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What Is A Miscarriage?

A spontaneous pregnancy loss during the first 20 weeks of pregnancy. If you are experiencing this type of loss, it is important to remember that you are not alone. It is estimated that one in four pregnancies end in miscarriage. Experiencing a miscarriage can take a profound emotional toll, and it is normal to have feelings of loss or grief. It is important to seek support during this difficult time.

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Signs Of You Are Having A Miscarriage:

• Cramping in the lower abdomen or lower back
• Pink or red vaginal spotting or bleeding
• Fluid, tissue or a recognizable embryo tissue passing from your vagina
Warning: sharp stabbing abdominal pain needs to be assessed immediately – Please call Anova or go to your nearest emergency department.

What Can Cause A Miscarriage?

Most miscarriages are due to random errors in the embryo’s chromosomes. These abnormalities typically stop embryo development, which results in a loss of the pregnancy. Often, the miscarriage does not impact your chance of having a healthy pregnancy in the future. A new technology could help determine whether the miscarriage was due to a chromosomal abnormality. A Products of Conception (POC) genetic test can help narrow down the cause of the miscarriage, this is done by collecting a sample of the tissue you have passed and sending it for testing, the results are typically available in 10 days.

Some other causes of miscarriage can include:
- Immune system responses
- Infections
- Abnormalities in the uterus, cervix, or placenta

It is normal for families to want to understand what caused their miscarriage. Unfortunately, a cause is often difficult to determine and many times, no answers are found. While this can be frustrating, it is essential to remember that most of the time, when miscarriage occurs, it could not have been prevented, and it is not your fault.

Types Of Pregnancy Loss

What Are My Next Steps?

First, you should make an appointment to visit your clinic and confirm that you are having a miscarriage. If confirmed, a series of tests will be run to ensure that all embryo tissue remains are removed from the body to prevent complications or infections.

  • A spontaneous miscarriage will be monitored through a series of bloodwork tests until your care team can no longer detect the pregnancy hormone bHCG.
  • In cases of nonviable pregnancy, you may be prescribed a medication called Misoprostol. This medication is inserted vaginally, which softens and opens the cervix to make it easier for your body to pass the products of conception.
    1. -An ultrasound will be given to ensure that no tissue from your pregnancy remains, also called retained products of conception (RPOC)
    2. - If there is evidence of RPOC, another dose may be prescribed, followed by an other ultrasound the next week
    3. - If RPOC is still noted, your doctor may order a suction dilation and curettage (D&C) procedure to remove any remaining tissue.
  • If your doctor suspects an ectopic pregnancy, you will be directed to the hospital for medication (Methotrexate) that stops the embryo from continuing to grow. After this, you will need to follow up with an ultrasound at Anova or the hospital to ensure the ectopic pregnancy is removed and you are no longer at risk. After Methotrexate, it is important to wait three months before trying to conceive again.

Grief And Loss

It is very normal to grieve not only the loss of your pregnancy but also the cherished dreams you had for your family. Working through loss or grief can look different for everyone and there is no right or wrong way to feel during this time. Sometimes these feelings can be triggered unexpectedly, such as when seeing a pregnant person, passing your due date, or at the time of your next period.

During this time, please remember to take time for yourself and surround yourself with a loving support system. For some individuals, miscarriage is a heartbreaking part of their fertility journey. At Anova, your care team is here to support you through every moment of your journey and answer any questions you may have. In the future, when you feel ready to try again, we hope that you find comfort knowing that we have a plan in place and are prepared to take the next step when you are.

Fertility Counsellors

The loss of your pregnancy at any stage can come with deep physical and emotional pain. The pain of loss can sometimes feel overwhelming and bring difficult or unexpected feelings, like profound sadness, anxiety, anger, or shock.You may find it helpful to speak one-on-one with a fertility counsellor. There are a few that we work regularly with. Our team is here to guide you through this journey and will be happy to answer any of your questions.


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