Miscarriage in early stages.

One ledy have 3 miscarriage in 1&1/2 yr. Married since 3 yr. What r the causes of that problem? All miscarriage r in before 2months. Ledy age 28 Man age 30


Delivery work Natural delivery A fetus of a pregnant woman progressively grows into a ductile fibrous base called the uterus in the abdomen and exits the vagina about 9 weeks and 10 days after the woman has been pregnant for about 40 weeks or according to a simple count. As the fetus grows, so does the uterus. In the womb, the forehead of the fetus is downward, like a sitting posture with the feet posture, the chest is cinched and both hands are placed on the chest. In the middle of a clean curtain bag in the uterus, the fetus floats inside a water-like substance. This curtain bag is called ammoniac sac and the water substance inside it is ammoniac-fluid. The water that comes out at the time of delivery comes out from the bursting of the curtain bag near the forehead of the fetus. This water substance prevents the pressure of the body on the fetus inside the uterus, which is very important during delivery. Due to the smoothness in this water substance, it makes the delivery gate smooth during delivery. This way it becomes very easy to deliver. A few days before the delivery of a pregnant woman, the abdomen hangs, which means that the front and bottom circles become enlarged, that is, the head of the fetus comes down to the head and the upper abdomen becomes very empty. And it spreads a lot downwards. This gives comfort to the pregnant woman and she can breathe and leave without hard work. During this time, the face of the uterus of the pregnant woman spreads continuously and for this reason the distance between the vagina and the uterus keeps decreasing continuously. A few days before delivery a pregnant woman starts to have pain slowly. This is called the false pain of childbirth. This pain occurs in the upper part of the stomach and this pain is temporary and irregular. Due to this false pain, the pregnant woman gets enlargement of the uterus, pressure in the intestines and indigestion. This kind of indigestion is eliminated by taking a mild laxative and at the same time the pain goes away. First stage Any change that takes place from the pain of the natural delivery of a pregnant woman till the uterus expands is called the first stage of delivery. This pain can last from several hours to several days. At this time, the pain of real delivery starts. A pregnant woman wanders here and there due to restlessness. This pain often arises after half an hour. There is pressure on the back bone. A pregnant woman keeps urinating again and again, some women vomit and shiver in the body. The uterine face spreads and joins with the vagina. The water bag wants to push out and after that the hair from the forehead of the fetus appears. At this time, there is an increase in mucous secretion of the vagina and the passage of the vagina. Due to the secretion and the water that comes out of the sac, it becomes so slippery in the way of delivery that delivery happens soon. At this time, some part of the khedi also gets separated from the uterus, due to which a little blood also appears with this secretion. Due to the head of the fetus being stuck in a relatively difficult osteoblast, and shrinking the uterus in the water inside the sac, according to the natural rule, there is some pressure on the fetus and only the contraction of the uterine muscle on the forehead of the fetus. The pressure leads to the forehead of the fetus as there is no pressure. This spreads the mouth of the uterus and makes it easier for the baby to be born. Second stage The stage of delivery of a fetus after the pregnant woman's uterus has completely spread is called the second stage of delivery. Such a state can range from minutes to hours. At this time, the pregnant woman is in constant pain, which is such as if she wants to get out by pushing something. A pregnant woman herself also puts pressure on the abdomen with the help of the muscles of the waist by pressing down on the breath. Sometimes a pregnant woman holds on to anything nearby and armpits loudly, starts crying and crying. Due to the pressure of armpits and uterine contraction, the forehead of the fetus keeps coming out slowly. Due to this pressure, the area between the anus and the vagina, called the perineum, also gets pushed out. Due to the pressure of the fetus, the pregnant woman keeps coming to the pit and urine frequently. After this, the forehead of the fetus comes outward with loud pain and then the whole body comes out. Third stage The exit of the placenta after the exit of the fetus in the delivery of a pregnant woman is called the third stage of delivery. It often takes an hour. At this time, the uterus starts shrinking again. The real function of this contraction is to stop bleeding of the arteries and prevent bleeding. Normally, in 96 percent of cases, the fetus' forehead at the time of delivery goes out first and the head of the fetus first appears or enters the vastus. The first mouth, hands, feet, legs etc. of any fetus come out which are considered inauspicious. In many such cases, the child dies. It is very difficult to get treatment at such time of delivery. Even the best right cannot easily deliver it. Delivery skills It is very important to mention three topics for delivery, such as the delivery path, fetus and delivery power. When measuring the forehead of a fetus in a pregnant woman's womb, it is seen that the front, back diameter is as big as the width. Here, the corner of the pregnant woman's dress-gunner is also stronger than the back of the front. From this, it can be easily understood that the long diameter of the forehead of the fetus i.e. the diameter from the front to the back is connected with the diameter of the body of the object, especially the forehead of the fetus from the back to the front of the object-gunner. If you do not stay towards, then delivery can happen easily. The forehead of the fetus sits properly in the vestibule and once it rotates, the forehead comes backwards to the front of the pregnant woman and the mouth comes back to the pregnant woman. In such a state, the head first comes out. After this, there is a problem. In most places the circumference of the fetus's forehead is somewhat smaller than the circumference of the Vasti-Gunhar. To remove this problem, the forehead of the fetus and the top part of the pregnant woman's vestibule are changed. The forehead of the fetus remains loose according to the location of the vestibule by the pressure of the vagina. It is called mold. After delivery, the baby's forehead gradually gets into its former shape. A pregnant woman has a crack in the bone joint of the front part of the dress-gunner, which increases the circumference of the dress-gunner. After this, the forehead of the fetus comes out due to contraction of the uterus, which is a sign of a new problem. The long-diameter object of the fetus's forehead prevents the fetus from coming out when the long-diameter follower of the gunner comes out, because the embryo's shoulder diameter is only opposite to the diameter of the forehead and the outer of the forehead. The part is much larger than the diameter. Therefore, the body of the fetus rotates at this time and the outer diameter of the shoulder is attached to the outer diameter of the Vasti-Gunhar. When the body of the fetus is rotated, its mouth remains towards the right or left Uru of the pregnant woman and the back of the forehead is towards the other Uru. At this time, because the outer diameter of the fetus's shoulder is larger than the diameter of the head and the diameter of the vestibule, the serpent's upper part comes out and then the bottom part comes out. When the shoulder comes out, the entire body of the fetus comes out easily. Delivery time precautions It is important to keep in mind that a pregnant woman's stomach should be absolutely clean shortly before the date of delivery pain starts, she should keep her stomach clean by feeding light laxatives, fruits, milk, sweets etc. Bathing a pregnant woman with lukewarm water daily keeps her skin clean. Pregnant woman should not let any fear of childbirth sit in her mind. Pregnant woman should be delivered in the cleanest, airy and light room of the house. Many things should not be kept in the house which gives birth to the child and more people especially men should not go in that room at the time of delivery. Clean clothes, clean towels, flower pots, water, olive or sesame oil, soap, clean bedding, oil cloth, a clean scissors and clean cotton should also be kept in the house. Pregnant woman should be fed warm milk after a while. The midwife of delivery should first enter the woman's vagina by washing her hands with warm water or soap, etc. and the nails of her hands should also be cut. The midwife should not have any type of skin disease. If the pain does not intensify for the pregnant woman, then she should be given some warm milk or tea. At the time of reaching the forehead of the fetus, the perineum may rupture, so the place should be pressed from outside so that it does not tear. After leaving the forehead of the fetus, a towel or clean cloth should be soaked and the child's eye should be cleaned with it. If the placenta is wrapped around the throat of a child, then with the help of midwife, the placenta should be removed carefully. The temperature of the earth varies between the baby and the womb, so it is immediately after the birth of the baby that it gets cold so it is very important to take precautions. From this time, the brain power of the child starts working. Therefore, the baby starts crying soon after taking birth. The work of breathing and exhaling also begins. Care should also be taken if there is no void in the forehead. During pregnancy, an attempt is made to keep the baby's head downwards, so the child's forehead should be placed on the side of the sloping position and put to bed. If the child does not cry after birth, it should be patted vigorously on the waist or pierced with cold water on the mouth. With this, the knowledge power of the child starts working. Apart from this, keeping a little round powder on the tongue or a slight scratching can also be done. If even after doing this, the child does not become conscious, then the doctor should be called immediately. At this time, the child's breathing and exhalation process begins. This action of the child has to be seen for some time even after it starts. After examining the placenta of the child, at the distance of the placenta of the placenta, at least one and a half inches from the navel and then 3 inches from there, two bales should be removed. The yarn with which the knot is given should boil well in boiling water. After that, hold the knot on the mother's side and cut between these two knots. For this, a knife or scissors should be boiled in hot water. After cutting the placenta, it is good to tie the cord again. After this, a pregnant woman should have a check if she has got a wound in the space between the anus and vagina at the time of delivery or has not been torn. If the wound is ruptured, it should be soldered with the help of a doctor. Care should be paid to the child born after this. The child should be bathed in warm water and put on a clean and soft bed. It is also good to lick a little honey with your finger. Till the navel of the child is dry, the cloth cloth should be tied with its stomach. It should also be specially kept in mind that the navel of the child does not get poked in it. After that, after taking out some milk from the breasts of the pregnant woman, the baby should be fed. After the birth of the child, mother's milk is considered to be her best food, but if the woman who is feeding the child becomes ill, then the child can become ill by drinking her milk. Therefore, it is not appropriate for a woman to feed her baby in a sick state. If the child does not digest the mother's milk due to poor liver, he should see the doctor and according to the same he should take other milk. 3 urgent tasks at the time of delivery Infection :- Childbirth (at the time of childbirth) should also be taken care that the pregnant woman should not spread the infection of bacteria. At the time of delivery, many internal parts of the pregnant woman remain in open state due to which there is always a fear of infection of bacteria. Therefore, a pregnant woman should pay special attention to cleanliness a few days before delivery. He should keep his bath and drinking water covered. If the midwife comes to deliver a pregnant woman, she should also wash her hands thoroughly with warm water and soap. Bleeding (bleeding) - Particular care should also be taken to ensure that the pregnant woman does not have excessive bleeding during delivery. If there is too much bleeding during childbirth, then pregnant woman should consume blood and strength enhancing food etc. With this, he should also get back the lost strength of the body by taking complete rest. Bursting between the anus and vagina
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Dr.Anuva Sahu Ma'am Pt. have experienced 3 early miscarriages run don’t walk, run to your Ob/Gyn or get a referral to a fertility specialist to help narrow down possible causes and determine what can be done to prevent future losses.  They can run a series of tests to see if there is an underlying cause to what may be causing the reoccurring miscarriage. I think much needed the Some investigations to rule out Causes of Miscarriage. Hormonal Tests. Ask to have a prolactin, thyroid and progesterone level taken if you haven’t had these already. If they are abnormal and treatment is given, make sure that you are re-tested to check your levels. Structural Tests. A hysterosalpingogram is done to evaluate the shape and size of your uterus and to rule out possible scarring in the uterus, polyps, fibroids or a septal wall, which could affect implantation. If there is concern about the uterine cavity, a hysteroscopy (examination done in combination with laparoscopy or as an office procedure) can be done. In some women, the cervical muscle is too loose causing pregnancy loss after the first trimester. A special exam is done when a woman is not pregnant to check for an incompetent cervix. Uterine Lining Tests. An endometrial biopsy is done on cycle day 21 or later and will document if your lining is getting thick enough for the fertilized egg to implant. If you have a lag of two or more days in the development of the lining, you will be treated with various hormones (Clomiphene, hCG, Progesterone). It is important to have the biopsy repeated after several cycles to make sure the treatment is helping. If you are on Progesterone, discuss the various advantages of the oral, vaginal gel creams or tablets or injection routes with your doctor. Genetic Testing. Chromosomal tests are rarely done on tissue from a miscarriage because it is difficult to preserve the tissue for adequate studies. If chromosome testing is needed, you and your partner will have blood tests to make sure there is no translocation of genes (a condition in which the number of genes is the normal 46, but they are joined together abnormally). This condition can result in pregnancy loss. Immunological Tests. Blood tests to check for immunologic responses that can cause pregnancy loss include antithyroid antibodies (antibodies to thyroglobulin and thyroid peroxidase) the lupus anticoagulant factor and anticardiolipin antibodies. Lupus and anticardiolipin antibodies appear to influence blood clotting mechanisms within the placenta as it develops. There are also blood tests that check for protective blocking factors. These are essential to protect the pregnancy from being rejected by the mother’s body Tnx Dr.Iqbal Sayyed Sir.
Recurrent early miscarriages (within the first trimester) are most commonly due to genetic or chromosomal problems of the embryo, with 50-80% of spontaneous losses having abnormal chromosomal number. Structural problems of the uterus can also play a role in early miscarriage. The miscarriage may be due to poor blood supply to the pregnancy or inflammation. ... A woman's immune system may also play a role in recurrent pregnancy loss. Hormone abnormalities may also impact pregnancy loss, including thyroid disease and diabetes. We have to elicit cause and understand the constitution of the patient accordingly derive the plan of treatment and management.
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Acc to constitutional,find the cause first. Gv viburnum opu Q 15 dr 3 tds ..
Genetic or chromosomal abnormality are the main cause of early miscarriage
Cimicifuga 30
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Sabina 30 TDs Viburnum opu Q 10 drops BD
Agree with Dr Twara ma'am
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