common cause is illness or injury to the mother. It is impossible not to notice such a pathology in the later stages, since premature birth occurs almost immediately.
Diagnostics
To establish the diagnosis of "missed pregnancy", it is necessary to conduct additional examination methods to exclude an error.
Gynecological examination. When examined on a gynecological chair, a specialist (especially in the early stages) will determine the discrepancy between the size of the uterus and the gestational age. In addition, the uterus can be dense "stone".
At later dates (over 14 weeks), when examining on the couch and taking measurements of the abdomen, the doctor will also notice signs of lack of growth, and the density or tension of the uterus. The next step of the specialist will be to send the woman for an ultrasound examination and for a blood test for hCG.
Ultrasound examination. It will show the discrepancy between the size of the uterus and the expected gestational age. There will also be no fetal heartbeat, which can be determined on ultrasound from 5-6 weeks. Stirring, which is determined by ultrasound from 7-9 weeks, will disappear. In some cases, the fetus may be absent. This situation is called anembryony.
HCG analysis. A blood test for hCG must be taken repeatedly. Monitoring will show a gradual drop in the level of human chorionic gonadotropin, which is inconsistent with the period that has elapsed since conception.
The test shows two stripes, but the color of the second one has faded? This situation indicates a missed pregnancy and a gradual decrease in the level of hCG in the urine. If you conduct a multiple test, you can track the gradual fading and disappearance of the second strip. It is important to know that such a picture is not considered 100% accurate. It is necessary to pass and other methods of research.
Are there errors in the diagnosis of STD? This situation is not excluded, therefore, specialists conduct a two-three-time ultrasound examination, with a difference of 5-7 days between ultrasounds. Such monitoring will allow you to track the growth of the uterus, the fetal egg and the appearance of a heartbeat and movement.
If these signs are not present, then the diagnosis of STD is correct. It is important to know that the fetal heartbeat using ultrasound can be detected from 5-6 weeks from the moment of conception! Therefore, specialists with suspected ST carry out expectant tactics, trying to wait until the 6th week of pregnancy. Often, after 6-7 weeks and after ultrasound, the diagnosis of ST is not confirmed. Exceptions are those cases when the symptomatology leaves no doubt.
A frozen pregnancy or a missed miscarriage is a condition when the fetus stops developing and dies for up to 28 weeks.
The concept of “frozen pregnancy” came from the fact that the unborn child had already died, and his expulsion from the uterus did not occur. Frozen pregnancy is one of the options for miscarriage.
There is a similar condition, as it is not regrettable to realize this, quite often, from 10 to 20% of all (both those who want to give birth and those who want to terminate) pregnancies. Moreover, the risk of "fading" pregnancy increases with the age of the woman.
Threatened deadlines
Pregnancy can “freeze” at any time. But especially often this happens in the first trimester, that is, up to 13 weeks. Experts identify the most dangerous periods of pregnancy for "fading" (however, they also coincide with the terms of the threat of interruption):
- 3-4 weeks
- 8-11 weeks
- 16-18,
- 22-24,
- 28-30 weeks.
Especially dangerous is the period of 8 weeks of pregnancy.
Attention! You can read about ways to terminate a missed pregnancy in the early stages in our special article.
Causes of fading
The reasons that lead to the state of "frozen pregnancy" are very numerous. These include:
Hormonal imbalance
The lack of the pregnancy hormone - progesterone - inhibits the progression of pregnancy, which ultimately leads to the death of the fetus.
Androgens, or rather their excess or hyperandrogenism, may also be guilty. Accordingly, diseases such as: ovarian sclerocystosis, diseases of the thyroid gland and adrenal glands, and other endocrine pathologies can lead to intrauterine death of the embryo / fetus.
Genetic disorders
Chromosomal aberrations of the fetus or the inheritance of an abnormal gene from one of the parents leads to the formation of a karyotype of the unborn child, with whom life is impossible. That is, nature itself eliminates defective embryos.
infections
Sexually transmitted infections (chlamydia, ureaplasmosis, herpes and others), as well as common infectious diseases (rubella, influenza, toxoplasmosis, cytomegalovirus infection) in the early stages lead to the death of the fetus, and in the later stages to gross malformations. It is to identify infections and reduce the risk of pregnancy fading in women that swabs are taken three times for flora.
Often, after IVF, the pregnancy “freezes”, which is most likely due to the reasons that prompted the woman to turn to this method of getting pregnant.
Age
The older the woman, the higher the likelihood of a missed pregnancy. The risk of this condition is especially high in nulliparous women older than 35 years.
Autoimmune conditions
Antiphospholipid syndrome, in which the amount of antibodies to blood phospholipids increases, leads to thrombosis, including in the uterus, as a result of which the fetus receives less oxygen and nutrients and dies.
Immunological factor
The fetus inherits equally genetic material from the father and from the mother, due to any condition, the mother's body perceives the unborn child as a foreign agent and kills him.
Unfavorable environment
Symptoms of a missed pregnancy
Early terms (I trimester)
In the early stages, the following signs may alert a woman about a missed pregnancy:
- early toxicosis. The sudden disappearance of all signs of early toxicosis (nausea, intolerance to odors, vomiting, drowsiness) up to 10 weeks indicates a missed pregnancy
- Breast. The chest stopped hurting, there is no feeling of engorgement of the mammary glands.
- basal temperature. A decrease in basal temperature to 37 degrees and below indicates both the threat of interruption and the death of the embryo.
- Pregnancy test. The pregnancy test began to show a weakly positive or negative result (decrease in hCG).
- Pain. Aching or pulling constant pain in the lower abdomen and / or lower back.
- Slight spotting from the genital tract is usually dark.
Late terms (II-III trimester)
- Absence of fetal movements (main symptom);
- Pain in the lower abdomen of a pulling nature;
- Slight to moderate bleeding.
Diagnostics
First of all, a gynecological examination plays a role in the diagnosis of a missed pregnancy.
In the early stages, the doctor determines the discrepancy between the size of the uterus and the gestational age (it is for this purpose that a vaginal examination is performed in the first trimester at each appointment).
In later terms, the circumference of the abdomen and the height of the fundus of the uterus lag behind the normal ones corresponding to this period. In addition, the fetal heartbeat is not heard.
The second stage of diagnosing a missed pregnancy is an ultrasound of the uterus and the determination of hCG in the blood.
In the early stages, ultrasound does not determine the fetal heartbeat, the size of the embryo does not correspond to the norm, or anembryony is diagnosed (there are membranes, but there is no embryo).
The level of hCG in the blood decreases or does not increase. In the later stages, in addition to ultrasound, cardiotocography is performed, which confirms the absence of a fetal heartbeat.
Consequences of a frozen pregnancy
Consequences after a frozen pregnancy are possible, but their probability is extremely low.
The risk of complications increases with an increase in the number of missed pregnancies in history.
Almost all women after a failed miscarriage give birth to normal and healthy children in the future.
Possible consequences:
Infection of a woman
With a long-term undiagnosed missed pregnancy or if a woman does not go to a doctor, the fetus in the uterus begins to decompose and undergo aseptic inflammation. For the time being, this does not threaten the health and life of a woman, until an infection joins the aseptic inflammation. In this case, the infected dead fetus is a powerful source of bacteria and toxins, which, penetrating into the woman's blood, lead to her infection and the development of sepsis. In addition, the development of DIC is possible, which is fraught with massive and intractable bleeding. Both sepsis and DIC can be fatal.
Depression
Any termination of pregnancy, especially a missed miscarriage, leads to a breakdown in emotional and mental strength and can cause long-term depression.
Fetal mummification
A similar phenomenon occurs in multiple pregnancies, when one fetus develops normally, and the other dies, while turning into a "mummy" or paper fetus.
Lithopedion
A lithopedion is a petrified fetus, that is, a dead fetus undergoes calcification (deposition of calcium salts). This phenomenon is very rare, today only 300 cases are known. Lithopedion can exist in a woman's body for years, although the "pregnant" woman herself does not suspect it.
Prevention
In order to prevent a failed miscarriage, it is necessary to carefully prepare for pregnancy not only for those women who have had this complication, but also for everyone else:
- quitting smoking, drinking alcohol and drugs for both sexual partners at least 3 months before the planned pregnancy;
- make the necessary vaccinations (rubella, hepatitis, influenza and others) no later than 3 months before the expected pregnancy;
- take swabs for sexually transmitted infections and, if necessary, undergo appropriate treatment (plan pregnancy 3 months after recovery);
- treat and correct chronic extragenital diseases;
- to investigate and, if necessary, normalize the hormonal background;
- refusal of abortions;
- maintaining a balanced diet (with the obligatory use of fresh vegetables and fruits);
- genetics consultation (women over 35 years of age and the presence of hereditary diseases);
- taking folic acid 12 weeks before the planned pregnancy (prevention of malformations of the neural tube of the fetus).
Some research on pregnancy
What are the first symptoms of a missed pregnancy? If this process occurred during the first trimester, then the woman may not feel anything. One of the first signs during this period may be a discrepancy between the size of the uterus and the standards. So, it can be both greatly increased and reduced. Only a gynecologist can notice this.
In addition, nausea may occur, as well as sensitivity to odors. But this also applies to toxicosis. Another thing is if these symptoms disappear abruptly. Most likely, in this case we are talking about a frozen pregnancy.
If the period is long, then an unpleasant phenomenon is accompanied by engorgement of the mammary glands. There is also a large amount of discharge. Then there are cramping pains in the lower abdomen. Then there is a discharge from the genital tract, which is similar to menstruation.
When the first symptoms appear, you should immediately seek help from your doctor. Because a frozen pregnancy is not a joke at all, it must be detected immediately.
Temperature during a frozen pregnancy
What should be the temperature during a frozen pregnancy? Paying attention to this important criterion is simply necessary. The fact is that the normal temperature during pregnancy ranges from 37.1-37.3 degrees. If it is lower, then most likely there are some problems.
So, a low temperature indicates the presence of a missed pregnancy. But it is not worth relying solely on this criterion. Because the temperature does not always indicate the presence of a directly frozen pregnancy, which must be eliminated in a short time.
But in general, this indicator is the main one. As for body temperature, it should not exceed 37 degrees. In most cases, this indicates the presence of a hormonal failure or an inflammatory process. Whatever it was, you need to seek help from your doctor. It's not worth the hassle to resolve this issue. The temperature does not always indicate the presence of a serious problem, but it should not be ruled out either. Frozen pregnancy is a complex process.
Allocations during a frozen pregnancy
Discharge during a frozen pregnancy is a completely normal process. More precisely, on this basis, you can determine that something is wrong. What are the usual discharges?
Basically, it is a reddish discharge that looks very similar to menstruation. This should not happen during pregnancy. If there is such a phenomenon, then most likely we are talking about serious problems. In addition, the discharge is often accompanied by severe cramping pain. Sometimes they are very sharp and are able to give to the lower back.
If you notice such signs, you should consult a doctor. Frozen pregnancy is a serious pathology. If you do not diagnose it in time, then in the future all this can happen again.
If the discharge is not reddish, but faded, then this is quite normal, especially in the early stages of pregnancy. Moreover, red discharge does not always indicate the presence of a missed pregnancy. In fact, there can be many reasons for this. But it is important to get advice from a doctor.
Toxicosis with a frozen pregnancy
Is toxicosis observed during a missed pregnancy? In this case, everything is exactly the opposite. So, in the early stages, during the normal course of pregnancy, toxicosis can manifest itself.
How does a woman feel during a frozen pregnancy? The thing is, it makes her feel a lot better. So, if a woman was tormented by severe toxicosis and suddenly it disappeared, then it is worth considering. Most likely, we are talking about a frozen pregnancy.
During toxicosis, a woman does not tolerate some smells, she is sick and, in general, weakness appears. With a frozen pregnancy, all this suddenly disappears. Many women are unable to understand what is happening to them. This can make the situation worse. Therefore, with a sharp relief, you need to see a doctor. Of course, if we are not talking about the end of the toxicosis itself.
It is important that if you experience this strange symptom, immediately seek help from your doctor. In order not to aggravate the situation as a whole. Because not many women understand the seriousness of this situation.
Pain during missed pregnancy
Are there pains during a missed pregnancy? Naturally, with any deviation, pain is observed. So, with a frozen pregnancy, they are of a special nature.
It is often a cramping pain. Moreover, it begins in the region of the lower abdomen and smoothly passes or does not give to the lower back. It should be noted that any pain during pregnancy is dangerous. In addition to cramping, sharp pains can be observed. They are also localized in the lower abdomen, and give to the lower back.
If you notice unpleasant symptoms, you should immediately seek help from a doctor. Because in addition to a frozen pregnancy, it can be other problems. In any case, pain is a negative sign.
If the pain appeared at an early stage, then this may indicate the fixation of the zygote on the wall of the uterus. Therefore, this does not always indicate the presence of any pathology. But, despite this, a doctor's consultation is mandatory.
Breast during a frozen pregnancy
The chest during a frozen pregnancy becomes somewhat different. If during pregnancy she is sensitive, but in this case, everything is somewhat the other way around.
So, if adverse changes occur in a woman's body, but this is reflected by external signs. Frozen pregnancy completely removes all the normal sensations that should be. This also applies to women's breasts. Yes, she gets rough. In addition, the discharge manifests itself to a greater extent.
If a woman felt discomfort in her chest and it does not at all look like hypersensitivity, then you need to pay attention to another important sign. So, during a frozen pregnancy, discharge appears, but at the same time they are very intense.
According to these two signs, it is easy to diagnose irreparable changes in a woman's body. Therefore, if you find roughness and excessive discharge, you should consult a doctor. Such signs may appear both early and late.
The uterus during a frozen pregnancy
The uterus during a frozen pregnancy also behaves in a special way. The fact is that it is very easy to notice changes in the breast on your own. When it comes to the uterus, it is quite difficult to feel anything. In this case, only the attending physician can determine any changes.
So what happens to the mother? There are certain standards, so to speak, sizes that are normal. When a woman has a frozen pregnancy, the uterus can change in different ways in size. And be both too small and too big.
It is difficult to feel it, because there are no special pain sensations. A woman who is at risk of a missed abortion should be under the constant supervision of a doctor. Only he is able to notice any changes in the uterus.
Frozen pregnancy is a complex pathological process. It can occur both in women suffering from certain diseases, and simply because of not diligent self-care during the period of bearing a baby.
Nausea during missed pregnancy
Nausea during a frozen pregnancy, as a rule, does not particularly manifest itself. On the contrary, you need to pay attention to the presence of this sign. The fact is that during a frozen pregnancy, peculiar changes occur in the body of a woman.
So, if toxicosis was previously observed, then it can disappear abruptly. You should not rejoice at this phenomenon, most likely, something is happening in the body. Naturally, for some women this can happen, but still, it is necessary to pay special attention to this.
Toxicosis in the early stages is the norm, sometimes it appears at a later time. But if it disappears spontaneously, then it does not bode well. Against the background of disappeared nausea, pain may appear in the lumbar region and lower abdomen. Paying attention to these signs is simply necessary.
Frozen pregnancy is a serious pathology that requires an immediate solution. Because in the future more serious problems may arise and against this background the inability to have children.
At a later date, you need to pay attention to the movements of the baby. So, a child in the period from 9 am to 9 pm should “push” at least 10 times. If there is no movement at all, then this may indicate a missed pregnancy. In this case, there may be sharp pains in the lower abdomen, radiating to the back. All these signs indicate that, most likely, there is a frozen pregnancy.