Experiencing Pregnancy Loss and Understanding Why It
Happens
It is never easy to lose a child no matter how it
happens. Pregnancy is a time of great hopes and expectations
for the future of the child you have just created. Losing that
child before you even get to see that child's face or hold that
child in your arms is especially heartbreaking especially for
couples who have perhaps experienced a great deal of difficulty
becoming pregnant and realizing their dreams of parenthood.
Pregnancy loss can occur at anytime during the pregnancy but
most often in early pregnancy due to a blighted ovum, ectopic
pregnancy, or a molar pregnancy.
A blighted ovum is:
Prior to the technology that allowed women to find out
before a missed period that they were pregnant many would never
have known they were pregnant. Today, because we have so many
sensitive home pregnancy tests (hpts) available women now know
about such pregnancy losses. Some women experience a blighted
ovum just after finding out they are pregnant which makes the
news all the more difficult to handle as they are still on the
"high" of just discovering they have successfully
conceived.
It is important to acknowledge your loss and the feelings
that envelope your loss as well as to go through the normal
process of grieving so that you can heal emotionally.
Your doctor or other medical professional may use the term,
"anembryonic pregnancy" to describe a blighted ovum. The
pregnancy loss in this case is caused by the fertilized egg
attaching itself to the uterine wall, but failing to develop
into the embryonic stage. The woman's body naturally miscarries
blighted ovum losses because they are typically a chromosome
abnormality loss.
Symptoms of a blighted ovum pregnancy
loss:
1.Missed or late menstrual period
2.Possible pregnancy test
3.Minor abdominal cramping
4.Minor vaginal spotting or bleeding
5.Heavier than normal monthly bleeding
Possible increasing hCG levels if the placenta continues to
grow and support itself even if the embryo does not continue to
grow as well as pregnancy hormones continuing to rise which
will cause the woman to feel like she is still pregnant
Ultrasound scan shows an empty womb or an empty gestational
sac
An ectopic pregnancy is:
If a woman experiences a pregnancy loss due to an ectopic
pregnancy she has experienced a conception that occurred in one
of her fallopian tubes. Her doctor or other medical
professional may also call it a tubal pregnancy. As many as one
in every sixty pregnancies is an ectopic pregnancy.
They can be caused by several different factors including an
infection or inflammation taking place in the fallopian tube,
which has made the tube partially or entirely blocked or scar
tissue may have been left behind from a previous infection or
surgery. Past abdominal or tubal surgeries can leave adhesions,
which can cause an ectopic pregnancy. If the fallopian tube has
an abnormal shape can also lead to an ectopic pregnancy.
Women who are over age 35, have had previous ectopic
pregnancies, or have had either pelvic or abdominal surgery are
at risk for an ectopic pregnancy. Any woman who has had pelvic
inflammatory disease (PID) is also at risk. Any woman who has
had multiple induced abortions can also be at risk for ectopic
pregnancies. Women who have IUDs in place or who have had tubal
ligation surgery are also at risk for developing an ectopic
pregnancy.
Symptoms of an ectopic pregnancy are sharp or stabbing pain
that comes and goes and may vary in intensity. The pain can
occur in the abdomen, pelvis, or even the shoulder or neck due
to blood from a ruptured ectopic pregnancy gathering under the
diaphragm. Vaginal bleeding can be either lighter or heavier
than a normal period. The woman may also experience
gastrointestinal symptoms, feel weak, dizzy or may faint. If
you are pregnant and feel pain or have bleeding you should seek
medical care immediately. Ectopic pregnancy can threaten the
life of the woman.
A molar pregnancy is:
If a woman is experiencing a pregnancy loss and her doctor
uses the term, "molar pregnancy" to describe the loss the
reason for the loss is that there is an abnormality of the
placenta, which occurs when the egg and sperm come together
during the fertilization process. Molar pregnancies are rare (1
in 1000 pregnancies). Your medical professional may use the
term "gestational trophoblastic disease (GTD), hydatidiform
mole or just "mole" to describe your experience.
Women at most risk for a molar pregnancy at those over age
40, those who have had a prior molar pregnancy and women who
have had a history of multiple miscarriages.
The symptoms of a molar pregnancy are vaginal spotting or
bleeding, nausea and vomiting (normal pregnancy symptoms),
complications that develop such as thyroid disease during the
pregnancy, early preeclampsia (high blood pressure during
pregnancy), higher than normal hCG levels, and the absence of
fetal movement or the absence of fetal heartbeats.
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