Understand the risk of miscarriage and how to prevent it
Miscarriage is not an easy thing to do with a mother, regardless of the gestational age at the time it occurs. Miscarriage is not unusual during pregnancy. One study shows that at least 10 to 25% of clinically detected pregnancies end in miscarriage. This figure does not include pregnancies that are not detected.
Miscarriage is defined as the termination of pregnancy alone in the first 20 weeks. Miscarriages are most often caused by events outside the control of the mother. One of them is due to chromosomal abnormalities in the fetus that does not allow the fetus to grow and develop.
From the combination of eggs and spermatozoon, embryos are formed. The embryo must then divide from one cell into millions of cells. Abnormalities are very likely to occur at every stage of embryonic development, which often does not allow the embryo to survive.
These factors increase the risk of miscarriage in mothers
In addition to factors related to infants, several maternal factors are associated with an increased risk of miscarriage, such as:
- Pregnant women aged 35 years and over have a 20% risk of miscarriage. The risk of miscarriage continues to increase up to 80% if the pregnancy occurs at the age of 45 years.
- Miscarriage History Mothers who experience two miscarriages in a row are at higher risk of miscarriage.
- The state of maternal health. Mothers with diabetes or uncontrolled hypertension have a higher risk of miscarriage.
- Uterine or cervical abnormalities. Abnormalities of the stomach or weak cervical tissue can increase the risk of miscarriage because of the structure that prevents the development of the baby.
- Smoking, alcohol and drugs. Smoking, both active and passive, can increase the risk of miscarriage. Same with alcohol consumption and drugs.
- Weight Loss Underweight and overweight also increase the risk of miscarriage.
Miscarriage in twin pregnancy
The risk factors for miscarriage in twin and single pregnancies are in fact the same. However, the risk of miscarriage in twin pregnancies is higher than single pregnancies because the number of developing fetuses is higher. Many miscarriages occur only during twin pregnancies, including:
1. Twin-to-twin transfusion syndrome
In twin pregnancies, twin-to-twin transfusion syndrome (TTTS) can occur, a condition in which the baby gives blood to its twin siblings. This condition only occurs in identical twins with one placenta. TTTS can endanger the lives of both babies and increase the risk of miscarriage.
2. Disappearance syndrome
In the first trimester of twin pregnancies, when one fetus miscarries while a twin does not. On closer inspection, there were no signs of a dead fetus, because it had been absorbed, so everything went as if one of the fetuses was "missing".
Tips for maintaining pregnancy
Preventing miscarriage is not a sure thing, but you can always try to optimize the situation so that the pregnancy becomes healthy and smooth. Here are some tips for maintaining your pregnancy:
- Take 400 mg of folic acid every day, starting 1-2 months before pregnancy
- Eat balanced
- Exercise regularly
- Learn to control stress
- Check your pregnancy regularly
- Avoid cigarettes, alcohol, and drugs
- Take a multivitamin to meet the needs of micronutrients
- Avoid excessive caffeine consumption
- Maintain blood glucose and blood pressure
- Consumption of nutritious foods
Means to maintain pregnancy will be better if you use it since the preparation period of pregnancy so that your body is in optimal condition during pregnancy.
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