The TREATMENT
for all forms of MISCARRIAGE except threatened miscarriage,
is to remove any remaining fetal tissue that's left in the
womb. This is sometimes called informally a 'womb scrape' and
involves using an obstetrical series of instruments like spoons, inserted
through the cervix, to scrape out whatever material is left. This
is an important step because left inside, this material makes an excellent
soup for bacterial growth i.e. infection. The procedure itself
is done in about half an hour under general anesthesia.
In threatened abortions the fetus is
still inside the womb intact and can be saved. Therefore the
first step in treatment is to get an ultrasound of the womb
to see if the fetus is still alive. Bed rest and sex abstinence
are the mainstay of treatment - except in cases where previous miscarriages
are thought to be from to a cervix which does not remain closed
as long as it should and needs to be surgically tied closed until
the baby is due (cervical cerclage).
Rare cases of miscarriage because of an underlying
medical problem such as connective tissue diseases are treated as
above while paying attention to also bringing the causative disease
under control.
At the first sign of miscarriage you should
see your obstetrician for help to keep your pregnancy to term.
