
Photo by Jez, Rani & Amrita It can be a daunting thing to think about getting pregnant after miscarriage because of the fear of a second recurrence.
A miscarriage (called a spontaneous abortion by physicians) is the unintentional loss of pregnancy prior to twenty weeks of gestation.
As much as 25% of all pregnancies that are known about end in miscarriage according to statistics from the American Society of Reproductive Medicine. In real terms this rate is probably higher, as many miscarriages occur in the very early stages of pregnancy before a woman is even aware she is pregnant.
What causes a woman to miscarry is still not completely clear. In general miscarriages in the first trimester are attributed to the presence of chromosomal abnormalities in the foetus (which are randomly occurring).
Of course the state of the mother’s health also plays a part. Medical conditions like un-tended diabetes or structural problems in the woman’s uterus which result in an improper egg implantation can affect a miscarriage, as can a number of autoimmune conditions in the mother.
A woman’s (and prior to conception, a man’s too) lifestyle choices can also affect the likelihood of miscarriage – things like drug abuse or smoking can play their part.
There are also a large number of miscarriages which are the result of the egg not being implanted in the uterus correctly - thankfully this can be corrected by knowing the most appropriate times of the month for successful conception, but more on that later.
There are a number of signs that may precede a miscarriage including lower back pain and cramps in the abdomen and pelvis as well as fluid or tissue and blood coming from the vagina.
Although vaginal bleeding almost always precedes an early miscarriage, it is important to remember that blood spotting is quite normal in early pregnancy as well, so it doesn’t always mean a miscarriage is occurring.
Most miscarriages in the early stages do not require medical treatment as the uterus voluntarily empties out like a heavy period. In cases where tissue remains inside and shows up on an ultrasound, then a cleansing procedure, or medication may be required to make sure all the residual tissue is expelled.
It is absolutely necessary to make sure the uterus is clean, as otherwise infections can occur. It is best if couples do not try getting pregnant after miscarriage for at least a couple of months, six months is best. If recurring miscarriages are a problem, then there are tests that can be done to see if they can determine the cause.
It is important before going out and getting any of these (sometimes painful) tests, that you make sure that the improper implantation of the egg into the uterine lining is not the cause. This can be reduced to a huge extent by knowing the correct times in the months for having intercourse and conceiving.
This time is when there is a cervical fluid which has the resemblance of eggwhites, which is the woman’s most fertile time of the month. The best time to have intercourse (given the man’s sperm count is normal) is every day that the eggwhite cervical fluid is present – up until there is a rise in the basal body temperature of the woman.
For men who’s sperm count is low, then intercourse should only be done on every second day until the rise in temperature. This will not only increase the chances of conception, but will also decrease the likelihood of miscarriage caused from improper implantation of the ovum in the uterine lining.
Pre-pregnancy preparation is also important, so your health must be attended to. So this means taking care of your diet, making sure you partake in regular exercise and keeping weight within a healthy range.
Cutting out smoking and even being around second-hand smoke is also an important step, pre and post conception (and if you know what’s good for you, from hereon in!).
Alcohol is a big no-no and caffeine is on the cut list too. Also be aware of external toxins that you may be exposed to – so no painting the house unless with ‘green’ paints and the same goes for carpets, which can often be full of formaldehyde.
When you try getting pregnant after miscarriage, you need to attend to lifestyle factors and emotional and stress issues - and always remember that having sex at the right time of month can reduce your chances of a recurrence.
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