The first thing is to diagnose either the miscarriage has taken place or there is some other disorder of pregnancy. The second thing is to know what kind of abortion has taken place. It may be complete, incomplete, missed or infected abortion.
Diagnosis of Miscarriage
To diagnose and identify the miscarriage, the doctor makes an examination of the pelvic region. An ultrasound may be made to confirm either it is a complete or an incomplete miscarriage. It is necessary to know that all the fetus tissues have gone out or not. During the pelvic exam, the health care provider may examine the cervix. She will note that the cervix is opened or thinned out. For the precise diagnosis of miscarriage, some blood tests too may be performed. For example,
- Blood type
- CBC – complete Blood Count
- HCG – Both the Qualitative and Quantitative
CBC is made to know how much blood has been lost. HCG reveals the pregnancy and hormonal changes, while the WBC will show the infection and repairing capacity of the mother.
Treatment of Miscarriage
If the miscarriage is a complete abortion, there is no proper treatment required. The doctor may prescribe some tonics to deal with the weakness if there is any. If the miscarriage is not complete, uterus is not empty and some tissues of the fetus are there in the body, it is necessary to take them out. This situation is treated by two methods.
1. The D&A (dilation and curettage) process is applied. It is a procedure by which the cervix is dilated and gently cleaned to remove the remains of the fetus.
2. There are some medicines which work as an alternative of the D&A. These medicines make the female body repel the remains of the fetus out of the cervix. This procedure is more liked by the patients and the doctors both. It makes you escape from surgery and also to avoid further complications.
Before carrying out D&A the woman is observed and watched out for at least 15 days. It is to wait that the remains of the fetus or placenta may leave the body in natural ways. If it happens naturally no further treatment is made in case there is nothing else to be treatable.
To treat the miscarriage patient, examination of the tissue which passed out the uterus, is necessary. It reveals two facts,
1. Is there any part of the placenta or fetus remains in the cervix?
2. It was a hydatidiform mole or normal placenta to deal with?
Once the miscarriage takes place, the remains are washed out and medication is complete, a woman normally improves in about 5 weeks. She should have her menstrual cycle back in normal manner after this time. She may get pregnant again soon as the ovulation gets started at earlier stages. But The health care provider recommend that after the miscarriage a woman should wait about 1 (or best is 2) complete menstrual cycle to get pregnant again.