what is abortion
how to understand abortion
symptoms of abortion
causes of abortion
detection & diagnosis
what would your gynaecologist look for
what can homoeopathy do
“i am blessed with a girl child doc” said mrs. As., and continued “this is my first call after my delivery”. She was mighty relieved, happy after the delivery because she had to endure pregnancies which did not last full term and got aborted in less than three months or the first trimester. The amount of professional satisfaction derived out of the call she made is difficult to express in words and homoeopathy made this possible.
Homoeopathy has remedies which can prevent abortion in women if diagnosed early and in cases where it becomes habitual.
What is abortion?
When the term of pregnancy does not last the whole term and is interrupted before and the products of conception are expelled either due to natural or unnatural causes it is called as abortion.
We are only looking at the natural causes of abortion and that too before the 20th week of pregnancy which is called spontaneous termination of pregnancy.
How to understand abortion?
A spontaneous abortion can be divided into four stages;
vaginal bleeding during the early stages of pregnancy is called as threatened abortion. Though bleeding is common in a number of women during the first six months of pregnancy and does not always progress to abortion proper care should be taken to see that the problem progresses. In this kind the pain and the bleeding are not very intense and there is no passage of conception material.
in this kind the bleeding and pain are very intense. On examination by a gynaecologist she would see that the cervix is dilated and is difficult to control the same.
in this type the products of conception are passed and sometimes not completely. Bleeding and pain are severe. Ultrasonography reveals that the products of conception are not expelled completely.
in this type the pain and bleeding are severe and tissue is also expelled completely as seen in the ultrasonogram which reveals a vacant uterus.
o about 5-10% of cases of pregnancies tend to end in spontaneous abortions.
O increased incidence is seen in women over the age of 35 who have conceived for the first time or in women who have a history of spontaneous abortion.
Symptoms of abortion:
vaginal bleeding and pain are the most important symptoms of abortion.
bleeding may be in the form of spotting or could be life threatening in some cases.
clots in the bleeding or appearance of tissue is an important sign of progression of abortion.
lower abdominal pain or pain in the pelvic region is also very common.
pain may radiate into lower back, buttocks and genital area.
depending on the type of abortion the symptoms could vary as in case of septic abortion it would be associated with chills, fever and bodyache.
Causes of abortion:
about 80-90% of spontaneous abortion are due to embryonic abnormalities.
chromosomal abnormalities are the most common cause of spontaneous abortion.
even if there are any abnormal cell changes in the foetus nature has the exclusive capability of progressing to spontaneous abortion.
the rate of chromosomal abnormalities increases with age as the women grow older say above 35 and have pregnancy the incidence increases.
most of the abortions during the third to sixth month of pregnancy are due to maternal health factors.
They can be again divided into four types.
Chronic maternal health factors:
insulin dependent diabetes mellitus: if the glucose levels do not remain under normal levels especially during the first three months of pregnancy then spontaneous abortion could take place.
diseases of the kidney.
immune related diseases like systemic lupus erythrematosus etc.
diseases of thyroid gland either hypothyroidism or hyperthyroidism.
Acute maternal health factors:
infectious disease like measles, rubella, taxoplasmosis can cause abortions.
severe emotional shock.
Diseases and abnormalities of the reproductive system:
when the cervix is lax and incompetent.
if the placenta does not develop normally.
Detection & diagnosis:
o blood tests for levels of human chronic globulin would confirm pregnancy. If there is an onset of vaginal bleeding the same blood test is done over a period of about one to two weeks and if the level of hcg in the blood does not increase the likelihood of abortion is imminent.
O a complete blood picture is done in case of blood loss and if the patient requires any blood transfusion.
O a white blood cell count would reveal if there is any infection.
O ultrasound scan is widely used and is the imaging study of choice.
O vaginal ultrasound scan would reveal pregnancy even of 3-4 weeks of age and foetal heart beat of five weeks of age.
O a scan will help in determining location of pregnancy, size of pregnancy and absence or presence of foetal heart activity.
What would your gynaecologist look for? :
a woman’s cervix would have a bloody discharge on examination and nothing unusual.
in case of incomplete abortion the cervix would be found to be lax.
in case of inevitable abortion the bleeding would be more and tenderness at the region of cervix.
early and comprehensive prenatal care will prevent risk.
to detect and treat maternal disorders before conception occurs.
avoiding exposure to x-rays and infectious diseases will decrease the incidence of abortion.
What can homoeopathy do?
homoeopathy can be the best form of medicine in all stages of pregnancy.
in case of vaginal bleeding the first point is to assess whether the foetus is implanted in the uterus properly and whether the development is going through the blood tests and the scan. Once it is ascertained a remedy can be given to see that the pregnancy progresses properly.
in case of incomplete abortion when the products of conception are not expelled properly dilation & curettage would be done by the gynaecologist.
in case of complete abortion & inevitable abortion the causes need to be ascertained so that during the next pregnancy the same can be pre-empted by proper treatment.