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Pregnant? Considering your options?

Pregnant? Considering abortion? Considering your pregnancy options?

Need someone to talk to? We can help.

Oakland: 510-891-9998

San Francisco: 415-627-9175

Redwood City: 650-261-9115

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Pregnant? Need Options?

Pregnant? Unsure of your options? Need someone to talk to? We can help.

Oakland: 510-891-9998

San Francisco: 415-627-9175

Redwood City: 650-261-9115

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How Do I Tell My Boss I Am Pregnant?

Pregnancy can be a wonderful time of hope and excitement while awaiting your newest family member. It can also be a time of uncertainty, especially where your employment is concerned. Some employers have positive attitudes and policies regarding maternity leave and parenting, while other employers have a less than welcoming approach. The good news is that there are laws to protect pregnant women and most employers fall somewhere in the middle of the extremes.

Often, telling our boss that we are pregnant can be the biggest stress hurdle. Here are some helpful tips to help you tell your employer that you are pregnant:

1. Know your rights. Read your company’s policy on maternity leave and parental leave and familiarize yourself with the federal Family and Medical Leave Act (FMLA) and state laws regarding maternity leave. The U.S. does not have paid maternity leave laws. California is one of only four states that have paid maternity leave laws in addition to FMLA. It might tip your hand to ask HR for the company’s maternity leave policies. You should be able to access company policies in your initial employment paperwork, by requesting a copy of the employee handbook/policy manual from HR, or it may be in an employee online portal.

2. When to tell. Many women wait until they are into the second trimester (four to six months) before telling an employer of their pregnancy. Often, this is when women begin to “show” but it is also considered a “safe” time since most miscarriages occur in the first trimester (three months) of a pregnancy. Some women have such severe morning sickness that they may need to share the news with their employer early in their pregnancy as it could become a medical issue impacting their performance.

Consider timing your announcement until after an upcoming performance review, project deadline or deal. Telling your supervisor before a pending company reorganization could be mutually beneficial if you don’t plan on returning after the baby is born. It could be a good time to part ways and possibly leave with a severance package or unemployment benefits instead of just quitting after the baby is born. Conversely, if you plan to return after the baby is born, you might consider holding off on sharing your pregnancy news. Employers are not legally permitted to fire you for being pregnant but they can let you go under the guise of the reorganization.

3. Who to tell. Often, co-workers are close friends so women are most likely share their pregnancy news with them first – or with social media. However, it would be best to share your pregnancy news with your direct supervisor or human resources first. Which leads us to best practices on how to tell your employer you are pregnant.

4. How to tell. Face-to-face is the best way to tell your employer. This enables you to gauge her reaction and give you an insight into how she and/or the company may feel about pregnant employees, maternity leave, and accommodating working parents. If you are concerned about your direct supervisor’s reaction, consider sharing the news with HR first or requesting a meeting with HR, you and your supervisor.

5. What to say. The initial announcement should be brief to share that you are pregnant and the baby’s due date. Don’t overshare about the details – save those for your personal friends over lunch or dinner. You may want to assure your employer that you have given this much thought but all of the logistics (like this maternity leave plan) can be worked out in the coming months. Don’t lock yourself into any promises or commitments early on (i.e. Do not say: “I plan to work right up until my due date,” or, “I will only need six weeks off.”) because you won’t know details until you and your doctor discuss your medical needs in the coming months.

6. Email Follow Up. It’s always good to have an electronic record of the date and nature of your conversation. The face-to-face should be followed up with a simple email the same day: “Susan, Thanks for your time today so I could share my pregnancy announcement with you. The baby’s due date is… I look forward to working out the logistics for my leave in the coming months.”

With a little advance planning, telling your boss that you are pregnant can be a simple and positive experience. If you are pregnant and unsure of your pregnancy decision, the client advocates at Support Circle can listen and help you make a decision that is in line with your values. We can also help prepare for your conversation with your employer by helping you to talk it through and role play.

To schedule an appointment at one of our three Bay Area clinics, call 888-252-1822 or visit: supportcircle.org/today.

 

Helpful Links
Overcoming Anxiety

Professional Counseling

Schedule an Appointment

 

 

Reference Links
Dept. of Labor. Federal Law on Maternity Leave

California Legislature. California Law on Paid Maternity Leave 

Fairy God Boss. How to Create a Maternity Leave Plan

 

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Pregnancy and STD’s, STI’s

STIs, STDs and Pregnancy

Sexually transmitted infections (STIs) or sexually transmitted diseases (STDs) are not fun or easy to talk about. It can be embarrassing to talk about STIs or STDs, but they are more common than you might realize. And, when it comes to pregnancy and STIs and STDs, it is best to learn about how to protect yourself from and treat STIs and STDs.

Pregnancy and STIs STDsSTIs and STDs are infections that are spread by having sex with someone that has a sexually transmitted infection. This could include oral, vaginal or anal intercourse. While STIs are common among men and women who are sexually active, many people do not know they have been infected. Some women may not find out that they have an STI until their first prenatal appointment when pregnant. Prenatal STI screening is standard because it is best to find out about an STI early in your pregnancy.

How do I know if I have an STI or STD?
At the first prenatal appointment, many women are tested (screened) for STIs including: chlamydia, gonorrhea, HIV, syphilis, Hepatitis B, and Hepatitis C. Testing may be done through blood tests, vaginal swabs and urine tests. If you suspect you might have an STI/STD, you should ask for testing. Testing is routinely done on pregnant women who are less than 25 years of age as well as those women that have new or multiple sexual partners, have a sexual partner that has other partners, past or current needle drug users, not in a monogamous relationship, no or sporadic condom use, a sexual partner that has an STI, sex workers, exchanging sex for drugs or money, and/or those living in high risk areas.

What happens if I have an STI or STD?
If you test positive, you will be notified by your healthcare professional in several days or about a week. Usually, immediate treatment with antibiotics can clear up an STI. A follow-up test in the third trimester may be performed, depending on your age or risk factors. In the case of HIV, on-going treatment for you and your baby will be required. With all STIs, the sooner treatment is started, the sooner the infection can be treated and reduce the incidence of passing the STI on to your baby.

Will my pregnancy be affected?
Early testing during the first trimester and follow up testing during the third trimester, as well as treatment if an STI has been detected, will have a major impact on the chance of you and your baby being affected. In most cases, early detection and treatment will resolve any potential complications.

If untested and/or untreated, sexually transmitted infections in pregnant women could cause problems during pregnancy such as: preterm labor, premature rupture of membranes, and low birth weight. The infant could contract the STI during the pregnancy, during vaginal delivery, or after birth through breastfeeding, such in the case of HIV. Some STIs could have lifelong implications for your child. For these reasons, we strongly encourage women to have STI testing early in their pregnancy and to follow recommended treatment protocol(s).

Women who want to know more about STIs/STDs in pregnancy are welcome to talk to the team at Support Circle. Our caring staff will maintain your confidentiality while addressing your most pressing questions and can provide a list of clinics that provide STI/STD testing. We have three Bay Area clinics in San Francisco, Oakland and Redwood City for your convenience. Call or walk-in today.

Links
Am I Pregnant?
Pregnancy and HIV
Talk to a Nurse

 

References
1. https://www.cdc.gov/std/pregnancy/stdfact-pregnancy-detailed.htm
2. http://www.webmd.com/baby/pregnancy-sexually-transmitted-diseases

Image posed by model

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HIV and Pregnancy

HIV and Pregnancy

From the early days of the community learning about HIV, there have been a lot of questions and misconceptions about HIV. There have also been many advancements in the understanding of HIV and pregnancy. To understand how HIV affects pregnant women and their unborn child, it is important to understand what HIV is and how it can be contracted.

So, what is HIV? HIV stands for “Human Immunodeficiency Virus.” Human Immunodeficiency Virus (HIV) is a virus that damages the immune system over time and is the virus that causes Acquired Immune Deficiency Syndrome (AIDS). Our immune systems work on our behalf to keep us healthy and fight off infections. Many people with HIV do not know that they have HIV because they feel and appear healthy. They can infect others without even knowing it. While there is no known cure for HIV or AIDS, there are many treatments and trials that provide a better quality of life and, in some cases, extend the lives of those diagnosed with either HIV or AIDS.

Let’s talk about how you DON’T get HIV. You don’t get HIV from touching, hugging, or being around a person with HIV. You can’t get HIV from bug bites or mosquitos. You can’t get HIV from kissing unless one of you has an open sore or cut in/outside the mouth. You can’t get HIV from giving blood. HIV is not transmitted through saliva.

Now, how CAN you contract HIV? HIV is transmitted through blood and bodily fluids including semen, vaginal secretions and breast milk. Basically, there has to be a way for the HIV virus to exit the infected person and an entry for the HIV virus to enter your body. The three most common ways to contract HIV is through unprotected sexual intercourse, sharing needles, and from mother to infant.

How do I know if I have HIV? The Centers for Disease Control (CDC) recommend that women who may become pregnant, or who are pregnant, have an HIV test as soon as possible. If you are already pregnant, you may request an HIV test at any time during your pregnancy, usually at the first prenatal appointment. The earlier, the better to reduce the chance of mother to baby transmission.

If you test HIV-negative and have unprotected sex or share needles, you should be tested again during the pregnancy. You should ask to be tested again in your third trimester as sometimes it takes time for the virus to be present in blood tests. It is a good idea to be tested because you could have been exposed to HIV through unprotected sex, without knowing it and even without your partner knowing it. If you share needles, you may also be at higher risk of contracting HIV so a repeat HIV test is recommended.

Will my baby have HIV if I am HIV positive? If you discover that you are HIV positive during pregnancy, meet with your healthcare provider to discuss treatment options. You should begin treatment immediately and MUST follow your recommended treatment protocol during pregnancy, labor, delivery, and breastfeeding (and beyond) to reduce the possibility of passing HIV on to the baby. It is possible to deliver a baby that is not HIV positive. The earlier you begin antiviral treatment, the better the chances that your baby will not be HIV positive. If you test HIV positive, your newborn MUST take an antiviral treatment protocol to reduce the baby’s chances of becoming infected with HIV.

Most women that are HIV positive have their babies delivered through caesarean section (C-section). However, some women that are HIV positive can have vaginal deliveries if they have a low viral load (low level or undetectable HIV in blood).

In resource-rich countries, such as the United States, women that are HIV positive are strongly advised to use baby formula to feed their infants. Baby formula is the safest feeding method for infants born to HIV positive mothers. However, if you do not have access to baby formula, sterile bottles and clean water daily, breastfeeding may be your only option. In this case, it is even more important for you to continue to take your treatment protocol daily and for your baby to take her treatment protocol as well. Even if the mother and baby are both on antiviral medications, there is still a chance of passing HIV on to the infant through breast milk.

Thanks to research, education, and improved treatments, many people with HIV live long, healthy lives. As with most illnesses, prevention, early detection and strict adherence to treatment protocols can lead to favorable outcomes. If you think you might have been exposed to HIV or would like to learn more about HIV and pregnancy, contact one of our Bay Area pregnancy clinics. Our caring and supportive nurses and patient advocates are here to answer your questions and address your concerns.

 

Links:

Pregnancy Symptoms

 

References:

  1. http://sfaf.org/hiv-info/basics/how-is-hiv-transmitted.html?referrer=https://www.google.com/
  1. http://www.cdc.gov/hiv/group/gender/pregnantwomen/
  1. https://www.avert.org/learn-share/hiv-fact-sheets/pregnancy

Image posed by model

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How do I tell my parents I am pregnant?

How Do I Tell My Parents I am Pregnant?

Are you feeling nervous, unprepared, or afraid of telling your parents that you are pregnant? It’s easy to share news we know for sure our parents will be excited about. But other times, we are not sure how they will take what we have to share. Telling parents that you are in an unplanned pregnancy brings its own range of angst. Here are nine areas to think about when preparing to tell your parents that you are pregnant.

Get the Facts

Before you tell your parents and before you get too stressed out, confirm that you are pregnant. The nurses at Support Circle can perform a pregnancy test for you to confirm the results of a home pregnancy test that you may have purchased at a CVS pharmacy or a Walgreens pharmacy.

If it turns out that you are not pregnant, you won’t have to have this difficult conversation with your parents. If you plan to remain sexually active, selecting a reliable birth control plan can help you to avoid facing an unplanned pregnancy. If you are pregnant, a Support Circle nurse can perform a free ultrasound that will tell you how far along you are and can determine if the fetus is viable. If the fetus is not viable, it will drastically change your decision making process and what conversation, if any, you might decide to have with your parents.

Know Your Parents

Think back to how your parents react to sudden news. Are they calm and rational? Do they freak out and then calm down and think it through? How your parents react will be determined by their personalities and also by factors including these questions you should answer ahead of time: Are they aware that you are dating? Do they know you have been sexually active? How old are you? Do they perceive you to be mature for your age? Are you in school, working or both? What expectations do they have for you? What are their values regarding dating and sex? Have your parents experienced an unplanned pregnancy? Knowing what to expect from your parents can help you to prepare for their reaction. Ultimately, you will not know how your parents will react until you tell them. The next steps will help you to prepare to tell your parents you are pregnant.

Expert Support

What do you want to do about your pregnancy? In your perfect world, would you want to abort, place for adoption or parent? Regardless of your decision, you should talk to a professional pregnancy counselor because she can help you to determine your next steps. Pregnancy counselors have the knowledge of and access to community resources that you may need. They have lots of experience and can answer your questions. Caring counselors are able to give you the emotional support you need to make your best decision and throughout your pregnancy and beyond. If you decide you want to talk to your parents, a counselor can help you to role play the conversation and create a plan for how to discuss different topics with them. Many women have found this to be very helpful prior to approaching their parents.

A Support System

You will need support from those closest to you. It will help to have someone in your life that you can talk to. Someone who can help you to process your thoughts, values, emotions, and options. Often, a wise support person may be a close family friend, school counselor, favorite teacher, aunt or uncle.

Make a Plan

Having a plan for your next steps, based on your pregnancy decision, will show your parents that you have given this thought. If you are younger, it will help them to see that you have begun to take a mature approach to your pregnancy. You do not have to have every area outlined or thought out – they can help with that. A trusted advisor or pregnancy counselor can help you to lay out a plan based on your decision. It would also be a good idea to have a plan ready in case your parents request that you leave your home or emergency shelter if your home becomes a dangerous place for you.

Bring a Friend

Ideally, you and your boyfriend or girlfriend should tell your parents together. Sometimes, that is not possible. The next best option is to bring a friend. If you are concerned about your parents’ reaction or need help telling them, it might be wise to bring a friend. The person you selected as part of your support system might be a good choice. If you are concerned about your safety, having a friend present could help to diffuse the situation. Or, you could meet with your parents in a counselor’s office. A professional pregnancy counselor can address your parents’ questions and concerns as well as provide valuable resources for your family.

The Best Time

There really is no “best time” to tell your parents about your unplanned pregnancy. However, there are “better times.” Right after work, as soon as your parents walk in the door is not the best time. A better time would be after dinner or after a younger sibling has gone to bed. Consider your parents’ schedules and select a time when they will be most relaxed and receptive to a conversation.

What to Say

Your plan will help you to know what you need to share with your parents. For example, if you are younger, or still under their medical insurance, you may need their consent for medication or procedures, or help navigating medical bills. Do you need a ride to/from medical appointments or financial support? A clear and concise: “Mom, Dad, I’m pregnant,” will certainly get the conversation rolling. Chances are, your parents will do much of the talking and asking questions after an opening line like above.

Give it Time

This is life-changing news. It took you some time to come to terms with your pregnancy. Allow your parents time to process this information and come to terms with your pregnancy as well. Just as you went through a range of emotions, your parents may as well. They have to grieve the expectations and plans they had envisioned for you and accept the new reality. Be patient.

What you do with your pregnancy is your decision to make. Hopefully, your parents will support you in your decision. If not, we hope the tips shared above will help you to have a plan and support system in place.

The caring and supportive nurses and counselors at Support Circle are available to help you with pregnancy testing, counseling during your decision process and on-going counseling and support for the coming year after your decision. We have three locations in the Bay Area including Redwood City, San Francisco and Oakland that offer services free of charge. You do not have to walk through this journey alone. Connect with us today and let us help you find the information you are looking for.

 

Related Posts:

 

Pregnancy Symptoms

Pregnancy Options

Pregnancy Counseling

 

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Abortion – What if I decide to abort my pregnancy?

Abortion – What if I decide to abort my pregnancy?

What if I decide to abort my pregnancy?If you are reading this article, you may be pregnant and considering an abortion. Most women do not come to the decision to abort lightly. You may be concerned about your school or employment, housing, what your family will say, finances, etc. According to a recent Public Opinions survey, one of the biggest factors in women deciding on abortion is the relationship with the father. Women contemplating an abortion are often in most need of their friends, family, partner. Sadly, this may feel like a very lonely time for you. Whatever your reasons for considering abortion, at Support Circle, we are able to provide you with a caring, listening, non-judgmental counselor that can help you through this time and even in the months following your pregnancy decision.

Before going any further, first things first. Have you confirmed your pregnancy by visiting a medical office or clinic? Medical pregnancy tests can be more accurate than home pregnancy tests purchased at your local CVS or Walgreens pharmacy. After confirming your pregnancy, you may choose to have an ultrasound performed. Why? Ultrasounds are able to provide accurate dating of your pregnancy. This is important because your options are determined by how far along in the pregnancy you are. And, an ultrasound can go one step further to see if this is an ectopic pregnancy. Ectopic pregnancies are usually treatable with medication if discovered early but can be potentially life-threatening.

Medical Abortion

If the pregnancy is less than ten weeks from the date of your last menstrual cycle, you may be eligible for a medical abortion, also known as the Abortion Pill. Medical abortions are performed using two different drugs while under the supervision of a doctor, nurse practitioner, or midwife. The Abortion Pill is a drug called Mifepristone, Mifeprex, or RU486 and is available by prescription only. Mifepristone, when used in combination with Misoprostol, disrupts an existing pregnancy. Typically, during the initial medical visit, you will be asked to complete blood tests, an ultrasound and counseling prior to beginning the drug regimen.

The two-part drug regimen can only be obtained with a prescription. The first drug makes the uterus a difficult place for the fetus to remain implanted. The second drug helps to remove the fetus from the uterus. In technical terms, Mifepristone is an anti-progesterone that causes the lining of the uterine walls to shed and it softens and dilates (expands) the cervix, thus facilitating an abortion. Misoprostol, the second drug, is a prostaglandin that induces uterine contractions and softens and dilates the cervix. It is taken approximately 48 hours after taking Mifepristone. When these two drugs are taken in combination with each other, a medical abortion is complete approximately 97% of the time. A follow up visit 7-14 days later is very important to ensure there is no tissue left behind and that the abortion occurred successfully.

Some women experience mild cramping and/or nausea in addition to vaginal bleeding or spotting. The most common side effects of the Mifepristone and Misoprostol regimen include: pelvic cramping, vaginal bleeding, and spotting (including the expelling of tissue and blood clots) for an average of 9-16 days. It is also common to experience nausea, vomiting, dizziness, headaches, fever, chills, weakness and diarrhea. Contact your medical practitioner if you are concerned about the side affects you are experiencing.

Surgical Abortion

Depending upon how far your pregnancy has progressed, there may be two kinds of surgical abortion options available to you. Aspiration (also known as vacuum aspiration or suction curettage) can be performed up to 12-14 weeks after the start of the last menstrual cycle. It only requires one visit to a medical clinic. Typically, during that visit, you will be asked to complete blood tests, an ultrasound and counseling prior to the procedure.  A local anesthesia will be applied to the cervix to numb pain. You might feel some minor pressure but should not feel pain. The cervix is dilated (expanded) and the aspiration device empties the contents of the uterus. While the aspiration procedure only takes approximately 5-15 minutes, you will need to recover for about 30 minutes afterward.

For pregnancies from 13-24 weeks after the start of your last menstrual cycle, a Dilation and Evacuation (D&E) is the surgical abortion procedure available. A D&E is similar to the aspiration abortion. However, the cervix is dilated more and this procedure requires two or three visits. For the first appointment, blood tests, an ultrasound and counseling session are standard. Also on the first visit, either medication or fiber rods are used to begin to dilate the cervix. On the next visit, if your cervix is sufficiently dilated, the same aspiration device is used to empty the uterus. Additional instruments may be used to ensure the contents of the uterus are fully cleared. A local anesthetic to numb the pain and make you semi-conscious is often used. Sometimes, a general anesthetic may be used to put you to sleep, depending upon the medical facility. The D&E procedure is usually 10-45 minutes with at least one hour of recovery time afterwards.

Deciding to abort a pregnancy is seldom a decision made lightly. No one should pressure you into making a decision about your pregnancy. This includes the father, family, friends, counselors, etc. And sometimes, the greatest pressure comes from ourselves. If you would like to talk to someone about your decision, thoughts, emotions, or ask medical questions at any time, the caring counselors at Support Circle are available to listen and to provide non-judgmental emotional support before and after the pregnancy decision for the coming year. Our nurses can confirm your pregnancy test results, provide you with pregnancy verification and assist with dating the pregnancy during an ultrasound.

Call or visit one of our three medical clinics in San Francisco, Oakland and Redwood City. All appointments are confidential and free of charge.

Support Circle is dedicated to providing women with a safe place as they make a decision about their pregnancy and not to profit from any medical procedures resulting from that decision. For this reason, Support Circle provides information about abortion procedures to our clients, but does not perform or refer for abortion. We do not operate as an adoption agency.  We do not perform or refer for labor and delivery.

Why is my period late?

Pregnancy Symptoms

Pregnancy Options

Is the Abortion Pill and the Morning After Pill the same?

 

 

References:

  1. http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm111323.htm
  2. http://www.fda.gov/downloads/Drugs/DrugSafety/ucm088643.pdf
  3. http://www.rhtp.org/Abortion/mifepristone/default.asp
  4. http://www.medscape.com/viewarticle/429755_3

 

Image posed by model.

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She’s No Stranger

video-shesnostranger3

 

In honor of someone you know that has been touched by an unplanned pregnancy, watch this exciting new 60-second video and share it with your friends and family on social media and email.  This is the perfect way to anonymously honor her.  She’s our sister, our daughter, our friend.  She is us!

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Period Tracker Apps and Fertility Tracker Apps

Period Tracker Apps and Fertility Tracker Apps

Keeping track of your period seems simple enough. Sometimes though, keeping track of your period can be anything but simple. Smart phone and tablet apps (for iOS and Android) can make it easy for women

Period Diary Pro

Period Diary Pro

to track their period and fertility. They can help predict your cycles and monitor your mood, symptoms, weight, and temperature

Tracker apps enable women to record their periods, see their peak fertile days, track intimate moments, record PMS symptoms and record notes pertaining to their health. Some apps have period and ovulation predictors and maintain a record of dates of most recent cycles – very handy when the nurse or doctor asks when your last period began. Other apps enable women to connect with other women around the world. Period and fertility tracker apps may not be foolproof but they certainly help women to be more knowledgeable about their monthly cycles and their bodies.

Who can benefit from period/fertility tracker apps?

ALL women that experience a menstrual period. Young women new to menstruating can track their cycles and start to see trends. Women using the natural family planning method can record temperature readings and see exactly when their fertile window may begin and end. Women in peri-menopause can track their sporadic periods. Period and fertility tracker apps can help if you want to get pregnant or if you do not want to become pregnant right now. Find the app that works best for you and fits in your budget.

Period Tracker Apps

Many period tracker apps are available at no cost to the user. Versions without ads that may offer additional functionality range from $0.99 to $3.99. The most common period tracker apps include: Clue, Period Tracker, and Life – Period Tracker. Other common period tracker apps are: Cycles, Eve, Menstrual Period Tracker, Monthly Cycles, My Calendar, Period Calendar, Period Diary, Pink Pad, and more.

Fertility Tracker Apps

Apps specific to fertility tracking tend to be more expensive than period tracker apps. Some are touted as fertility monitors that have attachments and high tech readings. Fees range from $0 to $375. Some have monthly rate plans. The most common period tracker apps include: Fertility Friend, Glow, and Kindara. Other common fertility apps are: Clue, Conceivable, Daysy, Maybe Baby, Natural Cycles, OvaCue, Ovia, Period Tracker, and more.

Questions About Your Period?

Period and fertility tracker apps can be a wonderful tool to help you. If you have questions about your menstrual cycle or would like to talk one-on-one with a nurse, click here. You can also schedule an appointment at one of our medical clinics in Oakland, Redwood City or San Francisco.

 

Pregnancy Symptoms

Why is my period late?

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Miscarriage

Miscarriage

By Dr. Mary Hinckley, M.D.

 

Definition & causes of miscarriage

A miscarriage occurs whenever a pregnancy ends from natural causes before the 20th week of pregnancy. Miscarriages commonly occur in the first few days or weeks in the pregnancy, often before a woman knows she is pregnant.

There are many causes of miscarriages, the most common being a chromosomal abnormality in the fetus. This usually results from a problem with the sperm or egg preventing the fetus from developing properly. If the miscarriage occurs during the second trimester, problems with the uterus or cervix may be a significant factor. After age 40, more than one-third of pregnancies end in miscarriage.

Women suffering multiple and consecutive miscarriages are diagnosed with recurrent pregnancy loss (RPL), defined as two or more miscarriages in the first trimester or early second trimester.

Symptoms & treatments of miscarriage Miscarriage

Signs of a miscarriage can include:

  • Vaginal spotting or bleeding
  • Cramping or abdominal pain
  • Fluid or tissue passing from the vagina

Although vaginal bleeding is a common symptom when a woman has a miscarriage, many pregnant women have spotting early in their pregnancy but do not miscarry. Pregnant women who have symptoms such as bleeding should contact their health care provider immediately.

In most cases, there is nothing a woman can do to prevent a miscarriage. Women who have miscarriages can and often do conceive again and have healthy pregnancies.

Women who miscarry early in their pregnancy usually do not need any treatment. In some cases, a woman may need a procedure called a dilatation and curettage (D&C) to remove tissue remaining in the uterus. A D&C can be done in a health care provider’s office, an outpatient clinic, or a hospital.

For women suffering recurrent pregnancy loss, underlying factors may be hormonal, metabolic, or uterine related, among other factors. Treatments for recurrent pregnancy loss include aspirin, anticoagulants, hormone therapy, and surgery for uterine abnormalities.

Source: Dr. Hinckley’s Blog

Pregnancy Symptoms

Chat with a Nurse