Introduction
A missed miscarriage, also known as a silent miscarriage, occurs when a fetus stops developing in the womb, but the body has not yet recognized the loss. This means the pregnancy tissues, including the fetus and placenta, remain in the uterus, and the body has not expelled them naturally. Often detected during routine ultrasounds, missed miscarriages can be particularly distressing as they may occur without obvious symptoms like bleeding or pain. Understanding the available treatment options, including medical and surgical interventions like D&C (dilation and curettage), is crucial for managing a missed miscarriage effectively and minimizing potential complications.
1.What is Miss Carriage?
Missed pregnancy occurs when the fetus stops developing but cannot be physically removed from the body. In other words, a miscarriage occurs when the baby stops developing in the womb but the body has not yet recognized the loss of the pregnancy and the pregnancy tissues (fetus and placenta) have not been expelled from the body. It happens. The placenta can continue to release hormones, so a woman can still experience pregnancy symptoms. Also called a silent missed pregnancy or miscarriage, a short miscarriage often occurs without obvious symptoms such as bleeding or pain. Because it has no symptoms. Therefore, the news of a silent miscarriage can be a complete shock for women, and is often diagnosed during a routine ultrasound scan. The treatment of missed pregnancy depends on a few factors; you should talk to the doctor about it.
2.Factors of Miss Carriage
This can be due to three factors.
- Allowing the miscarriage to occur on its own without medical intervention.
- Use of drugs to induce physical abortion.
- Performing a DNC procedure to remove the fetus.
3.Miss Carriage followed by the DNC
DNC is a surgical procedure, used to remove the remaining tissue from the uterus after a missed pregnancy. Suction may also be used to assist in this process. In some cases, a D&C is considered medically necessary. For example, if you are bleeding profusely after a miscarriage, this is also the fastest way to stop the bleeding and prevent hypovolemia and anemia. This is an incomplete abortion. After checkup only doctor can tell you better whether it is medically necessary or not. In this case, you should talk to the doctor to allow the miscarriage to proceed naturally. If you’re trying to make that decision, be sure to consider these pros and cons of having a DNC after a miscarriage.
4.Benefits of DC after Miss Carriage
As you learn about the risks and benefits of undergoing DNC, be sure to consider a doctor’s medical advice. They will help you make the best and safest decision for your health. There are many benefits of having a DNC after a miscarriage.
4.1 Reduces physical symptoms
DC is a single, surgical procedure, whereas a natural miscarriage can be removed in a matter of days or even weeks. In addition to reducing physical symptoms such as bleeding and pain, in some cases, people may choose DC because it can help them cope with the immediate emotional trauma of a missed pregnancy. Mild physical pain can be treated with anesthesia or medication, and pain medication may also be given.
4.2 Reduces some risks
There are risks associated with an incomplete abortion. For example, pregnancy remnants can lead to prolonged bleeding and infection. DNC is generally considered safe, but like any surgery, it has its own risks. Most complications of DNC are treatable. Remnants of pregnancy are not visible. Remnants of pregnancy must be seen. Remnants of the gestational sac and detectable remains of the fetus can make the miscarriage experience more painful. During DNC, you will not see the tissue that has been removed, so it is very important to clean it properly.
4.3 Reduces the likelihood of follow-up procedures
If you’re having a miscarriage and the bleeding continues, and the tissue hasn’t fully removed, or you’re getting an infection, you’ll need medical treatment to prevent complications. C takes care of medical needs in advance, and prevents other health complications.
4.4 Unlikely to affect future pregnancies
A clear link between research and an increased risk of complications in future pregnancies including preeclampsia, placental abruption, first-trimester bleeding, or missed pregnancy.
5.Risks of D&C after a Missed Carriage
As with any medical procedure, undergoing a D&C has potential risks and complications. It is a surgical medical procedure. It is used to regulate menstrual cycle problems, surgical abortion and treat infertility. Its most common complications are:
5.1 Having pain
In the lower abdomen, period-like pain may persist for a few days after the procedure. Using common pain relievers can provide relief.
5.2 Bleeding
Bleeding from the vagina. This is unusual if the amount is large or the duration is long. The doctor will need an ultrasound to diagnose and recheck.
5.3 Having an infection
Pain in the uterus and other pelvic organs may occur after DNC. Its symptoms include abdominal pain, fever, and foul-smelling discharge from the vagina. It can be treated with a course of antibiotics after consulting a doctor.
5.4 Damage to the cervix
Injury to the cervix is actually caused by penetrating the uterus during the procedure. Dilation of the cervix is achieved through the opening of the uterus. This can sometimes lead to cracking and bleeding. The doctor needs to put stitches on the cervix.
5.5 Opening the vagina with the help of an instrument
This can happen with any device inserted into the uterus. Uterus, intestines, urinary tract, blood vessels are the most injured organs. If a previous operation has been done like caesarean delivery, myomectomy (operation to remove fibroids) etc. the chances of injury are more.
5.6 A growth of scar tissue within an adherent uterus
The development of scar tissue within the adherent uterus is called Asherman’s syndrome. Repeated DNC procedures can lead to this condition. The anterior and posterior walls of the uterus adhere to each other. This will result in less or no menstruation later on. It requires treatment. Further pregnancy may be complicated by miscarriage or ectopic pregnancy etc. Consultation with a gynecologist is very important in this case. Each procedure has its own risks and complications. These complications can be reduced by modern technology such as assisted procedures, use of good antibiotics and use of new drugs for cervical dilatation.
Conclusion
Dealing with a missed miscarriage requires careful consideration of treatment options and their associated risks. D&C, a surgical procedure to remove remaining pregnancy tissue, can offer benefits such as reducing physical symptoms and preventing complications from an incomplete miscarriage. However, it also carries potential risks, including pain, bleeding, infection, and damage to the cervix. Consulting with a healthcare provider is essential to make informed decisions based on individual health needs and circumstances. By weighing the benefits and risks, women can better navigate the emotional and physical challenges of a missed miscarriage and work towards recovery and future pregnancies.