Inevitable Miscarriage

Definition - What does Inevitable Miscarriage mean?

An inevitable miscarriage occurs when the symptoms of pregnancy loss, including bleeding, cervical dilation, cramping, and abdominal pain are present, but fetal matter and tissues are still intact in the uterus. While the pregnancy has ended, the fetal mater has yet to vacate the uterine cavity. Miscarriage refers to the natural death of fetus that occurs prior to 20 weeks gestation.

Inevitable miscarriage may be a progression from a threatened miscarriage, when signs of loss are just beginning. Once tissue begins to expel, it is termed an incomplete miscarriage, and eventually a complete miscarriage.

An inevitable abortion is more commonly referred to as inevitable abortion.

FertilitySmarts explains Inevitable Miscarriage

Up to a quarter of all pregnancies end in miscarriage, the majority in the first 8 weeks of pregnancy. There are a variety of causes for why miscarriages occur. These may include:

  • Embryonic abnormalities
    • Genetic conditions
    • Chromosomal abnormalities
  • Accident or trauma
  • Maternal medical or health conditions
    • Diabetes
    • Lupus
    • Thyroid conditions
    • Preeclampsia
    • Infection
  • Maternal physical/anatomic problems
    • Incompetent cervix
    • Uterine disorders
    • Other reproductive system abnormalities

In order to diagnose a miscarriage, an ultrasound and blood tests are completed. In the case of an inevitable miscarriage, the signs of pregnancy loss are occurring, but the uterus still contains the contents of the fetal matter. Depending on the stage in pregnancy, the fetal matter may naturally be expelled through the vagina, similar to a period, removed during a dilation and curettage (D&C), or labored and delivered.

Recovery from a miscarriage will vary based on each woman’s individual experience. Additionally, the emotional loss of a miscarriage may be challenging. However, 85% of all women who suffer a pregnancy loss are able to become pregnancy again and carry a successful pregnancy full term. However, a doctor should consult on when it is appropriate to begin trying, based on the body’s healing and other health measures.
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