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Spontaneous Abortion
Does a natural miscarriage require a uterine cleaning (D&C)?
When a miscarriage occurs, whether a uterine cleaning is needed depends on whether there are any remnants in the uterine cavity as shown by a follow-up ultrasound examination, that is, to see if the miscarriage was complete. If the examination reveals significant remnants in the uterine cavity after the miscarriage, then a uterine cleaning treatment is required. Most women do not need a uterine cleaning after a natural miscarriage, as typically the bleeding will stop around 7-10 days post-miscarriage. Therefore, women should focus on resting, improving their nutrition, and enhancing their body's resistance to prevent any potential complications after a natural miscarriage.
How long is it normal to bleed after a natural miscarriage?
A natural miscarriage generally stops bleeding within a week; if the bleeding continues beyond a week, it is considered abnormal. This is because in most cases of natural miscarriage, the embryo and the decidua are expelled together, followed by uterine contractions, resulting in some vaginal bleeding. Normally, such bleeding should not persist beyond a week. If vaginal bleeding continues past this period, an ultrasound should be conducted to examine whether the uterine cavity is clean and free of any residual embryonic tissue. If remnants are found, it may be necessary to take some medications to promote blood circulation and remove the residual tissues.
What not to eat after a miscarriage
After a natural miscarriage, some people may become very weak. In such cases, it is important to consume mild and easily digestible foods. Foods that should be avoided are those that promote blood circulation, such as jujube. Drinking brown sugar water is advisable as it can help contract the uterus. Miscarriage can cause minor physical trauma or damage, so during this period, avoid consuming too cold or too spicy foods. Eating such foods may exacerbate abdominal pain or lead to infections.
Natural miscarriage impact on the body
If a woman experiences a natural miscarriage, it can have adverse effects on her body. If attention is not paid to local cleanliness and hygiene during uterine bleeding, and the body's resistance is lowered, it can easily lead to some gynecological infections. If the inflammation is not treated in time, it can affect future normal pregnancies. Furthermore, if care is not enhanced after surgery, and rest is not adequately observed, it will impact the uterus's normal contraction and recovery, leading to continuous vaginal bleeding, which can also affect future pregnancies. Additionally, it can also have some adverse psychological effects on the pregnant woman.
How long to rest after a natural miscarriage?
Women will experience both physical and psychological impacts after a miscarriage, and the body needs time to recover. Therefore, it is best to rest for at least two weeks before going back to work after a miscarriage. It is crucial to rest, avoid fatigue, and refrain from vigorous exercise. Consuming foods rich in proteins and vitamins, such as eggs, lean meats, milk, fresh vegetables, and fruits, can help enhance resistance and promote healing post-miscarriage.
How long does it take for the lochia to clear after a natural miscarriage?
Generally, lochia can be cleared within a week after a natural miscarriage occurs. The duration of lochia discharge during a natural miscarriage is also related to the length of pregnancy. If the miscarriage occurs during a later stage of pregnancy, there may be a longer period of vaginal bleeding because the endometrium is thicker, potentially requiring about ten days. Typically, it will clear within a week, and it should not last more than ten days at most. It is advised for women to undergo a medical examination at a hospital two weeks after a natural miscarriage, at which time the recovery of the uterus and any remaining tissues can be assessed. After such a miscarriage, it is important to rest, enhance nutrition, and abstain from intercourse for a month.
Does a natural miscarriage require a uterine curettage?
A natural miscarriage refers to the spontaneous expulsion of the gestational sac from within the uterine cavity, in contrast to a miscarriage induced through medical intervention. A natural miscarriage is not the same as a complete miscarriage, which occurs when the gestational sac is completely expelled from the uterus without any remnants. Whether a natural miscarriage is complete is typically determined about a week after the event by a follow-up ultrasound. If the uterine cavity has no remnants or only minimal fluid accumulation, the miscarriage is considered complete, and usually, no surgical cleaning of the uterus is required. However, if the ultrasound after a natural miscarriage reveals substantial remnants within the uterine cavity, this indicates an incomplete miscarriage, and surgical cleaning of the uterus is generally necessary.
What are the symptoms of a natural miscarriage?
During a natural miscarriage, the most typical clinical symptoms include abdominal pain and vaginal bleeding. Based on the different symptoms of a natural miscarriage, women should undergo differential diagnosis. When a woman experiences abdominal pain and vaginal bleeding, it may initially suggest a threatened miscarriage. If the abdominal pain worsens and vaginal bleeding increases, it could progress to an inevitable miscarriage. An inevitable miscarriage can further be classified into complete or incomplete miscarriage. In the case of a complete miscarriage, the abdominal pain generally subsides gradually, and the vaginal bleeding eventually stops. In contrast, during an incomplete miscarriage, the vaginal bleeding lasts longer, and the abdominal pain is prolonged. At this point, it is necessary to visit a hospital for an examination to check if there are any remnants in the uterine cavity and to receive further treatment.