Threat of Termination of Pregnancy

Threat of miscarriage

Miscarriage is not an easy topic to talk about. But it’s even harder to realize that sometimes such a situation could have been avoided. Timely correction of pathological conditions before pregnancy could in many cases prevent its termination. However, even when a miscarriage begins, it is possible to stop this process and maintain the pregnancy if you consult a doctor in time.

The rate of spontaneous abortion is 10–20%, with half of all cases occurring before 12 weeks. Termination of pregnancy between conception and 28 weeks is called spontaneous abortion (miscarriage), and after 28 and up to 37 weeks - premature birth. This division was introduced because often children born during premature birth survive. Now even babies weighing 500 g are being nursed.

There are many possible causes of miscarriage. The most common cause of spontaneous abortion, especially in the first trimester (up to 12 weeks of pregnancy), is hormonal imbalance.

Infectious and inflammatory diseases of the lower parts of the reproductive tract (chlamydia, ureaplasmosis, mycoplasmosis, trichomoniasis), and viral infections (herpes, cytomegalovirus) are considered a significant factor provoking miscarriage. From the amniotic fluid, the infection penetrates to the fetus and, depending on the duration of pregnancy, can cause malformations of varying severity in the fetus.

Termination of pregnancy can also occur in case of general infectious diseases and acute inflammatory diseases of internal organs (viral hepatitis, rubella, influenza, sore throat, pneumonia, appendicitis, pyelonephritis, etc.). In this case, the cause of miscarriage can be: elevated temperature, intoxication, lack of vitamins, oxygen starvation.

Pathological changes in the mother's genital organs increase the likelihood of spontaneous abortion.

Genetic abnormalities are another common cause of miscarriage. It is known that in 73% of cases of early pregnancy termination, genetic abnormalities are detected in the fetuses.

Chronic diseases of the mother (heart defects, hypertension, anemia, pyelonephritis, diabetes mellitus) contribute to damage to the placenta, which leads to impaired fetal development and miscarriage.

Pathological conditions that arise during pregnancy can complicate its course and lead to spontaneous abortion. With toxicosis of the second half of pregnancy, polyhydramnios, placenta previa, blood circulation in the placenta is disrupted and the fetus suffers. According to statistics, women with a complicated pregnancy are more likely to experience premature birth than those with an uncomplicated pregnancy.

Immune dysfunction also plays an important role in the problem of miscarriage. The fetus is an organism whose protein structure is completely foreign to the mother’s. The woman’s body should have rejected it, like any foreign body. However, this does not happen. The fact is that during pregnancy there is an immunodeficiency, i.e. The mother’s immune system is weakened and cannot recognize the baby’s proteins that are unfamiliar to her and interfere with its development.

Physical injuries (bruises, broken bones, body concussion, etc.) can cause miscarriage in women with health problems: inflammatory diseases, endocrine disorders, etc. In women with an unbalanced psyche, severe nervous shock can provoke termination of pregnancy. In healthy women, pregnancy continues even when exposed to severe damaging factors (pelvic bone fractures, bruises of the anterior abdominal wall, neuropsychic shocks).

The so-called socio-economic factors also play a certain role: women’s working conditions, bad habits (smoking and alcohol) and unfavorable living conditions.

How to find out about termination of pregnancy? What should you do? Difference