Miscarriage is a nightmare for pregnant women. Miscarriage is the loss of the baby (fetus) before the 20 weeks of pregnancy, which generally happens during the first trimester or in the first three months of pregnancy. While miscarriage is a painful event, it is not certain the end of the world.
Women can conceive after a miscarriage. Some women dread another pregnancy after a miscarriage as they fear such an event happening again, and due to this fear, they sometimes even give up. Miscarriage happens due to several reasons, some of which are out of our power to control.
A miscarriage may or may not occur again. Studies have proven that women who experience miscarriage can have a healthy pregnancy. While fear, anxiety, emotional stress are common on such events, it is important not to give up.
Research about the risks, signs, causes, and warnings and try when you and your body are ready. Knowing the topic will not enable you to make decisions and but also help you avoid the causes. You can understand the event and get support and required treatment from your health provider. Knowledge of the topic will also boost your confidence.
Are you ready to try again for pregnancy?
If you have had a miscarriage, these questions might have popped up on your mind; when can I try again? Am I ready physically fit to have another pregnancy? Is my body ready for it? It depends on your situation.
Everyone woman is unique, so their requirements are also unique. Therefore the answer to the question of when you will be ready will also vary. It is always best to consult a healthcare specialist who will study your situation and help you determine the right time to try again medically.
Emotionally, it is always your decision, as you need to be both physically and mentally fit to bear a child. Both the partners should be equally ready to get pregnant again.
While studies show that one can conceive immediately after a miscarriage as it lowers chances of other miscarriage, doctors suggest at least a three-month gap after a miscarriage. It gives time for the uterus to heal and hormones to return to their original levels.
World health organizations (WHO) recommends a waiting period of six months. The gap may even be extended to 15 to 18 months. No matter how much gap you plan to take, your body and mind need to be ready for conceiving, so it is advised to recover from trauma and get healthy before you plan to try.
Periods usually return within 4 to 6 weeks after a miscarriage. You may find yourself expecting again even within the first menstrual cycle after the loss, or it may take upto several cycles to get pregnant again.
As older women are at higher risk of miscarriage, age is an important factor that needs to be considered when deciding how long to wait before a pregnancy. The ability to conceive falls to 25% after your 30s and decreases with an increase in age, so it may take longer to get pregnant.
Tips to get healthy pregnant after a miscarriage:
1. Maintain a healthy weight – Being under or overweight increases the chances of having a miscarriage.
2. Manage stress- High stress levels make it harder for women to get pregnant. Meditate, exercise, yoga, pilates, acupuncture, etc., help you relax and be stress-free. If you face trouble, consult a professional.
3. Eat and drink good- Eat nutrient-rich foods to repair your body from inside and refrain from eating junk foods. Control the intake of caffeine and alcohol. Ensure your drink 12 ounces or a lesser amount of coffee as high caffeine in coffee may increase the risk of miscarriage. Alcohol negatively affects your fertility and reduces the chances of conceiving.
4. Address any underlying health issues – Get a Preconception checkup. If you have health issues like diabetes, high blood pressure, thyroid problems, and STDs, it can make it harder to get pregnant and increase chances of miscarriage.
5. Quit smoking and drugs – If you are looking for a reason to quit, this is it. Not only you but your partner also must steer clear from drugs and smoking as it negatively affects fertility and has devastating effects on overall health.
Medical reasons to take care of before trying to get pregnant.
Medical issues which cause a delay in a healthy pregnancy.
1. Molar Pregnancy:
An embryo can cause a noncancerous tumor to grow around it instead of the placenta due to some issues during fertilization. As this growth would not provide a safe environment for the baby, this event results in miscarriage. Such cases are rare and account for less than 1% of all births.
In such cases, the doctor advises taking a break of at least a year before getting pregnant again. Around this period, levels of human growth hormone (hCG) will be monitored monthly to make sure that the issue has subsided and you are ready to conceive again.
2. D&C Complications
You may be asked to undergo a dilation and curettage procedure (D&C) after miscarriage. While most women recover within a few days of the procedure, possible complications include the risk of infection during intercourse, so your doctor may ask you to take time off from fornication.
3. Other reasons
Based on the circumstances of your miscarriage, your healthcare specialist may advise you to give it some time before trying again. Miscarriage sometimes leads to significant blood loss, so it may be best to give your body time to heal and build back up your iron stores. Apart from that, hCG levels remain high after a miscarriage, so if you take a pregnancy test shortly after miscarrying, elevated levels of hormones from previous pregnancy can trigger a positive test.
4. Ectopic pregnancy
A fertilized egg travels to the uterus to attach itself, but in an ectopic pregnancy, the fertilized egg doesn’t attach to the uterus; it attaches to the fallopian tube, abdominal cavity, or cervix. An untreated ectopic pregnancy can be a medical emergency, and prompt treatment reduces the risk of complications.
If you’ve had an ectopic pregnancy, you may be advised to wait until you’ve had at least two periods after treatment before trying to conceive. If you got treated with methotrexate, it’s usually advised to wait at least three months, as the medicine could harm your baby if you become pregnant during this time.
Every woman and her situation is unique, so it is imperative to consult your plans with your doctor so that he/she can determine the best time for you to get pregnant again and cross the 40 weeks mark successfully.
So, always listen to your doctor, stay healthy and wait for the appropriate period as it will be worth the wait. Be happy both physically and mentally and try again when it’s best. Your wait and effort will bring wonders.