Repeated History On Ramadhan

Sumber: Google

I want to talk about common experience that every married person will face it, miscarrieged. Yesterday on 3rd of Ramadhan, i've received a quite bad news. My sister in law, Kak Long got miscarrieged. When i got that news, i felt sad. And i knowed the first person should be sad is Abang Long. Because if this thing not happened it will be Abang Long's no 4th baby. 
And next year i will have 11 nephew/niece. But, as a muslim we must accepted for everything that was happened. Now i'm redha, because there is hikmah beyond that. Only Allah's know what is the best for us. But it's okay because this year if Allah's will, i will have new nephew/niece from my sister, Uda. May God bless Uda. InsyaAllah. So i want to share about miscarrieged, for the good reason. Also to educate and precaution for future mom and dad.

Here what i found in Google:

Understanding miscarriage

Miscarriage is heartbreaking. It might help to understand possible causes and treatment options, as well as what to expect for the future.
Miscarriage is a relatively common experience — but that doesn't make it any easier. Ending a pregnancy without a baby to hold in your arms is heartbreaking. Take a step toward emotional healing by understanding what can cause a miscarriage, what increases the risk and what medical care might be needed.

What is a miscarriage?

Miscarriage is the loss of a pregnancy without obvious cause before the 20th week. About 15 percent of known pregnancies end in miscarriage, according to the American College of Obstetricians and Gynecologists (ACOG). But the actual number is probably much higher because many miscarriages occur so early in pregnancy that a woman doesn't even know she's pregnant.
Most miscarriages occur before the 12th week of pregnancy. Signs and symptoms include:

• Vaginal spotting or bleeding
• Pain or cramping in your abdomen or lower back
• Fluid or tissue passing from your vagina

Keep in mind that spotting or bleeding in early pregnancy is fairly common. In most cases, women who experience light bleeding in the first trimester go on to have successful pregnancies. Sometimes even heavier bleeding doesn't result in miscarriage.

What causes miscarriage?

Most miscarriages occur because the fetus isn't developing normally. Problems with the baby's genes or chromosomes are typically the result of errors that occur by chance as the embryo divides and grows — not problems inherited from the parents.

In a few cases, a mother's health condition — such as uncontrolled diabetes, thyroid disease, infections, blood-clotting problems, or problems with the uterus or cervix — may lead to miscarriage.

Routine activities — such as exercising, having sex, working or lifting heavy objects — can't provoke a miscarriage. Nausea and vomiting in early pregnancy, even if it's severe, won't cause a miscarriage. And a fall or other injury is unlikely to cause a miscarriage, unless the injury is serious enough to threaten your own life.

What increases the risk of miscarriage?

Various circumstances increase the risk of miscarriage, including:

• Age. Women older than age 35 have a higher risk of miscarriage than do younger women. Paternal age also may play a role. In a 2006 study, women whose partners were age 40 or older had a higher risk of miscarriage than did women whose partners were younger than age 25.
• Previous miscarriages. The risk of miscarriage is higher in women with a history of two or more previous miscarriages. After one miscarriage, your risk of miscarriage is the same as that of a woman who's never had a miscarriage.
• Chronic conditions. Women with certain chronic conditions, such as diabetes or thyroid disease, have a higher risk of miscarriage.
• Uterine or cervical problems. Certain uterine abnormalities or a weak or unusually short cervix may increase the risk of miscarriage.
• Smoking, alcohol and illicit drugs. Women who smoke or drink alcohol during pregnancy have a greater risk of miscarriage than do nonsmokers and women who avoid alcohol during pregnancy. Illicit drug use also increases the risk of miscarriage.
• Caffeine. The evidence linking caffeine consumption and miscarriage is inconclusive. Because of the unknowns, your doctor may recommend avoiding caffeine during the first trimester and limiting the amount of caffeine you drink to less than 300 milligrams a day during the second and third trimesters.
• Invasive prenatal tests. Some prenatal genetic tests, such as chorionic villus sampling and amniocentesis, carry a slight risk of miscarriage.

Can miscarriage be prevented?

In the vast majority of cases, there's nothing you can do to prevent a miscarriage. Simply focus on taking good care of yourself and your baby. Seek regular prenatal care, and avoid known risk factors — such as smoking and drinking alcohol. If you have a chronic condition, work with your health care team to keep it under control.

Preliminary research suggests that treatment with aspirin or another blood thinner to prevent blood clots may improve the chances of a successful pregnancy for women with unexplained recurrent miscarriages. If you've had three or more miscarriages without an identifiable cause, ask your doctor if this might be an option for you.

How is miscarriage diagnosed?

If you have signs or symptoms of miscarriage — such as vaginal bleeding or pain or cramping in your abdomen or lower back — consult your doctor promptly. He or she may do a pelvic exam to see if your cervix has begun to dilate. The doctor may use ultrasound to check for a fetal heartbeat and determine if the embryo is developing normally. You might need blood or urine tests as well.

If you're bleeding but your cervix hasn't begun to dilate, you're having a threatened miscarriage. Such pregnancies often proceed without any further problems. If you're bleeding, your uterus is contracting and your cervix is dilated, the miscarriage can't be stopped. This is known as an inevitable miscarriage.

What are the treatment options for miscarriage?

If you're having a threatened miscarriage, your doctor may recommend resting until the bleeding or pain subsides. You may be asked to avoid exercise and sex as well. It's also a good idea to avoid traveling — especially to areas where it would be difficult to receive prompt medical care.

In the case of an inevitable miscarriage — or after a miscarriage occurs — you may have various treatment options.

• Expectant management. If an ultrasound reveals a miscarriage before you have any signs or symptoms, you may choose to let the miscarriage progress naturally. Usually this happens within a few weeks of determining that the embryo has died.
• Medical treatment. If a miscarriage is inevitable and you'd prefer to speed the process, medication can cause your body to expel the pregnancy tissue and placenta. Although you can take the medication by mouth, your doctor may recommend applying the medication vaginally to increase its effectiveness and minimize side effects, such as nausea, vomiting, cramping and diarrhea. The miscarriage will likely happen at home. The specific timing may vary.
• Surgical treatment. If your cervix is dilated and you're bleeding or in pain — or you've had a miscarriage but some of the pregnancy tissue or placenta remains in your uterus — you may need a minor surgical procedure called dilation and curettage (D and C). During this procedure, the doctor dilates your cervix and gently suctions the tissue out of your uterus. Sometimes a long metal instrument with a loop on the end (curet) is used after the suction to scrape the uterine walls. Complications are rare, but may include damage to the connective tissue of your cervix or the uterine wall.

How long does it take to recover from miscarriage?

Physical recovery from miscarriage may take only a few hours, depending on how long you were pregnant. Expect your period to return within four to six weeks. In the meantime, call your doctor if you experience heavy bleeding, fever, chills or severe pain. These signs and symptoms could indicate an infection.

Emotional healing may take much longer. Miscarriage is a heart-wrenching loss. Your emotions may range from anger to despair. Give yourself as much time as you need to grieve the loss of your pregnancy. You'll never forget your baby, but in time acceptance may ease your pain.

When is it safe to try again?

It's possible to become pregnant during the menstrual cycle immediately after a miscarriage. But if you and your partner decide to attempt another pregnancy, make sure you're physically and emotionally ready. Your doctor may recommend waiting at least one menstrual cycle, if not longer.

If you experience multiple miscarriages, consider testing to identify any underlying causes — such as uterine abnormalities, immune system problems or hormone imbalances. If the cause of your miscarriages can't be identified, don't lose hope. Even without treatment, the ACOG reports that about 60 percent to 70 percent of women with repeated miscarriages go on to have successful pregnancies.

That's all,

Allahu'alam.

Adli Abdullah
4hb September 2008
http://adli-abdullah.blogspot.com