Miscarriages are a deeply emotional experience, and understanding the causes and risks can help manage concerns during pregnancy. Dr. Smily Lock, Head of Healthcare Solutions – Chronic and Long-Term Care, answers frequently asked questions about miscarriage to support and inform expectant parents. See this link for full conversations.
Q: How do I know if I’ve had a miscarriage?
Dr. Smily: Warning signs of miscarriage include bleeding and severe pelvic pain. To determine if one has a miscarriage, it is advisable to seek an early medical assessment by an obstetrician for further physical examination and investigation.
Q: Who is more likely to have a miscarriage?
Dr. Smily: About 26% of pregnancies end in miscarriage, with 80% of early pregnancy losses occurring in the first trimester. Risk factors include:
- Chromosomal abnormalities
- Congenital abnormalities
- Endocrine disorders
- Clotting disorders
- Maternal infections (e.g., Listeria monocytogenes and Toxoplasma gondii)
Q: Which foods can cause miscarriage during pregnancy?
Dr. Smily: Certain foods increase the risk of infections like listeriosis or toxoplasmosis, which can lead to miscarriage. Avoid:
- Unpasteurized milk and soft cheeses
- Refrigerated pâtés, meat spreads and smoked seafood
- Unwashed fruits and vegetables
- Raw or undercooked meat
Q: Can pregnancy stress cause a miscarriage?
Dr. Smily: While chromosomal and congenital abnormalities, endocrine issues, and clotting disorders are common causes of miscarriage, pregnancy stress is not a major factor.
Q: Is brown discharge in the second trimester a sign of miscarriage?
Dr. Smily: Any abnormal discharge during pregnancy should be assessed by an obstetrician. Seek medical consultation as early as possible.
Q: Is it possible to miscarry during the second and third trimesters? Why?
Dr. Smily: Yes, miscarriages can occur in later trimesters, though the risk decreases after the first trimester. Factors include:
- Fetal abnormalities
- Maternal infections or uncontrolled chronic illnesses
- Smoking, drug use, or trauma
Q: What are the chances of miscarriage in each trimester? Which foods can help prevent it?
Dr. Smily:
- 26% of pregnancies end in miscarriage, with 80% occurring in the first trimester.
- The risk decreases significantly after 12 weeks of gestation.
To support pregnancy health, maintain a balanced diet with proteins, carbohydrates, and fats. Folic acid (Vitamin B9) is essential for reducing neural tube defects.
Q: Why do I feel pressure and cramps after walking during pregnancy?
Dr. Smily: Pelvic discomfort during pregnancy is common. If it causes significant distress, consult your obstetrician or family doctor for further evaluation.
Q: I’m 10 weeks pregnant, and my symptoms are fading. Is this normal?
Dr. Smily: Yes, it’s normal. Nausea and vomiting typically start at around 4 weeks and subside by 12 weeks of gestation.
Q: Do pregnancy symptoms like breast soreness come and go?
Dr. Smily: Symptom fluctuations, such as reduced breast soreness, are common and not necessarily indicative of a miscarriage. If in doubt, seek medical advice.
Q: I’m 6 weeks pregnant with a threatened miscarriage. Progesterone was prescribed, but I still have bleeding with clots. Is this normal?
Dr. Smily: Progesterone helps reduce miscarriage risk but may take 2–3 days to act. If bleeding persists, consult your obstetrician promptly for further assessment.
Q: I’m 14 weeks pregnant but worry constantly after hearing about a friend’s miscarriage at 16 weeks. Should I be concerned?
Dr. Smily: While the risk of miscarriage decreases after 12 weeks of gestation, it’s natural to feel anxious. Consult your doctor if you have specific concerns to ensure peace of mind.
About Dr. Smily Lock
Dr. Smily Lock is the Head of Healthcare Solutions – Chronic and Long-Term Care. With years of experience in women’s health, Dr. Smily is committed to helping families navigate pregnancy with expert guidance and compassionate care.
Final Thoughts
While miscarriages are not always preventable, understanding the risks and maintaining a healthy lifestyle can help manage concerns. Always seek professional advice for any unusual symptoms during pregnancy.
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