If you've had a miscarriage, you are not alone, over half of all pregnancies end in a miscarriage. And most miscarriages happen within the first three months of pregnancy.

Some signs of a miscarriage

• Heavy bleeding

• Cramps

• Cramping in your stomach

• Vomiting

• Chills

It is really not know what causes a miscarriage, but most are related to chromosomal abnormalities. Some other reasons are infection, hormonal problems, lupus, problems with the cervix, drugs or alcohol abuse, diabetes, exposure to radiation or toxic agents, malnutrition and certain medications to name a few.

You should call your doctor if you think that you've had a miscarriage. You need to have a pelvic exam and/or an ultrasound to verify the miscarriage. If the uterus doesn't empty, you will need what is called a D & C (dilation and curettage). This is done by dilating the cervix and any fetal or placental tissue that is still there will be removed.

If you aren't sure that you've experienced a miscarriage, but you have symptoms, bed rest is often recommended. You should seek medical attention; you will need a blood test called a Beta HcG to determine the amount of pregnancy hormone and to monitor the health of your baby. If you are miscarrying, once the bleeding stops you will be able to resume all of your normal activities.

Two or more miscarriages

If you've experienced two or more miscarriages you may want to have some blood tests as well as some genetic testing done. You may also want to consider an endometrial biopsy, a hysterosalpingogram, hysteroscopy or a laparoscopy to determine why you can't carry a baby to term.

Even though you've had a miscarriage, you can still get pregnant again. You should talk to your doctor to find out how long you should wait before you try again. Most doctors will recommend that you wait between 1 to 3 months. Your obstetrician may also recommend that a hormone called progesterone be implanted in your uterus to help prevent another miscarriage. The most important thing that you should do after a miscarriage is to take the time to heal and if you are having a difficult time seek counseling, the miscarriage wasn't your fault, and in the majority of cases it can be prevented.

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