Obstetricians & Gynecologists located in Winter Park, FL
Loss is never easy but you do not have to go through it alone. The team at Alliance Obstetrics & Gynecology and The Center for Pediatric & Adolescent Gynecology in Winter Park, Florida, has experience in caring for women through miscarriage, ectopic, and fetal loss. Whether you need medication or surgery to treat the loss or emotional support, we are here for you. If you've experienced a pregnancy loss and need help, schedule your consultation with us. You can book online or by phone.
Pregnancy loss refers to the loss of an unborn fetus at any time during pregnancy. Approximately 50% of all pregnancies end in a loss. The majority of losses occur in the first trimester and for many women, the loss may have happened so early that they were not even aware that they were pregnant. The incidence of pregnancy loss significantly decreases after the first trimester. Pregnancy losses typically fall into one of the following categories:
There are several different types of early pregnancy loss which occur during the first trimester. These include:
Pregnancy loss which occurs in the first trimester is most often caused by genetic abnormalities which happens when the egg and sperm met to create an embryo. When the body recognizes that the genetic makeup of the fetus is abnormal and incompatible with life, a miscarriage occurs. Pregnancy loss can also occur in the second and third trimester. Some causes of these later losses include intrauterine infection, premature opening of the cervix, uncontrolled diabetes or high blood pressure, exposure to toxic substances or chemicals, and injury/trauma to name a few.
In the first trimester, pregnancy loss can be managed expectantly, medically, or surgically. Expectant management refers to waiting for the pregnancy to pass on its own. Most pregnancies will pass on their own within 2 weeks after loss occurs. Medical management refers to the use of medications to induce uterine contractions to allow for the pregnancy to pass. Surgical management refers to a dilation & curettage (D&C) procedure where pregnancy tissue is removed from the uterus; this procedure can be performed in the office or in the operating room. When pregnancy loss occurs in the second trimester, typically a dilation and evacuation (D&E) procedure or induction of labor is recommended. In the third trimester, pregnancy loss involves admission to the hospital for an induction of labor.
While some interventions can be taken to minimize the risk of miscarriage (controlling diabetes, taking prenatal vitamins, avoiding alcohol/tobacco/drugs, limiting caffeine) most first trimester pregnancy losses are not preventable. In fact, they are a sign that your body is doing the right thing but recognizing an abnormal pregnancy and stopping it before it gets too far along. Certain losses in the second trimester, such as those related to cervical insufficiency, may be prevented with a cerclage (a stitch placed in the cervix to add strength and prevent it from opening too soon). In rare occasions (1%), recurrent pregnancy loss, defined as having 3 or more miscarriages in a row, occurs. Sometimes testing can be performed in an attempt to identify a cause of recurrent pregnancy loss and if a cause is found, there may be options to minimize this risk in the future. However, for many women, a cause for pregnancy loss is not able to be identified.
The term “rainbow baby” has become so common because pregnancy loss is so common. And the good news is while 50% of pregnancies end in loss, having a loss does not increase your risk for another. Most women go on to have successful pregnancies after an early pregnancy loss. At Alliance Obstetrics & Gynecology Group, we emphasize the importance of maintaining good health before and during pregnancy.
he loss of a baby at any time during pregnancy can be devastating. You may experience sadness, anxiety, and shock, but you do not have to go through this alone. If you are experiencing feelings of overwhelming grief, it is important to discuss this with your provider. We can assist you in finding resources and support groups that can help after pregnancy loss.
If you’re experiencing a pregnancy loss or have in the past, set up a consultation with Dr. Worley or Dr. Silva at Alliance Obstetrics & Gynecology and The Center for Pediatric & Adolescent Gynecology.