Pregnancy

Second Trimester Miscarriage

Late miscarriages are ones that occur during the second trimester of pregnancy. Nearly 15% of pregnant women experience late miscarriages. If the pregnancy is lost within the first trimester (the first twelve weeks), is known as a miscarriage. Late miscarriages during the second trimester are uncommon compared to first trimester miscarriages. This article reviews the causes, symptoms and treatments of second trimester miscarriages.

Symptoms of Second Trimester Miscarriage

  • Passing of clots or tissue through the vagina
  • Pain in the abdomen
  • Fluid leaking from the vagina
  • Bleeding, cramps and vaginal spotting
  • Pain in the lower back

Conditions Leading to Second Trimester Miscarriage

  • Pregnant women over 35 years old are more susceptible to late miscarriages
  • Chromosomal abnormalities in the baby
  • Drug addiction, alcohol abuse and excessive smoking
  • Women who have already experienced miscarriage are more likely to experience it again in the second trimester than other women
  • Premature rupture of the fetal membrane
  • Infections and inflammation of the uterus
  • Thyroid problems, serious infections, hormonal problems and diabetes are some of the major causes which may lead to miscarriage during the second trimester of pregnancy

Treatment to Avoid Second Trimester Miscarriages

  • Check for chromosomal abnormalities with a blood test. The test should be taken by both parents.
  • Endometrial therapy
  • Test any passed tissue for chromosomal abnormalities.

Treatment after a Second Trimester Miscarriage

  • The medical procedure after a second trimester miscarriage is known as evacuation and dilation. This procedure occurs over two days, but does not require an overnight stay in the hospital.
  • The first day of the procedure lasts three hours. The second day approximately five hours. However, the whole procedure can be performed during a single day, depending upon the severity of the case.
  • First, a woman must have an ultrasound and physical exam.
  • Medications (usually anti-anxiety and pain killers) are given to make the woman feel relaxed.
  • Through medications such as dilapan, cervical softening begins.
  • Before surgery is done, the doctor will administer anesthesia to the patient.
  • The doctor will empty the patient’s uterus with the help of gynecological instruments.
  • The surgical procedure lasts about 45 minutes.
  • For the next two hours the patient will be under observation.
  • The patient might see some spotting or feel cramps.
  • Antibiotics are given to the patient to prevent infection.

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