Signs and symptoms of miscarriage can appear in any pregnant woman up to the 20th week of pregnancy.
The main symptoms of a miscarriage are:
1. Fever and chills;
2. Smelly vaginal discharge;
3. Blood loss from the vagina, which may start with a brownish color;
4. Severe abdominal pain, like severe menstrual cramps;
5. Loss of fluid from the vagina, with or without pain;
6. Loss of blood clots from the vagina;
7. Severe or constant headache;
8. Absence of fetal movements for more than 5 hours.
Some situations that can lead to miscarriage, that is, it can start overnight, with no apparent cause, include fetal malformation, excessive consumption of alcohol or drugs, trauma to the abdominal region, infections and diseases such as diabetes and hypertension, when these are not properly controlled during pregnancy.
What to do in case of suspicion
In case of suspected miscarriage, what you should do is go to the hospital as soon as possible and explain your symptoms to the doctor. The doctor should order some tests to check that the baby is well and, if necessary, indicate the appropriate treatment, which may include the use of medication and bed rest.
How to avoid a miscarriage
The prevention of abortion can be done through some measures, such as not drinking alcohol and avoiding taking any type of medication without the doctor's knowledge.
In addition, pregnant women should only practice light or moderate physical exercise or exercise especially recommended for pregnant women and carry out prenatal care, attending all appointments and performing all requested exams.
Some women have greater difficulty in carrying the pregnancy to term and are at greater risk of having a miscarriage and, therefore, they must be monitored weekly by the doctor.
Types of Abortion
Miscarriage can be classified as early, when the fetus is lost before the 12th week of pregnancy, or late, when the fetus is lost between the 12th and 20th week of pregnancy. In some cases, it can be induced by a doctor, usually for therapeutic reasons.
When an abortion occurs, the expulsion of the uterine content may occur in its entirety, it may not occur or it may not occur completely, and can be classified as follows:
-Incomplete - when only part of the uterine content is expelled or there is a rupture of the membranes,
-Complete - when all uterine contents are expelled;
-Retained - when the fetus is retained dead in the uterus for 4 weeks or more.
Abortion is prohibited in Brazil and only women who can prove in court that they have a fetus that will not be able to survive outside the uterus, as can happen in cases of anencephaly - a genetic alteration where the fetus has no brain - will be able to resort to abortion legally.
Other situations that can be assessed by the judge are when the pregnancy is the result of sexual abuse or when the woman's life is at risk. In these cases, the decision can be agreed with the Brazilian Federal Supreme Court by ADPF 54, voted in 2012, which in this case describes the practice of abortion as being an "anticipated delivery for therapeutic purposes". With the exception of these situations, abortion in Brazil is a crime and is punishable by law.
what happens after abortion
After the abortion, the woman must be analyzed by the doctor, who checks if there are still traces of the embryo inside the uterus and, if this happens, a curettage must be performed.
In some cases, the doctor may recommend medications that cause the expulsion of embryonic remains or may perform surgery to remove the fetus immediately.
(Reference - https://www.webmd.com/baby/guide/pregnancy-miscarriage)
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