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Miscarriage

Abortus spontaneus · Potrat (samovolný)

female only

What it is

One pregnancy in five ends before 20 weeks, most often from chromosomal chance.

Symptoms & signs

  • Bleeding and cramping in early pregnancy
  • loss of pregnancy symptoms
  • sometimes no symptoms until a scan

🚩 Get help if…

  • call 112 / 911 now Heavy bleeding soaking a pad an hour, or fainting
  • call 112 / 911 now Severe pain on one side or shoulder-tip pain
  • see a doctor soon Fever, smelly discharge or worse pain after a miscarriage
  • see a doctor soon Any bleeding or cramping in pregnancy

Where it strikes

Medical treatment

  • Expectant, medical (mifepristone + misoprostol) or surgical management
  • anti-D if rhesus negative
  • investigate after three losses
  • emotional support

Natural & lifestyle

  • Folic acid before conception
  • stop smoking and alcohol
  • treat thyroid disease
  • nothing a woman did caused it

Emerging & experimental

  • Progesterone in early pregnancy bleeding (PRISM)
  • preimplantation testing in recurrent loss

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Bed rest — trials found it does not prevent miscarriage not confirmed in trials
  • Low-dose aspirin in unexplained recurrent loss — trials found no benefit (antiphospholipid syndrome is different) not confirmed in trials

ICD codes