Miscarriage - a tragedy for would be mother

Greater Kashmir

A random survey recently in Europe revealed the likes or dislikes of women in modern society and surprisingly most of them when asked about their happiest moment in life disclosed that becoming a mother is their cherished moment leaving behind the materialistic means as tabulated in the poll.
Very well said that a ‘woman’ becomes a ‘complete woman’ when she becomes a ‘mother’ and she resembles herself as the most blessed soul. This way her long cherished dream comes true but this could turn into a nightmare if some untoward incident takes place and in the process the baby in her womb suffers and she miscarries. There may be so many causes of this tragedy.
Reason for miscarriages differs from person to person. “Anatomic defects in reproductive organs of a woman like defective womb or cervical incompetence may lead to miscarriages,” reveals Dr Saleema Akhtar, Assistant Professor, Gynea and Obstetrics, Lal Ded hospital in Sringar. “Sometimes during pregnancy, cervix dilates more than usual that results in abortions,” she says, adding that such defects need surgical treatment.
“Swelling in uterus is also highly risky. After a woman comes to know that she has conceived she should go for a thorough check-up,” suggests Dr Madhoo, a gynecologist.
Divulging other causes responsible for miscarriages, Dr Saleema says, “Defective sperm may sometimes lead to miscarriage”. “Deficiency of hormones like progesterone and abnormal thyroid functions might cause abortions.” She adds.
Many times abnormal foetus begets miscarriage. “Chromosomal abnormalities in foetus become a cause of miscarriage”, observes Dr. Saleema. Adds she, “Multiple pregnancies (i.e., having twins in womb) need extra care as that could also lead to abortion”.
Male foetus, Dr Abida khan, Intern, SKIMS Medical College, Bemina, says, boost miscarriage risks. It is known that when a female carries a male it is strange to her immune system.
Infections can be another cause. “Torch group of infections in mother may prove harmful to the foetus. If she feels some sort of infection she should immediately consult a doctor. Medicines should not be taken without the consultation of doctor”, suggests a senior gynecologist—who doesn’t want to be named, SKIMS Medical College, Bemina. “As per the cause we treat the patient”, she adds.
Women suffering from Diabetes Mellitus do have chances to miscarry. Diabetes sharply raises the risk of pregnancy complications. “Diabetic woman should be offered specialist foetal heart scans because of the increased risk of serious abnormalities and infant death,” advises Dr Saakshi, intern in JVC. She added that diabetic women, during pregnancy, should take higher than usual doses of folic acid.
Another reason responsible for abortions may be marrying too early or too late. Girls married at young age when conceive, it is a high risk pregnancy.
“Very young mothers usually miscarry as their body is not ready yet to bear another life inside it. They usually have deficient uterine cavity which may result in miscarriage or pre-term labour,” says Dr Saleema Akhtar. And chances of miscarriage increase with the increase in age. “A woman when married late does not conceive immediately. She can have abnormal uterus, and hence more probability to miscarry,” she adds.
Lesser amount of diet, inadequate sleep, excessive hypertension, raised cholesterol level, smoking (active or passive) and lack of exercise are other risk factors which a woman has to take care of in order to avoid miscarriages.
Senior gynecologist at SKIMS Medical College, Bemina reveals, “Many times we are not able to find out the cause of abortion. No obvious abnormalities are discovered in such cases”.
Describing the symptoms, Dr Saleema Akhtar says, “Bleeding is the earlier symptom. If a pregnant woman happens to bleed, she instantly needs to consult a doctor.”
She adds, “If only bleeding occurs, the patient can continue conceiving, however, needs extra care. But if the bleeding continues with severe pain, it indicates that it is the final stage and she has miscarried. Then after examining the patient we can detect whether she has miscarried or it is only intimidating and we treat her accordingly”.
Some precautions if taken may avert the tragedy of miscarriage. “The pregnant woman should avoid heavy load-lifting or any hectic activity. Heavy journey or travel by Autos and scooters should also be avoided”, advises Dr Saleema Akhtar. She adds that taking rest is very important for expecting mothers—minimum eight hours during night and two hours after lunch”.
“Pregnant women should be very conscious about their feeding habits; they should take highly nutritious diet and should never take any medicine with consulting a doctor,” suggests Dr Madhu. X-rays and too many ultra sounds should be avoided. “Though ultra-sounds are not much harmful yet we suggest patients less no. of ultrasounds”, adds she.
An expecting mother should be free from ‘stress’ as ‘stress’ in pregnancy effects emotional brain of foetus and many a times leads to miscarriage. It is also advised that women with diabetes should take 5mg of folic acid a day from before conception up to week 12 of pregnancy.
And if something unusual happens, a pregnant woman should consult a doctor. “Patient is to be observed immediately after she bleeds or develops pain. If she has got some infection or incompetence, that should be treated in time”, says Dr Madhoo. She further suggests, “During DNC great care must be taken. Sometimes a woman gets infected while DNC is being done. It can lead to infection of fallopian tubes which many a times results in repeated miscarriages.
Once miscarried, a woman should be diagnosed well. Then only she should seek to have another baby.