According to medical statistics, approximately 16% of all pregnant women hear the diagnosis - anembryonia or frozen pregnancy. Today we will find out what it is, and also tell you about the symptoms, causes, signs, diagnosis and treatment of this pathological abnormality. And most importantly, we will talk about how to avoid such a phenomenon as frozen pregnancy.

General concept of frozen pregnancy

Frozen pregnancy- This is a pathology during which a complete cessation of fetal life occurs. In other words, the fetus freezes. This is especially audible in the later stages of pregnancy, then the woman stops hearing not only the heartbeat of her baby, but also his movements. It is believed that women aged 40 years or more fall into the risk category. At the age of 20 to 35 years, cases of pathology such as frozen pregnancy occur less frequently.

This anomaly can be very dangerous for the woman in labor. This is due to the fact that the process of such pregnancy itself is hidden and only a specialist can diagnose its beginning or completion. After the woman’s body freezes, the level of placental hormones drops and after 14 days (“+” “-” 2-3 days) spontaneous miscarriage dead fetus. If this does not happen, then the woman will need medical care, because there will be a possibility of infection female body. In this case, doctors perform an artificial abortion or eliminate it with medication (if the pregnancy is 8 weeks old).

How to determine a frozen pregnancy in a woman in labor

A frozen pregnancy can be determined by the following signs:

1. General weakness occurs throughout the body;
2. Aching, pulling (sometimes cramping) pain appears in the lower abdomen;
3. Chills appear and body temperature rises sharply;
4. Suddenly bleeding begins;
5. On later pregnancy the fetus stops moving.

How long does it take for pathology to appear and the reasons for its occurrence?

Frozen pregnancy can occur in the earlier stages of pregnancy (up to 13 weeks) and in the later stages (at 28 weeks). The reasons for such a deviation can be completely different and doctors cannot always determine it correctly. However, several main reasons have been scientifically established that can lead to the development of frozen pregnancy. They are divided into two categories:

• Reasons for the development of pathology in the early stages of pregnancy;
• Reasons for the development of pathology in the later stages of pregnancy.

• The presence of an abnormality in the fetal chromosomes (occurs in 70% of possible cases);
• The presence of different Rh factors in the fetus and its mother;
• The presence of acute viral and chronic infections (TORCH, cytomegalovirus, ureaplasmosis, chlamydia, mycoplasmosis, toxoplasmosis, etc.);
• The presence of antiphospholipid syndrome or APS (impaired blood circulation in blood vessels, blood clots);
• Use of induced abortion;
• The presence of stressful situations (climate change, air temperature changes, prolonged exposure to ultraviolet radiation);
• Abuse of alcohol, tobacco and drugs;
• Use of medications;
• Hereditary diseases and marriage between relatives;
• The presence of diseases such as rubella (in 40% of cases the embryo dies, the threat decreases at the 16th week of pregnancy);
• Abuse of sleeping pills and antidepressants.

• The presence of genetic abnormalities of the fetus that are incompatible with its life;
• Presence of endocrine diseases (for example, uncompensated diabetes);
• Presence of diseases of the cardiovascular system (congenital heart disease);
• Presence of kidney disease (acute renal failure).

Symptoms of frozen pregnancy

Sometimes this pathology is completely asymptomatic. It is especially problematic to determine the presence of a frozen pregnancy in the early stages. One of the symptoms in the first trimester may be a sharp cessation of such a common phenomenon as toxicosis (provided that it occurred). Both in the early and late stages of pregnancy may appear spotting from the perineal area, this is due to the fact that the fertilized egg detaches and the body begins to reject dead cells, that is, it leads to a miscarriage.

Diagnostic and treatment methods

A gynecologist can detect a frozen pregnancy during a routine examination of a woman in labor. He can determine this anomaly by the absence of the baby’s heartbeat, as well as by the size of the pregnant woman’s uterus (the size will not correspond to the period at which the woman is in labor). The doctor can obtain more accurate data from an ultrasound image, which he will refer the pregnant woman to. Information about the presence of pathology can also be obtained from an hCG analysis. Diagnosis will be difficult only if there is multiple pregnancy women in labor. After a woman has been diagnosed with a frozen pregnancy, undergone a medical termination, or the fetus has come out on its own, she then needs to undergo a course of treatment. Usually, before prescribing treatment, the doctor tries to find out the cause of the anomaly. To do this, he either conducts a series of tests himself, or sends the patient to special private laboratories. Moreover, not only the woman in labor, but also her husband needs to undergo tests. Both parents will be checked for viral infections, hormonal and chromosomal disorders, etc. in their bodies. In addition to these tests, doctors analyze the dead fetus (its membranes), examine the placenta, PCR analysis (detect hereditary diseases) and TORCH analysis.

Based on the test results, the doctor will prescribe treatment. For example, he may prescribe a number of immunostimulating drugs and immunotherapy, or a course of antibiotics and vitamin preparations. In any case, during the treatment period the patient should take contraceptives approved by doctors or use other safe methods. sexual relations. The recovery process for a woman in labor can last from 2 to 6 months.

How to avoid another frozen pregnancy in the future

The most important prevention of frozen pregnancy is the absence of stressful situations, the maintenance of a healthy lifestyle by both parents and regular examinations by a gynecologist (who can also periodically refer for repeated tests if the cause of the anomaly was a viral infection).

After a woman has been diagnosed with a frozen pregnancy, there is a possibility that she will be able to become pregnant again, but now carry a child. This percentage especially increases if both spouses are healthy. A frozen pregnancy is a great psychological test for parents, so they should be patient and hope only for the best outcome of events. Who knows, maybe soon they will finally be able to hear a child's cry.

Frozen pregnancy - termination fetal development and its death (up to 28 weeks, more often up to 13 weeks of pregnancy). Every fourth or fifth pregnancy ends this way, but statistics are little consolation for women who lose a long-awaited pregnancy. Having experienced two frozen pregnancies, architect Oksana Ivashchenko was faced with the fact that it is not customary to discuss the situation of a frozen pregnancy even with loved ones - and translated and adapted to our realities an English brochure, which was published to help families faced with pregnancy loss.

Why does pregnancy freeze

The reasons for missed abortion are still unknown. On early stages As a rule, this occurs due to serious genetic disorders in the embryo - in 70% of cases. It can also be triggered by infectious diseases, trauma, etc.

Let us list the known causes of frozen pregnancy.

Genetic: the fetus does not develop normally and cannot survive.

Hormonal: Women with irregular menstrual cycles may have difficulty conceiving and are more likely to have a miscarriage.

Immunological: problems with blood vessels can lead to miscarriage, especially if the blood has increased clotting; some systemic and chronic diseases, in particular those causing bleeding disorders.

Infections: mild infections (for example, ARVI) do not affect pregnancy, but a strong increase in body temperature and some types of infections (for example,) can lead to miscarriage.

Surgical: previous pelvic surgery increases the risk.

Anatomical: Late miscarriages can be caused by a weak cervix. Miscarriages occur if the uterus is of irregular shape or has formed in it.

Why didn’t I feel any symptoms of a frozen pregnancy?

There are no clear signs of a frozen pregnancy. Sudden changes in well-being, such as the sudden disappearance of toxicosis (nausea, vomiting), a decrease in hypersensitivity in the mammary glands, a decrease (below 37 degrees) or spotting, may be a reason to consult a doctor. But it is possible to establish a frozen pregnancy only with the help blood test for hCG(human chorionic gonadotropin, during a frozen pregnancy, hCG will not grow or will not correspond to the gestational age) and Ultrasound(determined by the absence of a fetal heartbeat or anembryony - an empty fertilized egg).

Could I have prevented a frozen pregnancy?

No. It is very important to understand: the chances that your actions led to the pregnancy fading are negligible. Doctors cannot always name the exact cause of a missed pregnancy, and this uncertainty is sometimes difficult to come to terms with, but they can rely on statistics: even if you have experienced several missed pregnancies in a row, you have every chance that the next pregnancy will result in a healthy baby.

When can you plan your next pregnancy after a missed abortion?

The best time to plan your next pregnancy is when you and your partner are ready—physically and emotionally. Recovery takes time; any loss is important to accept and survive. It is important to allow yourself to grieve, so that one day, when the worries subside, you wake up with the thought: “Yes, I’m ready to try again. I believe that everything will work out, even if it didn’t work out before, even if I have to make more than one attempt, the time will come, and I will I'll meet my child."

You may want to get pregnant as soon as possible, or the very thought of another pregnancy may cause fear - any reaction is natural and there is no “norm” here. Women and their partners often have mixed feelings about their next pregnancy: hope mixed with fear, excitement mixed with anxiety.

If you or your partner are experiencing significant fear and anxiety about your next pregnancy, please see a neonatal psychologist who can help you manage these feelings and prepare.

What are the chances that a missed pregnancy will happen again?

If this is the first and only case, then your chances of repeating a frozen pregnancy are the same as those of those women to whom this has never happened. If the frozen pregnancy recurs, then there is a possibility that there may be reasons for this other than genetic ones, and you will be prescribed additional examination.

What is my partner experiencing?

Your partner is also grieving and is worried about you. You can help each other and end up becoming even closer. But sometimes an experience can shake even the strongest relationships. Your partner may not know how to react, may not understand how best to support and comfort you, he may experience his own feelings, which are not always similar to yours.

When people need each other most, they may say or do hurtful things because of their own grief or confusion. A man sometimes tries very hard to “control himself” in a given situation, but this can be read by you as indifference and a desire to “get back to normal life” as quickly as possible. This is wrong. People don't always understand how to properly support each other, especially in difficult times. If you can, please share your feelings openly with your man. If you know what you need, tell him so gently but directly. And don’t forget that your man, no matter how strong he is, also needs your support these days.

How can I tell my loved ones and others about my frozen pregnancy?

Discussing a missed pregnancy with your parents and friends can be difficult. Your loved ones may sincerely worry about you and still not find the right words. They may indeed not know how best to support you, but this certainly does not mean that they love you little or are indifferent to your loss. The first reaction is most often followed by a second, calm, honest and very warm.

IN modern world There are many ways to help a woman get pregnant, carry and give birth. healthy child. Children come to us in different ways and in different times. All we can do is want to meet our child and do everything that depends on us for this. For some it only takes a step, for others it takes long way, but those who want to become parents will definitely have a child.

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The phenomenon of frozen pregnancy can occur in women of any age. The emergence of this pathology is facilitated by a combination of many factors and circumstances. To prevent fetal freezing, you must strictly follow the recommendations and advice of the gynecologist who is observing you, and also carefully take care of your own health even at the stage of planning the birth of a child.

Fortunately, this pathology is quite rare in women: out of 176 normally developing pregnancies, one is a frozen pregnancy. A frozen pregnancy is understood as a pathology of pregnancy development, in which the development and growth of the fetus ceases, as a result of which it dies. This phenomenon occurs at all stages of pregnancy, but most often in the first three months of pregnancy (up to 13 weeks). A frozen pregnancy can trigger the occurrence of inflammatory processes in the female body, as well as lead to other undesirable consequences. In particular, it poses some threat to future offspring. Symptoms of frozen pregnancy can be observed in the early and late stages of gestation, while the symptoms in the second trimester will differ from those in the early stages.

How to detect a frozen pregnancy in time?
As a rule, the symptoms of fetal freezing are very accurate, and medical diagnosis is not difficult at all. The most important sign of the cessation of growth and development of the embryo is the disappearance of signs developing pregnancy. When the first suspicions arise, you should consult a doctor, who, based on the results of an ultrasound examination, will identify the presence or absence of symptoms of a frozen embryo.

To date, doctors have calculated the periods of fetal development at which the risk of fetal death is very high: the first 3-4 weeks, from 8 to 11 weeks and from 16 to 18 weeks of pregnancy. The likelihood of developing a frozen pregnancy is especially high in the eighth week, when changes are observed in the mother’s body and the formation of the most important organs of the unborn child occurs.

Causes of frozen pregnancy.
This phenomenon can be provoked by anything, from a hormonal imbalance in the mother and genetic disorders in the fetus, to acute infectious diseases and bad habits. The most common causes of missed abortion are the woman's consumption of alcohol. large quantities, drugs and cigarettes, as well as diseases such as herpes, chlamydia, toxoplasmosis, etc. Of course, if a woman really wants to have a healthy baby, then she should eliminate all these dangerous factors in the early stages of pregnancy.

Genetic abnormalities of embryonic development are the most common factor causing fetal death (70% of cases) for up to eight weeks. In this case, nature itself does not give life to the initially “sick” fetus. In the future, if both parents are absolutely healthy, there is a very high probability that this situation will not happen again. If the second, third and subsequent pregnancies in a row end in the death of the embryo, this indicates the fault of genetic factors.

Hormonal imbalances in a woman’s body also often provoke the development of frozen pregnancy. This is mainly due to a lack of progesterone or pregnancy hormone in the female body, without which successful attachment of the embryo to the uterus cannot occur.

Hyperandrogenism is also one of the causes of fetal death. In approximately twenty percent of women, while carrying a child, the level of male sex hormones (androgens) increases, as a result of which the woman begins to develop masculine characteristics (excessive hair, changes in the properties of the skin, voice, physique, etc.). Therefore, if you have previously had a frozen pregnancy, miscarriage, frequent delays in menstruation and male-type hair growth, it is important before planning a pregnancy to take tests to determine your hormonal status and, if necessary, undergo a course of treatment, thereby you will prevent or significantly reduce the likelihood of fetal fading in the future .

Various infections can cause fetal death not only in the early, but also in later stages of gestation (about 30% of cases). While carrying a child, a woman’s immunity is completely suppressed, because then the body would simply begin to fight the foreign body that appears, which is the embryo. As a result, the mother's body becomes very vulnerable to various infections. In pregnant women, everything begins to worsen infectious diseases. Non-hazardous flora begins to multiply rapidly, the vaginal microflora is activated, creating a threat of intrauterine infection of the fetus. But infection poses a particular danger expectant mother specifically during pregnancy, and not an exacerbation of existing infectious diseases. In particular, infection with chickenpox or rubella, in addition to frozen pregnancy, can cause an abnormality in the development of the fetus. In this situation, the question of artificial termination of pregnancy already arises. Irreversible changes can result from infection with cytomegalovirus (CMV), which causes multiple malformations of the embryo.

A serious danger to the fetus is the common flu, which a pregnant woman can “catch.” Due to weakened immunity, even ordinary ARVI is very difficult to tolerate. It is worth noting that the danger is not the virus itself, but rather its manifestations: intoxication, fever, which, in turn, disrupts the blood flow from mother to fetus. As a result of lack of oxygen and essential nutrients, the fetus may die.

Poor lifestyle, including unbalanced diet and bad habits, frequent stress and overexertion can also provoke fetal freezing. In addition, insufficient walks in the fresh air, drinking coffee and other harmful drinks can cause complications in the form of early placental abruption and increased uterine tone. All this leads to disruption of blood flow, as a result of which the fetus does not receive oxygen and necessary substances.

It should be noted that very often pregnancy as a result of in vitro fertilization ends in embryonic death or spontaneous miscarriage.

The cause of a frozen pregnancy can also be the use of medications by a woman (who is not aware of her pregnancy), the use of which is contraindicated during pregnancy. You should know that several months before a planned pregnancy, as well as during it, it is not recommended to use any medicines without a doctor's prescription. However, taking medications in the early stages (7-10 days) cannot cause a frozen pregnancy, since at this time there is no close connection between the embryo and its mother. After 8-10 weeks of pregnancy, the placenta protects from the effects of drugs, so the likelihood of frozen pregnancies at later stages is slightly reduced. If the expectant mother works in hazardous work, then the risk of developing a frozen pregnancy is very high.

After fetal death, the body needs six months to restore the endometrium and hormonal status to prepare for the next pregnancy. During this period, you can carry out all the necessary medical procedures that will allow you to conceive and normally carry a full-fledged and healthy baby.

Symptoms of frozen pregnancy and its diagnosis.
Unfortunately, in the early stages, a frozen pregnancy may not manifest itself in any way. The first signal indicating the presence of a problem is the sudden cessation of attacks of toxicosis, if any existed previously. At the same time, other obvious symptoms indicating the presence of pregnancy disappear: decreased basal temperature, pain in the mammary glands. In the early stages, a woman may not pay attention to such signs. At a later stage of gestation, a frozen pregnancy may manifest itself in the form of pain in the lower abdomen or bloody discharge from the vagina. These symptoms may indicate detachment of the fertilized egg during an incipient miscarriage. Another main symptom in the later stages is the cessation of fetal movement. Unfortunately, it is very difficult to determine a frozen pregnancy at home. The belly may still be growing and blood tests may indicate pregnancy. However, in this case, it is not the fetus that may develop, but the empty membrane inside.

A frozen pregnancy is diagnosed by a gynecological examination, an ultrasound examination of the pelvis and a blood test for hCG. When examined by a gynecologist, pathology is determined by the size of the uterus, which should correspond to the norm for the current stage of pregnancy. An ultrasound shows the absence of a fetal heartbeat, as well as anembryony (a disorder in which the fertilized egg is completely empty). On a hormonal blood test (hCG), a similar problem is characterized by a deviation in the level of the pregnancy hormone from the indicators characteristic of a normal pregnancy.

As a rule, a frozen pregnancy ends with curettage (cleaning) of the uterine cavity in a hospital setting using vacuum aspiration (in the early stages) or under the supervision of a doctor, a miscarriage is induced using special medications. Sometimes it happens that a woman’s frozen pregnancy without medical intervention ends in spontaneous miscarriage. If this does not happen within a certain time, and according to ultrasound, there are remains of the fertilized egg in the uterus, then they resort to the measures described above, after which antibacterial therapy. Two weeks later, an ultrasound is performed to assess the recovery of the body.

Consequences of a frozen pregnancy.
If there was a frozen pregnancy, this does not mean that the woman will not be able to have children in the future. Very often, doctors cannot fully identify the cause of this phenomenon, but in the vast majority of cases, women become pregnant and carry the child normally. If cases of frozen pregnancy occur repeatedly, it is necessary to undergo a full medical examination of both partners, since repeated cases may indicate the woman’s inability to bear a child.

The fact that a frozen pregnancy has a serious impact on physical health women are a fact. But the psychological problems associated with it are more serious. A woman experiences fear in planning her next pregnancy due to unsuccessful past experiences. Over time, all fears go away, especially if a woman hears the stories of women who have been in the same situation, who then conceived, carried and gave birth to a baby normally.

Recovery and treatment after a frozen pregnancy.
Before prescribing treatment, both partners undergo a full course of examination: tests for sex hormones and thyroid hormones, smears for various sexually transmitted infections using the PCR method (to identify hidden sexually transmitted infections), undergo an ultrasound examination, determine group compatibility and etc., which will make it possible to identify and eliminate the causes that caused the development of pathology.

After doctors have identified the causes of a missed pregnancy and carried out appropriate treatment, if necessary, the woman must regain her strength before planning her next pregnancy. This will take her about six months. During this period, it is important to take all possible preventive measures to prevent the situation from reoccurring (lead a healthy lifestyle, take vitamins, use contraception). The woman herself needs to see a psychologist who will help overcome her fears and worries about planning her next pregnancy.

A woman who has experienced a similar situation, with normal tests, may not require treatment, because, as I have already said, most often a frozen pregnancy develops due to a genetic malfunction, the repetition of which is unlikely to be observed in the future. However, in case of repeated cases of fetal freezing, treatment is mandatory.

Prevention of frozen pregnancy.
To prevent a recurrence of such a situation, it is necessary to follow preventive measures even before planning a pregnancy. Prevention will help reduce the risk of a recurrence of the tragedy.

So, if you have sexually transmitted infections, you need to get rid of them at least three months before the planned conception. If you did not have diseases such as rubella or chickenpox as a child, you should get vaccinated, especially if you have frequent contact with children (for example, you work in a kindergarten).

To prevent frozen pregnancy and other complications, all women need to eat a rational and balanced diet, including more fresh vegetables and fruits in their diet. In addition, it is necessary to give up all bad habits, as they sharply increase the risk of frozen pregnancy. Spend more time outdoors.

Who is at risk for a repeat pregnancy that does not develop?

• Women who have had abortions, and the more abortions, the higher the likelihood of encountering such a complication.
• Women who have had ectopic pregnancy, as well as those whose fetal heart stopped beating in the last weeks of pregnancy.
• Women with infectious and viral diseases of the genital organs.
• Women over thirty years of age. It is desirable for every woman to give birth to her first child before the age of thirty.
• Women with certain anatomical features reproductive system(bicornuate and saddle uterus).
• Women with uterine fibroids. It leads to deformation of the uterine cavity and prevents the fertilized egg from attaching.
• Suffering from endocrine disorders ( diabetes mellitus, decreased thyroid function, cycle disorders, impaired progesterone production).

In conclusion, I would like to note that the best prevention of any pregnancy complications is to maintain a healthy lifestyle, regularly visit the gynecologist and strictly follow his instructions.

Frozen pregnancy is the cessation of fetal development and its death for up to 28 weeks. The reasons for this unpleasant and sometimes even dangerous phenomenon can be very different - a frozen pregnancy can be a consequence of genetic disorders in the embryo (or fetus), caused by an exacerbation of infectious diseases or even bad habits. Frozen pregnancy is most often diagnosed in the first trimester of pregnancy (up to 13 weeks). The causes of frozen pregnancy in the early stages are different from those in the later stages. Let's take a closer look at the phenomenon of frozen pregnancy, its causes and preventive measures.

So, even during the period of pregnancy planning, it is necessary to stop drinking alcoholic beverages (especially in large quantities) and smoking. Alcohol and smoking do not always lead to frozen pregnancy, but the risk of its occurrence in such women increases.

Absolutely during the period of planning and pregnancy itself (to avoid miscarriage and death), you should not use medications without a doctor’s prescription. And before you start taking them, you should carefully read the instructions for the drug; perhaps pregnancy is a contraindication. In addition, many drugs have the property of being eliminated from the body for a long time. The expectant mother may not even know that pregnancy has occurred and may take any medication and, as a result, become frozen. The embryo is very susceptible to teratogenic effects. But, meanwhile, a frozen pregnancy is unlikely to be caused by taking medications in the very early stages - 7-10 days from the day of fertilization of the egg, since during this period there is no close connection between the unborn child and his mother. And after 8-10 weeks, the child is partially protected from teratogenic effects by the placenta and, accordingly, the number of missed pregnancies at longer periods is somewhat reduced. If you work in a hazardous workplace, then you also have an increased risk of frozen pregnancy.

The reason for a missed abortion may lie in the woman’s hormonal imbalances; most often, it is a lack of progesterone, the pregnancy hormone. If you have already had a history of a frozen pregnancy, a miscarriage, frequent delays in menstruation and male pattern hair growth, then before planning a pregnancy, you need to take hormone tests and, if necessary, undergo treatment, this way you will reduce the likelihood of a frozen pregnancy in the future.

The next cause of frozen pregnancy, not only in the early stages, but also in the later stages, is all kinds of infections. What is especially dangerous is not the exacerbation of existing infectious diseases, but infection with them during pregnancy. Infection with some of them (for example, chickenpox and rubella) can lead not only to missed abortion, but also, worst of all, to developmental abnormalities in the fetus. And then the issue of termination of pregnancy will have to be decided... It is infections that can cause such a condition as frozen pregnancy in the later stages.

How to avoid frozen pregnancy due to exacerbation or infection with an infectious disease? First, you should look at your children's medical record or ask your parents (if you don't remember) whether you had diseases such as rubella and chickenpox in childhood. If not, and besides, you are in a risk group (you work with children), then in order to avoid infection with them and as a result of a frozen pregnancy or miscarriage, it is better to get vaccinated against them 3 months before planning a pregnancy. If you have STIs (sexually transmitted infections), then you should first of all get rid of them and only then plan a pregnancy.

But if pregnancy occurs unexpectedly, then in order to avoid pregnancy or miscarriage, the doctor may prescribe you an antiviral course.

To prevent miscarriage and other troubles, all women, without exception, need to strengthen their immunity during the period of happy anticipation of the baby. There are a lot of ways, you don’t have to take dietary supplements and vitamins. Proper, nutritious nutrition will be enough. During pregnancy, immunity always decreases, this is due to the production of a special hormone - human chorionic gonadotropin, one of the functions of which is to protect the unborn child from the immune system of its mother. Without this, the mother’s body perceives the fetus as a “foreign” object that needs to be gotten rid of, so here’s another possible reason frozen pregnancy.

But, nevertheless, the most common cause of missed pregnancy is genetic abnormalities in the fetus. Nature itself does not allow the “sick” embryo to develop and a frozen pregnancy occurs. As a rule, if this is the reason for a woman’s missed abortion, then there is a high probability that it will not happen again if the parents themselves are healthy.

Symptoms of frozen pregnancy and its diagnosis

Unfortunately, a frozen pregnancy in the early stages may not make itself felt. Later, symptoms of a frozen pregnancy in a woman may include cramping pain and spotting. This usually occurs when the ovum begins to detach, that is, a miscarriage begins.

The subjective symptoms of a frozen pregnancy in the early stages can also include an abrupt cessation of toxicosis (if there was any). The soreness of the mammary glands may also go away and the basal temperature may decrease. Usually these symptoms of a frozen pregnancy do not go unnoticed by women. A frozen pregnancy in the later stages is characterized by the absence of the baby's movements.

There are three ways to diagnose a frozen pregnancy: take a blood test for hCG, go for an examination with a gynecologist, or do an ultrasound.

During a frozen pregnancy hCG level lower than it should be at this stage of pregnancy. Ultrasound shows no fetal heartbeat. And during a gynecological examination, the doctor determines the discrepancy between the size of the uterus and the gestational age.

So, if you suspect that you have a frozen pregnancy, know that symptoms are a secondary sign. The main thing is medical evidence, so to speak... With such a phenomenon as a frozen pregnancy, the symptoms of different women may vary or even be absent altogether.

Typically, a frozen pregnancy ends with “cleaning” of the uterine cavity in a hospital setting. But in the early stages, it is possible to perform vacuum aspiration or induce a miscarriage with the help of certain medications (under the supervision of a doctor). Sometimes, with a frozen pregnancy in the early stages, doctors take a wait-and-see approach, that is, they wait for the woman to spontaneously have a miscarriage. And if this does not happen within the time specified by the doctor, or ultrasound reveals the remains of the fertilized egg in the uterus, then curettage (curettage) of the uterine cavity is performed.

Pregnancy after a frozen pregnancy

Doctors recommend planning a pregnancy after a missed abortion at least six months later. During this time, treatment is carried out to prevent future cases of frozen pregnancy. There is no standard for treatment; it all depends on the cause that caused the missed abortion. But it is advisable for absolutely everyone to take some tests and undergo examinations.

First of all, it is worth taking a smear for all kinds of sexually transmitted infections using the PCR method, taking a blood test to determine the level of hormones in the blood, and undergoing an ultrasound examination. If necessary, determine the karyotype (your own and your partner’s), group compatibility and other tests and examinations, as well as undergo treatment recommended by the doctor based on the results of all examinations as a preventive measure in the future for frozen pregnancy.

A woman who has experienced a condition such as a frozen pregnancy may not require treatment at all if all test results are normal. As we wrote earlier, a frozen pregnancy most often happens due to a genetic error, which is unlikely to happen again... But if a frozen pregnancy has not happened for the first time, then treatment is most likely possible in any case will be needed.

The best prevention is a healthy lifestyle and regular visits to the gynecologist, and then you are unlikely to be at risk of a frozen pregnancy.

Can a frozen pregnancy become normal?

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