Pregnancy After Missed Abortion
Q: Hi, I am a mother of 5 year old and was pregnant recently again that was 11 weeks through. Then there was a light brown discharge which was confirmed to be a missed abortion on ultrasound today. I was told that the fetus did not grow after 6th week. It is extremely distressing and I would like to know possible reasons. I just turned 35 when I got pregnant. Did it happen because of my age and am I old for a healthy pregnancy? What precautions should I take next time? When is the earliest that I may get pregnant again? Please advise and help.
– By Sonali
A missed abortion is a nature’s way of terminating something that was not likely to result in a normal delivery. There can be many reasons for it. But first it is important that you take plenty of rest, eat healthy and sleep well. Although you were only pregnant for a short time, your body has gone through a lot of hormonal changes, almost as much as going through 9 months. Let your normal menses resume. It would be preferable to try getting pregnant after at least one normal menstrual period.
Maternal age is definitely a big factor. Conceptions after 35 years of age are more likely to have chromosomal abnormalities, which do not let the fetus survive beyond 20 weeks. But since yours is a borderline case, no conclusion can be made just on the basis of age.
It is important to find out why the abortion occurred, so that it may not happen again. What reason did your doctor give you?
Causes of Abortion
Usually, abortions in the first trimester are due to either-
- An abnormality in the fetus (chromosomal defects)
- Abnormal placental growth
However, there are several other causes like maternal diabetes, hypertension, fevers, urine infection, or blood group incompatibility or infections like TORCH Group, which can cause it. So you need to get a few tests to find the cause. If some cause can be detected, get it treated first.
Sometimes, no cause may be found and just general stress could have resulted in abortion.
- You can take tablet folic acid, 5 mg/day for three months before planning the next pregnancy. This is usually helpful.
- During the next pregnancy close monitoring of the fetal growth needs to be done.
As a precaution, injection HCG may be taken for about four months every week during the pregnancy.