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Miscarriage and miscarriage bring women apart from fear, heartbreak and anxiety, there are 100,000 reasons why? In many marriages, the abortion caused psychological shadows, rifts between husbands and wives, and even induced emotional breakdown leading to divorce. Z1z
tire stop is something no one wants, but not wanting does not mean it will not happen. In my country, the number of spontaneous abortions is 1.2 million to 1.5 million each year, and half of them are aborted. This is a huge data. 80% of abortions occur within 3 months of pregnancy.
Speaking of fetal stop, the probability of appearing in my mother's era was almost negligible. Today, some regions have exceeded 10% of the total number of pregnant women.
Why are more and more people stopping tires now? Is it related to air and food or is it too expensive for modern people? Let's let Yaya mom take you to find out!
Under normal circumstances, the elimination rate of human embryos is above 70%, about 50% of pregnancies are biochemical, and about 15% of human pregnancies will be eliminated in the first 3 months.
In addition, a small part will be eliminated in the second and third trimesters. As we age, the quality of sperm and eggs is also declining, and the elimination rate is still rising.
What causes the tire to stop?
1, chromosomal abnormalities
currently has no effective treatment methods for miscarriage and fetal arrest caused by chromosomal abnormalities, and only prenatal genetic consultation and diagnosis are available.
For couples with chromosomal abnormalities, prenatal diagnosis is required to ensure that they can have a normal baby.
According to research, even if both husband and wife have normal chromosomes, chromosomal abnormalities may occur during gamete formation and embryonic development.
If the female is older than 35 years old, chromosomal non-segregation is likely to occur due to the aging of the egg, leading to chromosomal abnormalities.
The influence of bad environment can also cause embryo chromosomal abnormalities, such as toxic chemicals, radiation, high temperature, etc.
Therefore, the key to preventing fetal arrest due to chromosomal abnormalities is to regulate the body of both partners, choose the best for pregnancy, and stay away from bad environments.
2, immune factors
The baby in the belly of the expectant mother is actually an allogeneic transplantation, because the baby is a combination of father and mother, so it is impossible to be exactly the same as the mother.
If the mother-to-be and the baby's immunity are not adapted, it will cause the mother to reject the fetus. For example, common autoimmune diseases: lupus erythematosus, scleroderma, mixed connective tissue disease, dermatomyositis, etc.
is the second cause of reproductive immunity. If we carry some kind of antibodies, it may affect the development of the embryo. There are four specific factors as follows:
anti-sperm antibody: if there is anti-sperm antibody, it may resist sperm-egg binding.
Anti-endometrial antibodies: If there are anti-endometrial antibodies, it may affect the development of the embryo.
Anti-ovarian antibodies: will affect the quality of eggs.
Anti-chorionic gonadotropin antibody: This hormone is actually an important hormone secreted seven days after the sperm-egg combination. But if you have such antibodies, it will resist the secretion of hormones and cause embryos to stop.
3, endocrine disorders
embryo implantation and growth and development depend on the coordination of the complex endocrine system, any abnormality of the link may lead to miscarriage. During the early development of
embryos, three important hormone levels are needed: one is estrogen, the other is progesterone, and the third is human chorionic gonadotropin.
As a mother-to-be, if her own hormone secretion is insufficient, the embryo will not be able to meet the development of the embryo, which may cause the embryo to stop and abort.
One of the most common is corpus luteum insufficiency, which can cause endometrial growth retardation and short luteal phase, which affects the implantation of fertilized eggs or early pregnancy abortion.
Luteal insufficiency is often accompanied by other abnormal glandular functions, such as: hyperthyroidism or hypothyroidism, diabetes, relative hyperandrogenism and hyperprolactinemia, etc. These factors are not conducive to embryonic development and are closely related to abortion .
4, uterine factor zBoth the internal environment of the uterus and the overall environment of the uterus have an important influence on the embryo. The internal environment of
refers to the endometrium: if it is too thin or too thick, it will affect embryo implantation. Common situations are:
congenital Mullerian duct abnormalities: including unicornuate uterus, double uterus and bicornuate uterus causing uterine cavity The blood supply is restricted. Abnormal development of uterine artery can lead to asynchrony of decidualization and abnormal implantation.
Uterine cavity adhesions: mainly caused by uterine cavity trauma, infection or residual placental tissues and uterine cavity adhesions and fibrosis. Obstruct normal decidualization and placental implantation.
Uterine fibroids and endometriosis: Causes blood supply to decrease, leading to ischemia and venous dilation, and decidualization is not synchronized. Implantation abnormalities and hormonal changes caused by fibroids can also cause pregnancy failure.
Congenital or traumatic cervix laxity: Intrafetal treatment with ethylene estrol leads to abnormal cervical dysplasia and often leads to abortion in the second trimester. How does
prevent tire stop?
1
Pre-pregnancy check-up
Pre-pregnancy check-up is necessary. Both couples should have pre-pregnancy check-up before getting pregnant.
and see if the body is ready for pregnancy, and check for any genetic defects or health conditions that may affect the baby's growth.
2
Eat healthy foods
Eat fresh and healthy foods, such as: whole grains, fresh fruits, fresh vegetables, lean meats, eggs and dairy products.
Try to avoid eating processed foods and fast food. For example: milk tea, fried chicken, etc. These habits are best started during pregnancy.
3
Maintain a healthy body
If the expectant mother suffers from thyroid, diabetes and autoimmune diseases, it will affect the growth and development of the fetus.
It is necessary to ensure the normal functions of the body before and during pregnancy. Good physical function is the greatest protection for the baby in the belly.
4
Get rid of bad habits
Before and during pregnancy, expectant mothers should avoid exposure to alcohol, tobacco and unhealthy drugs. These situations should be paid attention to as early as possible during pregnancy.
Because many mothers-to-be do not know that they are pregnant until a few weeks after pregnancy, and these conditions may have already affected the baby!
Standards for confirming “fetal arrest” and suspected “fetal arrest”
confirming the appearance of fetal arrest:
★ CRL (top buttocks diameter) length ≥ 7 mm, no heartbeat
★ Average gestational sac diameter ≥ 25 mm, no embryo
★ Pregnancy sac without yolk sac, no heartbeat embryos
after ≥ 2 weeks of re-examination ★ Gestational sac with yolk sac, no heartbeat embryos
after ≥ 11 days reexamination Signs of suspected fetal arrest:
★ CRL( Top buttocks diameter) length <7>
★ Average gestational sac diameter is 16-24 mm, no embryo
★ There is gestational sac without yolk sac, after 7 to 13 days there is no embryo with heartbeat
★ There is gestational sac There is a yolk sac and no heartbeat embryos appear after 7-10 days
★ After menopause ≥ 6 weeks, no embryos appear
★ Empty amniotic membrane (Amniotic membrane is seen near the yolk sac, no embryos)
★ Yolk sac enlargement (> 7 mm)
★ The gestational sac is smaller than the size of the embryo (the difference between the average gestational sac diameter and the CRL is <5>
Because some women have irregular menstruation, the time of ovulation may be delayed. Therefore, when embryos are suspected of aborting, you can consider reviewing vaginal ultrasound 7 to 14 days later for confirmation.
How long can I get pregnant again after fetal stop?
According to research, after spontaneous abortion (including fetal arrest), if the mother-to-be gets pregnant again within 6 months, the probability of recurring miscarriage (including fetal arrest) and the probability of adverse pregnancy outcome is the lowest.
Although the data shows that we don’t need to wait too long to get pregnant again after fetal stop, we still need to pay attention to the following points before getting pregnant again:
01
wait for the menstruation to recover
so you at least know when you were pregnantIf you are pregnant, it is recommended to have at least 2 to 3 normal menstruation.
02
Restoring their health
Women will be confident about getting pregnant again only after they have fully recovered their health.
03
Restore mental state
In life, many women experience depression after fetal arrest. This negative emotion will not disappear easily, and sometimes lasts longer.
At this time, you need the care and support of your family, especially your husband. And when the mood is not adjusted well, it is not suitable for pregnancy again.
The last thing Buddy’s mother wants to say is that even if a fetal arrest occurs, expectant mothers should not be too anxious, because the probability of a successful pregnancy next time is still high.
References
[1]What should you do in the face of fetal arrest[J].杨丽英.Family Life Guide,2020(04):170.
[2]Precautions for fetal arrest[J].邓世平.Family Life Guide,2019(11):83.
[3]If there is fetal abortion, what should couples check?[J].Health for Everyone,2018(07):46.