About intrauterine fetal death
Practice shows that a frozen pregnancy is more typical of the first trimester of bearing a child. And a special danger is the 8 week of the term, when the risk of fetal death is greatest. In the early stages even experienced doctors find it difficult to detect a frozen pregnancy. After all, often a woman thus does not have any excreta, and she still does not feel the movements of the baby. Therefore, it is possible to diagnose pregnancy fading only with the help of ultrasound. This is how the pathology is revealed in most cases. Within 6-7 weeks, an undetected, frozen pregnancy for women is very dangerous. After all, the fruit that decomposes in the uterus cavity causes an intoxication of the female body. The consequence of untimely detection of pathology can be DVS-syndrome - a serious complication from the coagulating blood. It can even become a cause of death.
As we see, the death of the fetus is not only a severe moral test for a woman, but also a serious threat to her physical condition.
Why the histology is carried out
Each mother who fails to understand the above situation asks why such a misfortune happened to her, what are the reasons for the death of the embryo? To answer this question just helps histological research.
In practice, this procedure is performed by specialists immediately after scraping. Its essence lies in the fact that the tissues of a dead embryo are studied under a microscope. This is the main histological procedure. But in rare cases gynecologists still take for analysis a small cut of the epithelium of the uterus or the uterine tube. This is necessary to determine pathologies and infections of the pelvic organs of the patient.
So, a histological study after a stiff pregnancy is an opportunity to identify the cause of the death of the embryo and on its basis to prescribe the woman adequate treatment. Most often, such negative factors are infections that are transmitted sexually, viral diseases (rubella, hepatitis), abnormalities of the uterus, hormonal failures in the female body, chronic diseases in the future mother.
It should be noted that it is not always possible to determine the exact causes of miscarriage with the help of histological examination alone after intrauterine fetal death. More research is needed. Histology in many cases gives only a clue to understanding why the future baby died. Therefore, a woman needs to undergo other diagnostic tests, procedures that the doctor will appoint her.
According to the results of histology, patients can be assigned such examinations:
- Analysis for TORCH infection. It is very important to pass it within a few days after scraping. This is the only way to obtain accurate and objective results, to identify the causative agents of infectious diseases.
- A test that determines the level of thyroid hormones, as well as estradiol and progesterone.
- Ultrasonic examination of the pelvic organs. It must be passed twice during the menstrual cycle.
- Immunogram and other immunological examinations, which must be performed by both the woman and her partner.
After a histological examination, the doctor in each individual case can recommend a woman and other examinations. When all their results are received, the attending physician will select an individual course of treatment. Usually it lasts from three to six months. And during this period gynecologists recommend women to protect themselves. Planning a second pregnancy after the dead can be at least six months. It is worth knowing that the probability of a repeat of the pathological situation is too high. Therefore, a woman should take care, fulfill all the prescriptions and recommendations of a doctor. Only this way the chances of a successful subsequent pregnancy will increase significantly.