Abortion withheld or deferred

Sometimes pregnancies do not go as expected and do not come to term because from the beginning something fails. Abortions are very frequent in first-time mothers or with pathologies and sometimes such abortions can be retained in the mother's womb.

The call miscarriage or aborted abortion occurs when the fetus inside the placenta dies and the body is not able to recognize the loss of the fetus and does not expel it.

It is normal for the woman to continue having pregnancy symptoms and the hormone gonadotropin continue to increase as if it were a normal pregnancy but the fetus really does not have life.

What is abortion withheld or deferred?

It is a type of abortion in which the fetus dies inside the mother's body, but that nevertheless does not expel it, neither the placenta nor in definite the rest of own products that have been formed and developed with the gestation. That is to say, he holds them in his body for several weeks.

This abortion can occur days or weeks after the implantation of the embryo in the uterus, but it remains for a long time inside the uterus precisely because the woman's body has not "noticed" that it no longer follows I live, so that the placenta can even continue to function.

How is it detected?

When the remains are not expelled, the woman will not notice anything, since it is very common that bleeding, which in the end in one of the most typical and characteristic symptoms of abortion, does not occur.

Therefore, it is very common for the specialist to diagnose the possible existence of an abortion during a routine check-up. In fact, when a pregnant woman suffers a withheld abortion The best way to diagnose it is thanks to the reviews and ultrasounds that the doctor will do.

During the ultrasound it is possible for the doctor to observe that there is no heartbeat or an undeveloped fetus, which will determine the possible miscarriage or silent.

Approximately 20% of pregnancies culminate in aborted or involuntary abortions and, as we have said, occurs in more cases in first-time mothers.

Causes of abortion withheld

The causes that cause a retained abortion can be chromosomal abnormalities in the fetus and that do not allow the fetus to continue developing. It can also occur as a result of infections, thrombophilias or diseases that alter the correct and proper coagulation of the blood.

As we have mentioned, women who have a retained abortion usually continue to manifest symptoms of pregnancy, nausea, vomiting, chest pain, even cramping, and in other cases these symptoms begin to disappear.

The logical thing is that the woman expels embryonic tissue at the beginning of pregnancy but at other times said tissue is inside the woman so it will be recommended a curettage to clean and remove everything that covers the pregnancy.

Symptoms of abortion withheld or deferred

Unlike miscarriages (which do produce symptoms such as heavy bleeding, pain and cramps), in the case of abortion retained almost does not tend to show any type of symptomatology.

For this reason, The only way to know if you are suffering or not from a retained abortion is to perform an ultrasound, in which no heartbeat would appear or appear.

And what happens next? How is the treatment?

As soon as the existence of a retained abortion is detected it is necessary to take useful medical measures to help expel the fetal tissue out of the woman's body. Sometimes certain drugs are prescribed that help in this sense, just as sometimes it is the body itself that expels the remains of the pregnancy by itself, partially or totally.

But when this is not possible, or does not help, it is necessary to perform a surgical procedure known as dilation and curettage, whereby the cervix is ​​dilated and the fetal tissue is scraped from the uterus.

When is it possible to try a new pregnancy again?

The advisable thing is wait at least until the first menstruation arrives, although the most advisable from a medical point of view is let go between 2 to 3 menstrual cycles.

This will help the woman's hormones regulate, and the body will be ready to handle a new pregnancy.

If you have already had an abortion you should not worry. Did you know that most women have had a pregnancy that has not come to term, and then return to conceive and have a normal pregnancy? In most cases, most of these pregnancies end even before a woman comes to know she has been pregnant.

Therefore, first of all keep calm and keep the proper precaution and care. However, in case of repeated abortions it is recommended that the medical specialists carry out the necessary studies.This article is published for informational purposes only. It can not and should not replace the consultation with a Physician. We advise you to consult your Trusted Doctor. ThemesAbortion

October 2018 ACIP Meeting - General Recommendations; Influenza; Rabies; Meningococcal; Pertussis (June 2022)