How to determine a frozen pregnancy. Intrauterine development of the fetus by week How to understand that the embryo is developing normally

Most first-time mothers are naturally concerned about how the pregnancy is going, whether it is proceeding well, without complications, especially in the early stages. Currently, obstetricians and gynecologists are involved in pregnancy management.

In order to optimally monitor the condition of the expectant mother and fetus, doctors recommend regularly visiting an antenatal clinic.

Registration of a pregnant woman at a dispensary

How can a woman understand that pregnancy is going well in the early stages? It is quite difficult to independently determine the nature of the course of pregnancy in the first trimester. Only qualified specialists can answer this question after conducting an appropriate examination. Therefore, it is very important that a pregnant woman attends an antenatal clinic as early as possible, preferably before the 12th week.

If contraindications for continuing pregnancy are identified, then in the first trimester you can still use gentle methods to terminate it. Timely registration at the dispensary and further regular visits to the obstetrician-gynecologist, according to the established schedule, largely determine the normal course of pregnancy.

The schedule of visits to the antenatal clinic, scheduled by the supervising doctor, must be followed unquestioningly.

Physiological changes in the body of a pregnant woman

How can you understand that pregnancy is developing normally without taking into account the opinion of doctors? To do this, you need to focus on your general condition and feelings. Carrying a child will certainly lead to physiological changes in the pregnant woman’s body. What changes in her body can a woman notice that will indicate a normal course of pregnancy:

Appearance.
Performance of the cardiovascular and respiratory systems.
Functionality of the kidneys, liver and gastrointestinal tract (GIT).

Appearance

It will be quite natural for a pregnant woman to acquire a characteristic appearance that was unusual for her before conceiving a child:

In addition to the appearance of a tummy, there is a slight increase in the size of the limbs, a decrease in the range of movements in the hip joints, and a change in facial features. Due to the shift in the center of gravity, a woman’s gait and posture changes.

There is darkening of the skin (pigmentation) in the face, abdomen and nipple area.
The veins on the lower extremities become more visible. Varicose veins may even appear, which were not typical before conception.
Due to the enlargement of the abdomen, so-called striae (stripes, stretch marks on the skin) often form on its surface.
During the period of bearing a child, in some cases a moderate increase in body temperature (low-grade fever) is recorded. As a rule, this is observed up to 4 months and is associated with normal hormonal changes in the body of a pregnant woman. By the way, an increase in rectal temperature is considered to be one of the early signs of pregnancy.
The mammary glands undergo significant changes, the swelling and increase in volume of which is simply impossible not to notice. The size of the nipples also increases. In addition, due to pigmentation, the nipples and area around the nipple become dark brown.

Cardiovascular and respiratory systems

As a rule, the first trimester is characterized by low blood pressure, but starting from approximately the 29th week, there is a tendency to increase, which sometimes makes it difficult to diagnose true hypertension. With the growth of the fetus and the enlargement of the uterus, the heart rate also increases slightly (within 84–90 beats per minute).

Fluctuations in blood pressure and hormonal changes in the female body often lead to disruption of the heart, which can manifest itself as arrhythmias and extrasystoles.

The additional load on the lungs, associated with the fact that you have to provide oxygen not only to yourself, but also to the fetus, leads to the development of shortness of breath. Pregnant women, especially in later stages, experience certain difficulties in performing normal physical activity. An attack of shortness of breath and rapid fatigue can be observed even when climbing stairs just a few floors.

Nevertheless, all this is considered within normal limits, unless, of course, the pregnant woman suffers from some pathology of the cardiovascular and/or respiratory systems.

Digestive and urinary systems

Quite often, pregnant women's taste preferences change dramatically. Some pregnant women develop a sharp aversion to certain types of foods (for example, meat, cheese, sausages, butter), while others may generally be drawn to inedible things (clay, chalk).

In some cases, there is an increase in appetite, in others, on the contrary, a significant decrease. Also, due to decreased intestinal tone, pregnant women are more prone to constipation. This is normal and does not require correction with medications, except by changing your diet.

Increased stress on the kidneys often leads to frequent urination. In the absence of other symptoms, frequent urination should be attributed to natural physiological changes in the body of a pregnant woman, and not to the clinical manifestation of any disease.

No one is saying that you have to endure any discomfort or, even worse, pain. Any changes in your health should be reported to your doctor. And he will decide how serious this is.

Signs of a normal pregnancy

What you should pay attention to first of all in order to find out that pregnancy, both in the early and late stages, is proceeding normally:

Weight gain.
Abdominal enlargement.
Fetal movement.
Fetal heartbeat.
Pain.
Vaginal discharge.
The appearance of colostrum.

Weight gain

Fetal development, uterine enlargement, fluid retention, restructuring of metabolic processes - all this naturally causes the progressive weight gain of a pregnant woman. On average, the body weight of the expectant mother during the entire period of bearing a child increases by 10–12 kg, of which:

About 6 kg are the fetus, placenta and amniotic fluid.
1–2 kg is due to the growth of the uterus and mammary glands.
3–4 kg is an immediate weight gain.

In the early stages of pregnancy, a woman’s body weight remains virtually unchanged. By the end of the 12th week there is some increase, which can be up to 2 kg. In the second trimester, a woman usually gains 300 grams per week. In the third trimester, the increase is already up to 400 grams per week.

A few days before giving birth, regular changes in metabolic processes lead to the fact that a pregnant woman’s body weight can decrease by 1–2 kg.

It should be remembered that these are average data, which may vary in each specific case. In addition, weight gain, among other things, can be influenced by factors such as individual and constitutional characteristics of the body, as well as heredity.

Fetal movement

The baby makes its first movements at 8 weeks, but they are not yet noticeable to the woman. It is generally accepted that fetal movement begins to be felt at 16–20 weeks. Multiparous mothers are familiar with this feeling firsthand, so they record the motor activity of the unborn child earlier than first-time mothers. It is also worth noting that due to the lack of fat deposits on the front wall of the abdomen, slimmer girls perceive the baby’s movements more quickly than plump ones.

Make a note of the date you feel your first fetal movement as this will help your healthcare provider determine your expected due date. As a rule, for a primiparous woman it is necessary to add 20 weeks, for a multiparous woman - 22 weeks. The intensity of movements will help you assess the baby's health. Excessive activity is just as bad as a significant reduction or complete cessation of movement.

To monitor the child’s activity, a specially developed test is used, which can be used at home starting from the 28th week. From 9 am to 9 pm it is necessary to count the number of movements and record every 10. Normally, the tenth movement is usually observed before 5 pm. If over the course of 12 hours you notice that the child has moved less than 10 times, then you should inform the doctor about this. If not a single movement is noted for the whole day, then you should immediately go to the hospital.

By the movement of the fetus, a woman herself can understand how her pregnancy is progressing, whether everything is developing normally, or whether she needs to immediately seek help.

Fetal heartbeat

One of the most important signs of a normal pregnancy is the fetal heartbeat. The first signs of the heart of the unborn baby can be determined using a special vaginal ultrasound sensor already in the early stages of pregnancy (3–4 weeks). Features of changes in fetal heart rate:

At weeks 4–6, your heart rate will be 80–85 beats per minute.
At 6–8 weeks, the heart rate will increase to 110–130 beats per minute.
At 8–10 weeks, the heart rate can reach 190 beats per minute.
From the 11th week until delivery, your heart rate will be between 140 and 160 bpm.

Heart rate can be used to assess the general condition of the fetus. The child’s heart instantly reacts to any changes that occur to a pregnant woman (stress, various diseases, physical activity). For example, a heart rate that is too fast may indicate long-term problems with the blood supply to the fetus, which leads to insufficient oxygen and nutrients.

A slowdown in the rhythm will indicate a sharp deterioration in the condition of the fetus, requiring emergency measures up to and including surgical delivery.

Pain

During pregnancy, painful sensations of varying nature, intensity and localization often occur. Most of them are considered a natural physiological process in response to changes that occur in the body of a pregnant woman:

Due to the enlargement of the uterus, its own ligaments, which are attached to the iliac bones, are stretched, and pain occurs in the area of the inguinal folds and above the pubis. This could be due to sudden turns, fast movements, or even just coughing. Such pain does not pose a danger to a woman or child.
Due to a tendency to constipation, pregnant women often experience nagging pain in the lower abdomen (usually on the left side). To prevent constipation, pay attention to your diet. Your diet should include enough dairy products and foods containing more fiber. In addition, regular physical activity of moderate intensity has a positive effect on intestinal motility.
Due to some divergence of the symphysis pubis under the influence of the hormone relaxin produced by the ovaries and placenta, pain in the pubic area may be observed. Such changes in the location of the pelvic bones are necessary to facilitate the passage of the baby through the birth canal.

If sufficiently intense and severe pain occurs, you should seek help from a qualified specialist. It is not recommended to take any medications or perform any manipulations to relieve pain without informing your supervising physician.

Vaginal discharge

During the entire period of pregnancy, vaginal discharge is observed. And this is a completely normal phenomenon if their character meets a number of parameters. What vaginal discharge is considered normal?

Abundant, transparent, white, without an unpleasant odor and not accompanied by itching or burning in the genital area. At the same time, the following discharges are considered pathological, requiring identification of the cause and special treatment:

Yellow. It is necessary to undergo appropriate tests to exclude sexually transmitted diseases (for example, gonorrhea).
Abundant white color, accompanied by itching and burning . Moreover, it has a cheesy consistency. The most common cause of such discharge is vaginal candidiasis or thrush.
Green. The reasons can be very diverse, but most often associated with infectious and inflammatory diseases of the genitourinary system.
Brown. Under no circumstances should you delay visiting an obstetrician-gynecologist. This kind of discharge could be caused by ectopic pregnancy, placental abruption, cervical injury, etc.
Bloody . They are considered the most dangerous of all possible pathological discharges, and if detected, you must urgently see your supervising doctor.

Most often, spotting indicates an ectopic pregnancy, the development of a miscarriage, premature placental abruption, damage to the vagina and/or cervix.

Colostrum

For some pregnant women, any changes in the body that they were not warned about cause serious concern. For example, the appearance of colostrum before birth can even cause them to have a panic attack. We hasten to assure you that there is no reason to worry. It is normal to leak colostrum while pregnant. No pathology can be traced here.

In addition, the absence of colostrum secretion before birth is also not considered a deviation from the norm.

If you cannot accurately understand whether the pregnancy is progressing well and normally, you should visit an obstetrician-gynecologist as soon as possible, which will dispel all your doubts or take appropriate measures in a timely manner.

Women can experience frozen pregnancy at different stages, but this often happens before the beginning of the twelfth week. Not in every case, doctors are able to determine the causes of this phenomenon. But it is known for sure that due to poor nutrition, bad habits, lack of sleep and various stressful situations, fetal death occurs much more often.

A frozen (non-developing) pregnancy is a condition when the fetus stops growing and developing and dies in the womb. Many pregnant women simply have no idea that this phenomenon often occurs. The baby can die in the later stages of pregnancy, but this happens infrequently.

One of the reasons may be chromosomal and genetic disorder. Significant genetic failures lead to the fact that the fetus begins to form incorrectly, after which it dies.
Also, this situation is repeated due to various infectious diseases (toxoplasmosis, herpes, influenza, rubella, chlamydia, chickenpox, cytomegalovirus infection and other diseases). Doctors say that the greatest danger is caused by those diseases that appear in a woman during pregnancy, while such problems usually do not arise with chronic ones. The presence of pathologies in a child caused by the diseases described above is also a common occurrence.
With bad habits ( smoking, drinking alcohol, using drugs), lack of sleep, poor nutrition, and frequent stressful situations must be combated.
Hormonal disorder, which manifests itself as an imbalance of progesterone and estrogen in pregnant women. If this problem is detected in time, the child can be saved with the help of the appropriate medication.
Late pregnancy, when a woman is over forty years old, and in vitro fertilization can negatively affect the development of the fetus.
There are problems like autoimmune disorders. Often women experience antiphospholipid syndrome, which leads to the destruction of phospholipids in the cells of the embryo. This in turn leads to destruction of the placenta and fetal death.

The constant presence of hazardous industries on the territory, unfavorable environmental conditions and the use of teratogenic drugs are all factors that lead to the arrest of fetal development.

When a woman is pregnant and in the early stages, she may not feel any special symptoms of fetal failure. When toxicosis with nausea and vomiting passes, real relief is felt. Sometimes the body temperature rises. There is nothing “supernatural” with the other signs. And only the doctor, during the next examination, is able to discover that the child’s heartbeat is absent.

At a later stage, women may already feel a frozen pregnancy, which is accompanied by a dull pain in the lumbar region or lower abdomen, and bloody discharge from the genitals. It is also felt that the child has stopped moving.

At the slightest disturbance in their health, women should consult a doctor as soon as possible. When the embryo’s heartbeat cannot be heard, the doctor immediately prescribes an additional examination. There are cases when good doctors can make an erroneous diagnosis.

Listening exclusively to the subjective symptoms of fetal freezing, it is impossible to diagnose this particular problem. It happens that a pregnant woman’s belly continues to increase, and the blood test is typical for a pregnant woman.

However, this phenomenon should not be associated with the fetus. The reason for this is the empty intrafetal membrane. That's what it is anembryony(not to be confused with embryo freezing, since in this case the embryo is not in the uterus from the very beginning).

When the results of additional clinical examinations indicate that the child is not alive, they are carried out again within a few days. Only repeated confirmation becomes the final diagnosis, after which the pregnancy is terminated.

After the final diagnosis has been established, the dead fetus is removed from the uterus as soon as possible to prevent it from decomposing and poisoning the mother’s body. Blood clotting may be impaired and severe bleeding may occur.

Spontaneous miscarriages often occur. But when this does not happen, the dead embryo is removed as soon as possible, because it is extremely unsafe for a woman to remain in such a state. When a dead fetus remains in the uterus for 4-5 weeks, blood poisoning develops, the uterus and its appendages become inflamed. And here we will talk about a woman’s infertility and her inability to become a mother in the future.

Vacuum extraction in a hospital or inducing a miscarriage using specific medications is done when the fetus fails in the early stages of pregnancy. At a later stage, it is impossible to do without curettage of the uterus, during which the woman is given general anesthesia.

If a spontaneous miscarriage occurs, then curettage is also used to prevent further problems with the woman’s health, since sometimes some parts of the dead fetus remain in the uterus.

Histological studies of an embryo that has died are carried out to find out the reason why the death occurred. A man and a woman are forced to face a cytogenetic examination. Tests will show whether there were chromosomal abnormalities, infectious pathologies or other factors. When an infection is detected, both partners are treated.

Timely removal of a dead fetus does not have a negative effect on the health of the mother. Often, after a missed pregnancy, a woman gives birth to a healthy, normal child, and not even just one.

You cannot plan your next pregnancy immediately after the frozen embryo has been removed. The body will be rehabilitated for some time (six months to a year) so that there are no problems with physical and psychological health.

During this period, it is important for a woman to establish good nutrition, forget about bad habits, use hormonal contraceptives and take multivitamins.

It wouldn't hurt to undergo psychological rehabilitation. After it, you can plan the next conception.

In cases of repeated embryo freezing, it can be assumed that the cause is some kind of genetic pathology. And here it is necessary to conduct genetic examinations of two partners.

It is impossible to be sure of this without seeing the baby in the belly. But, fortunately, there are ways in which a doctor can monitor the development of the child, or you can monitor the pregnancy yourself at home.

Belly measurement

One of the signs of normal fetal development is the constant growth of the abdomen. According to experts, a doctor can estimate a child's growth by measuring the abdomen from the uterus to the pubic bone. Typically, the size in centimeters corresponds to the week of pregnancy. Doctors begin such measurements in the second trimester.

Weight gain

The baby's growth can also be assessed by monitoring changes in the pregnant woman's body weight. If the mother does not gain the appropriate weight, then the child does not develop normally. Whatever one may say, the growth and development of the fetus depends on the increase in the mother’s body weight. It's natural to gain between 11 and 16 kg during pregnancy. According to experts, less than 1 kg is gained in the first trimester, and then from 1 to 2 kg per month until childbirth.

Fetal heartbeat

Experts say that around the end of the first trimester, you should hear the fetal heartbeat when the doctor uses a Doppler machine that reflects sound waves from the fetal heart. According to the American Congress of Obstetricians and Gynecologists, a normal fetal heart rate is between 110 and 160 beats per minute, and this is one of the best indicators of healthy fetal development. To monitor the fetal heartbeat at home or on the road, you can purchase a special device.

Fetal movements

Around week 20, you should start to feel fluttering sounds in your belly, which are the baby's movements and kicks. The movement of the embryo demonstrates its health. According to experts, the fetus makes an average of 4 to 6 movements per hour. Many children become more active in the evening and after the mother eats.

Ultrasound

An ultrasound is more than just the first photo of your baby. It helps the doctor monitor the growth and development of the fetus. Many doctors perform an ultrasound at the first visit to measure the size of the fetus. Around week 20, women need to undergo a detailed ultrasound to measure bone size, check the condition of internal organs and, if desired, determine gender.

Fetal development calendar

In addition to the above, it is advisable for every expectant mother to know other features of fetal development in a given period of time, and for this it is necessary to have a special calendar on hand, which contains all the basic information about fetal development by month. This calendar will tell you at what stage of development a child is in the womb and how it changes over time.

How to determine a frozen pregnancy

Unfortunately, today there are sad statistics associated with cases of miscarriage. Studies show that the risk of developing this pathology after 45 years of age increases to 18%, while at older ages this figure is only 10%. However, the risk still exists, but, as they say, being informed is forearmed.

How to determine a frozen pregnancy?

The ability to determine fetal freezing independently depends on the period at which it occurs. In the early stages, it is very difficult to understand that the pregnancy has stopped, since the fetus is still small and the mother does not feel its movement. But, if you listen carefully to your body every day, you can immediately recognize this unpleasant fact.

The first thing that should alert you is bloody discharge from the vagina, the appearance of cramping pain in the lower abdomen and lower back, and a sharp increase in temperature. If you had early toxicosis, but suddenly stopped abruptly (before 12 weeks), this may also indicate that the pregnancy is fading.

If you planned your pregnancy correctly, you noticed the change in basal temperature before and after conception. Normally, the temperature in the first trimester should be elevated (37.3-37.1).

By the end of the first month of pregnancy, it begins to gradually decrease. But, if you noticed this decrease earlier and by 1 degree immediately, then this is a clear sign of a frozen pregnancy. A decrease in temperature is associated with a decrease in progesterone levels in the blood. This hormone becomes unnecessary if the fetus does not develop, since progesterone is responsible for maintaining pregnancy.

Fading of pregnancy in later stages is primarily determined by the absence of fetal movements. Do not ignore the “Method 10”, according to which you must count at least 10 movements of the child from 9:00 to 21:00.

Fading pregnancy in the second or third trimester can also be recognized by the appearance of sharp painful contractions and lower back pain. The fact is that the body is trying to get rid of a fetus that is no longer developing. There is a sharp change in general health in a negative direction (nausea, weakness, fever). Sudden cessation of toxicosis, if any, and absence of pain in the chest.

It is also worth paying attention to vaginal discharge. If they take on a brownish or red tint, then this is a reason to sound the alarm.

An increase in temperature during pregnancy may indicate that the body has become intoxicated. This is fraught with serious consequences for a woman’s health, including death.

Many people believe that taking a pregnancy test is necessary only before finding out this happy fact. But experts advise taking it throughout the first trimester. The fact is that in case of a frozen pregnancy, the test will show a negative result. This is due to the fact that the level of the hCG hormone in a woman’s blood drops.

It may also be effective to take an hCG test several times after determining conception. As was said, when pregnancy fades, its level will fall, or even be equal to zero during the next analysis.

How is a frozen pregnancy diagnosed?

During examination, the gynecologist may suspect freezing if the size of the uterus does not correspond to the deadlines. But the diagnosis of “frozen pregnancy” will not be made to you without an ultrasound. This stage of diagnosis can be omitted only if you consult a doctor late, when intoxication of the body has occurred and inflammatory processes in the uterus have begun.

Treatment of frozen pregnancy

In the early stages of fetal death, medical abortion is used. If the fetus has frozen in the last stages of pregnancy, then labor is stimulated to induce the birth of a child. If it is too early to induce labor, and the size of the fetus does not allow the use of medical abortion, then curettage is used.

During a frozen pregnancy, it is important to undergo postoperative treatment. The doctor prescribes medications that will help the body recover and eliminate inflammatory processes if they appear.

After a frozen pregnancy, a full examination is required. This is necessary to determine the causes of fading and eliminate them in the future. Also, after pregnancy fading, histology is carried out, that is, the study of a smear and section of the uterus.

Why does pregnancy stop? Can this be prevented?

Miscarriage of pregnancy can occur for many reasons, for example:

development of fetal pathologies incompatible with life;
frequent abortions in the past, which resulted in the accumulation of antibodies in the body. The latter simply do not give the child a chance to survive, attacking him in the womb;
maternal infectious diseases;
diseases of the mother's kidneys and cardiovascular system;
injuries;
stressful situations;
excessive physical activity;
bad habits;
Rhesus conflict between mother and child.

The most effective way of prevention is a healthy lifestyle, both before conception and during pregnancy, vaccination during planning, personal hygiene and getting rid of diseases. Don't forget that all this applies to your partner too.

Fading pregnancy is not a reason to despair and stop hoping to become a mother. With timely assistance and proper treatment, your chances of experiencing the joy of motherhood are very high.

How to independently determine a frozen pregnancy at home?

Hello, dear readers and blog subscribers. Today we continue our conversation with you about such a sad event in a woman’s life as early termination of pregnancy. Previously, you could already familiarize yourself with materials that tell about all the possible reasons for fetal developmental failure. In this article we will look in detail at how to determine a frozen pregnancy at home.

Dates with the highest probability of pregnancy fading

Doctors note that sometimes a miscarriage due to fetal freezing in utero occurs long before we take a test and find out about our pregnancy. As a rule, this does not happen in the third or fourth week after conception and coincides with the arrival of a woman’s monthly menstruation, so we simply do not notice the main signs of a miscarriage.

The next one of the most critical periods, when the greatest likelihood of fetal development faltering occurs, occurs between 8 and 16 weeks of pregnancy. It is during the period up to 12 weeks that all vital organs and body functions are formed in the child. And if during this period a malfunction occurs and the fetus does not develop this development, then such disorders, as a rule, are incompatible with life. That is why a woman’s natural protective reaction is activated, which is triggered in the form of spontaneous termination of pregnancy. If a miscarriage does not occur, but the fetus is dead, then it is removed from the uterine cavity by a doctor.

The smallest number of such cases than in the first trimester occurs in the second half of pregnancy at 16–18 weeks.

The first signs that the pregnancy has stopped

The main question that interests every pregnant woman is how to understand that something is wrong with the child? In order to quickly react and carry out the necessary treatment, which is aimed at maintaining the pregnancy, you need to know the first signs of an incipient miscarriage.

The first signs of a fading pregnancy include a sharp decrease in nausea, weakness, engorgement and tenderness of the mammary glands. Frequent urination disappears when it was severe earlier.
The appearance of pain in the lower abdomen.
The appearance of bloody, watery or bloody vaginal discharge.
If you measure your basal body temperature and it falls below the covering line for more than two days, then this is also an alarming signal.

And I would like to immediately reassure future mothers reading this article that if pregnancy was successfully maintained during bleeding in the early stages, then there are no consequences for the development of the fetus. Therefore, a woman’s most important task is to prevent a repeat threat. And for this we need to undergo an examination and check whether the fetus is developmentally appropriate for its term.

If you have at least one of the above symptoms or feel general malaise, then you should consult a doctor. He will check if everything is okay with your baby and after certain procedures the doctor will be able to determine for sure whether you are at risk of miscarriage or whether these are individual characteristics of the pregnancy.

In the early stages, up to ten weeks, a blood test for hCG is very informative. To do this, you need to take the test twice within 48 hours; normally, the indicator should double.
Gynecological examination in a chair, where the doctor will determine whether the size of the uterus corresponds to your due date. Such an examination will allow you to accurately determine whether your pregnancy has stopped.
Blood test for progesterone, provided that you are not taking artificial hormones.
Ultrasound according to indications.

Many women are interested in the question of whether it is possible to determine problems in the development of the fetus without an ultrasound. In general, doctors classify the ultrasound procedure as a conditionally safe examination, since the effect of ultrasound on a child has not been fully studied. That’s why it is prescribed only for routine examinations or for serious indications. If there are no serious reasons for such an examination, then a routine gynecological examination, listening to the heartbeat or a blood test can be done.

What to do to maintain pregnancy?

Today we will not talk about treatment, because this is a topic for a separate article, which can be read on our blog. In this article we will consider only our actions that will help maintain pregnancy. The first step, as we have already determined, is to contact a antenatal clinic for diagnosis. What's next?

What will be our actions when the first signs of a threatened miscarriage appear? In order to preserve the fruit, it is necessary:

exclude the use of hormonal agents, progesterone;
bed rest;
use, if necessary, of safe sedatives and sedatives, in the form of herbs, decoctions, teas;
reduction of physical activity, and this also includes the exclusion of sexual contact;
abolition of all medications in the period from 18 to 55 days after conception, since it is during this period that the laying and formation of all the important organs of the baby occurs. And as you know, all medicinal substances have contraindications and certainly reach the child through the mother’s blood, and can harm the child, even stopping his development.

I think it should be explained why progesterone should not be used if there is a threat of a missed abortion, and it does not matter how far along you are. If there is already a symptom such as bleeding, this may mean that the fetus has already died and the body is ready to terminate the pregnancy itself. As a rule, bleeding begins after two weeks of delay in embryo development. That is, at a certain stage the child stopped developing and only after two weeks the woman’s body will detect this and give a signal in the form of bleeding. Taking hormones will no longer preserve the fetus, but will only delay the time for its removal. In this case, the body will no longer be able to get rid of it on its own and resort to gynecological cleansing. And this is another risk of injury to the uterus, which can negatively affect subsequent conception and pregnancy.

Progesterone is also contraindicated in situations where the pregnancy has been maintained. Why is he dangerous? Taking hormones affects not only the increase in male hormones in the mother, but also in the child. What if you imagine that you have a girl?! This will lead to subsequent hormonal imbalance in her, male pattern hair growth. For boys it is no less dangerous. It has been proven that taking progesterone during pregnancy can lead to hypospadias, that is, improper development of the penis and urethra.

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How to understand that a child is alive?

go for an ultrasound or see a doctor... just without an appointment, even... for a wiretap. must be accepted without queue. it will take 3 minutes

And don’t worry, your deadline is not yet critical :)

And if the fetus does not survive in the womb, then the mother’s condition sharply worsens.

Well, that's roughly what I was asking about.

I seem to be feeling well, but all sorts of thoughts are starting to creep into my head. Maybe I already need to go to the hospital, but I don’t know.

When is everything good or bad?

I really started to get fussy early, I felt this kind of rumbling in my tummy. Don't you have this?

Actually, it’s better not to fill your head with nonsense and scary thoughts, unnecessary nerves.

The belly is still rounding, don’t worry.

And if the fetus does not survive in the womb, then the mother’s condition sharply worsens.

For some reason I fell out of favor a long time ago, lal sure is alive)))

wait or run now?

Are you boiling ahead of time, some. generally at 22 weeks. may stir

bad thoughts started creeping in.

My son was hiccupping so hard that I was jumping:gy: :gy: 😛

then it starts to hiccup again - wow

By the way, what does it feel like?))

cool. the stomach jumps and the sound is heard - well, as usual a person hiccups. And when he was born, he hiccupped for the first month.

Now I'm 17 years old - I don't hiccup so often anymore. 😛

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How do you know that the fetus is developing normally in the womb?

Ultrasound during pregnancy is a mandatory procedure that allows you to monitor the mother’s health and the harmonious development...

Ultrasound during pregnancy is a mandatory procedure that allows you to monitor the health of the mother and the harmonious development of the baby. Many parents perform an ultrasound not only to monitor the development of the fetus, but also to see the unborn, but already so beloved and desired child. Pictures and videos taken during an ultrasound during pregnancy preserve for a long time memories of one of the happiest times in the life of parents. Ultrasound during pregnancy is absolutely safe and is recommended to be performed regularly, in all trimesters: first (1-12 weeks of pregnancy), second (13-26 weeks of pregnancy) and third (27-40 weeks of pregnancy). This allows you to monitor the harmonious development of the fetus, identify defects and possible complications in time and take the necessary measures.

Ultrasound during pregnancy (first trimester). It is impossible to determine the presence of pregnancy using ultrasound at a period of less than 5 weeks. Ultrasound during pregnancy of 3-4 weeks is ineffective, since the fetus is still so small that it is simply impossible to examine it. If signs of pregnancy are observed at such an early stage, then it is advisable to take a pregnancy test. This method allows you to diagnose pregnancy a few days after a missed period. Also, to establish the fact of pregnancy, you should visit a gynecologist and take a blood test for hCG (human chorionic gonadotropin, a special hormone present in the body of pregnant women). Only at 5-8 weeks can an ultrasound confirm the pregnancy detected by a pregnancy test. Also, ultrasound during pregnancy of 5-8 weeks allows you to determine the place of implantation of the fertilized egg and the viability of the embryo.

An ultrasound during pregnancy is performed to determine the exact duration of pregnancy and the expected date of birth. The doctor conducts the first check of the fetus for the presence of malformations, checking the quality of the water and possible signs of complications. If oligohydramnios is observed, this may indicate the presence of infections or dysfunction of the placenta. The quality of the placenta is very important because it supplies oxygen, nutrients to the fetus, and also protects it from harmful external influences.

Ultrasound during pregnancy weeks (second trimester). The second trimester of pregnancy is a transitional period for the expectant mother. Habits and lifestyle change, external signs of pregnancy appear - the figure becomes rounder and the belly becomes noticeably larger. In the second trimester, it is very important to undergo an ultrasound procedure during pregnancy. During this period, the formation of all vital systems of the body occurs. The child begins to show signs of life: move, respond to words and sounds. Ultrasound during pregnancy allows you to determine how harmoniously development occurs, whether there are deviations, and whether the size of the fetus corresponds to the gestational age. At this time, it is already possible to answer the question that worries parents, what gender is their baby. Ultrasound during pregnancy at 24 weeks allows you to obtain images in which the outlines of the baby’s body, head and face are clearly visible.

Ultrasound during pregnancy weeks (third trimester). In the third trimester of pregnancy, parents begin to actively prepare for the birth of their baby. Changes occur in the home environment, habits, personal and sexual life. The latter is prohibited from the 28th week of pregnancy, as it can provoke premature birth. During an ultrasound during pregnancy, the size of the fetus and its motor activity are assessed. If there are complications in the development of the fetus or the health of the mother, then premature birth may be stimulated at this time. At this stage, all the vital organs of the fetus are already formed, the child is born viable and can receive further development in the external environment with the help of special devices.

Ultrasound during pregnancy is an additional measure that allows you to determine the condition of the baby, its weight, position, and possible entanglement of the umbilical cord. The quality and quantity of water is also assessed. In the last weeks of pregnancy, some cloudiness of the waters is acceptable. This does not indicate the presence of infection or pathologies, but the presence of epithelium in the waters, which is completely natural. Polyhydramnios may indicate a large baby. Polyhydramnios can also be caused by multiple pregnancies or the individual characteristics of the woman. Oligohydramnios in late pregnancy is a rare occurrence that may indicate postmaturity.

In addition to the standard two-dimensional ultrasound procedure during pregnancy, many clinics offer three-dimensional ultrasound. This procedure allows you to obtain a three-dimensional image of the fetus, clearly see the baby’s arms, legs and even facial features. The three-dimensionality of the image is achieved due to the presence of special sensors and a built-in module. During the procedure, parents can determine the gender of the child themselves. Three-dimensional ultrasound allows not only to carefully examine the condition of the fetus, but also to record the entire procedure on a disk. This fact undoubtedly contributes to the growing popularity of this procedure.

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Open speech therapy session for children aged 6-7 years on the topic “Retelling the Russian folk tale “The Fox and the Crane”.

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Summary of a speech therapy lesson on the lexical topic “Migratory Birds”

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Outline of the speech therapy lesson “Sound “T”. Letter "T"

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how to find out if you are pregnant

First trimester and first changes

Nausea, nervousness, drowsiness, changes in appetite - all this is normal for the first trimester of pregnancy. Vomiting that does not threaten dehydration is also not a deviation. All these symptoms are called gestosis in the first trimester and do not pose a danger to the woman and the fetus. But the appearance of nagging pain in the lower abdomen, bloody discharge and frequent vomiting are not the norm; you need to urgently call an ambulance and stay in bed until the doctor arrives. It is in the first trimester that the body makes a decision whether to continue the pregnancy or not. To make sure that the pregnancy is proceeding normally and everything is fine with the embryo, the following studies are carried out:

Ultrasound in the early stages (diagnoses pregnancy, excludes ectopic pregnancy);

Ultrasound at 12 weeks (no abnormalities in embryo development are diagnosed);

Laboratory tests (including maternal blood tests, screening for developmental anomalies);

Sometimes chorionic fibers are examined (if the risk of developmental anomalies and genetic mutations is high).

Hypertonicity or training contractions?

Obstetricians say that in the second and third trimester the main task of the embryo is to grow, since the rudiments of organs and systems have already formed. At this stage, it is important to maintain the health of the expectant mother and prevent deviations during pregnancy. Hypertonicity of the uterus is not normal under any circumstances - this threatens the development of fetal hypoxia and the risk of miscarriage. Nagging pain in the lumbosacral region, a feeling of a “petrified uterus” are signs of hypertonicity. In contrast to hypertonicity, training contractions, which can begin as early as the beginning of the second trimester, pass quickly, alternating periods of tension and relaxation of the uterus. Remember, a “stone” stomach and severe pain in the lower back are hypertension; urgent medical attention is needed.

Excess weight: is swelling or excessive appetite to blame?

Increased appetite and thirst accompany almost every pregnant woman. However, in some cases, these symptoms may indicate gestational diabetes. To do this, they conduct a blood test for glucose levels (donate blood for sugar). If these indicators are normal, then excess weight is the result of excessive food consumption.

What studies are performed in the second and third trimesters?

During the second and third trimesters, an ultrasound examination is performed to exclude pathologies of the fetus and placenta. The doctor looks at the volume of amniotic fluid, the placenta insertion site and a blood flow study. It is impossible to obtain this data using subjective methods, and therefore you should not refuse diagnostics. At the same time, fetal developmental abnormalities can be diagnosed. If you plan to continue the pregnancy in any case, then it is even more worthwhile to go for additional diagnostics. Knowledge about fetal development disorders, many of which can be successfully treated, will allow you to prepare for the birth of a special child and find good specialists to eliminate the disorders.

Colostrum is normal

Enlarged breasts, increased sensitivity in the nipple area and the appearance of colostrum are a sign of a normal pregnancy. Indirectly, based on the condition of the breast, you can understand that everything is fine with the child. If the pregnancy is frozen, then the hormonal status changes - the breasts sharply decrease, colostrum ceases to be released. The absence of colostrum is not a deviation; in some women it appears the day before or only after childbirth.

Fetal movements: what is normal?

Normally, a woman feels the movements of the fetus during the week. Every day you need to record up to 12 cycles of movement or note the presence of fetal activity every hour. Both calm and active behavior can indicate both normality and pathology. If your baby is always calm, and it is confirmed that there is no fetal hypoxia, then this is the norm for a particular pregnancy. A sharp change in the behavior of the fetus may be a cause for concern: an active child has become lethargic, and a calm child has become too active. You should contact your local obstetrician or call an ambulance.

Arterial hypertension is dangerous for the development of convulsive syndrome

An increase in blood pressure even by several tens of units is a cause for concern and hospitalization for a pregnant woman. The fetus experiences oxygen starvation, developmental delay may occur, and one of the most dangerous complications of pregnancy is eclampsia and the occurrence of convulsions. Convulsions can lead to placental abruption, intrauterine fetal death, fractures in a pregnant woman and premature birth. If you have been diagnosed with high blood pressure and you feel a sharp headache, which is combined with loss of orientation in space, dazedness, tunnel vision, seek medical help immediately.

Bloody discharge is always a cause for concern

The discharge of bright scarlet blood is always dangerous. A common myth that menstruation passes through the pregnant uterus can cause miscarriage. Sometimes the discharge of coagulated blood may occur several days after an instrumental examination in a chair. The reason for this is a loose cervix and vaginal walls, as well as increased vascular permeability, and not the carelessness of the doctor, as many believe.

Intrauterine development of a child by month, how does it happen?

First trimester of pregnancy

Second trimester

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Detailed description of pregnancy by week.

However, the risk still exists, but, as they say, being informed is forearmed.

The first thing that should be alarming is bloody vaginal discharge, the appearance of cramping pain in the lower abdomen and lower back, a sharp increase in temperature. If you had early toxicosis, but suddenly stopped abruptly (before 12 weeks), this may also indicate that the pregnancy is fading.

If you planned your pregnancy correctly, you paid attention to change in basal temperature before and after conception. Normally, the temperature in the first trimester should be elevated (37.3-37.1).

Fading of pregnancy in later stages is primarily determined by absence of fetal movements. Do not ignore the “Method 10”, according to which you must count at least 10 movements of the child from 9:00 to 21:00.

Fading pregnancy in the second or third trimester can also be recognized by the appearance sharp painful contractions and lower back pain. The fact is that the body is trying to get rid of a fetus that is no longer developing. There is a sharp change in general health in a negative direction (nausea, weakness, fever). Sudden cessation of toxicosis, if any, and absence of pain in the chest.

It is also worth paying attention to vaginal discharge. If they take on a brownish or red tint, then this is a reason to sound the alarm.

Temperature increase when pregnancy is fading, it may indicate that intoxication of the body has occurred. This is fraught with serious consequences for a woman’s health, including death.

It may also be effective to take an hCG test several times after determining conception. As was said, when pregnancy fades, its level will fall, or even be equal to zero during the next analysis.

How is a frozen pregnancy diagnosed?

Treatment of frozen pregnancy

During a frozen pregnancy, it is important to undergo postoperative treatment. The doctor prescribes medications that will help the body recover and eliminate inflammatory processes if they appear.

Why does pregnancy stop? Can this be prevented?

Miscarriage of pregnancy can occur for many reasons, for example:

development of fetal pathologies incompatible with life;
frequent abortions in the past, which resulted in the accumulation of antibodies in the body. The latter simply do not give the child a chance to survive, attacking him in the womb;
maternal infectious diseases;
diseases of the mother's kidneys and cardiovascular system;
injuries;
stressful situations;
excessive physical activity;
bad habits;

During the period of bearing a baby, every woman worries that the development of the fetus may stop. Unfortunately, this is what happens sometimes. In approximately one out of three cases, a frozen pregnancy is diagnosed after fertilization. Signs in the first trimester may vary. This article will tell you about them. You will learn what causes it in the first trimester, and also find out about methods of diagnosis and treatment.

What it is?

Which ones does it have in the first trimester? Symptoms of the pathology will be described below. To begin with, it’s worth saying what it is.

The fading of pregnancy is the cessation of its progression. The fetus at some stage simply stops developing, but does not undergo a reverse change. As a result, its decomposition and rotting of the masses may begin. It is very dangerous.

Causes of pathology

Why does frozen pregnancy occur in the first trimester or later? Pathology can occur due to certain diseases. Infection with viruses is especially dangerous. These diseases include rubella, influenza, acute respiratory infections, toxoplasmosis and others. Often the fetus undergoes changes that are incompatible with further development due to diseases such as chlamydia, trichomoniasis, mycoplasmosis, and so on. These pathologies are transmitted sexually. That is why we can call it a frequent change of sexual partners.

Various can lead to a frozen pregnancy in the first trimester. Its signs may appear immediately or be hidden for quite a long time. Often the cessation of embryo development occurs due to previous abortions, diagnostic interventions and other manipulations in the area of the reproductive organ. This also includes congenital or acquired pathologies of other organs and systems. Hormonal levels play an important role in this problem.

Another reason for missed abortion is genetic abnormalities. Often such a fetus dies in the very early stages. At the same time, the woman does not even have time to find out about her new position. In some cases, pathology develops due to external influences. For example, if the expectant mother drinks alcohol, drugs or leads an inappropriate lifestyle.

Frozen pregnancy: signs in the first trimester

The most reliable symptom that the fetus is no longer developing is the absence of a heartbeat. It is worth noting that in the early stages this can only be checked using ultrasound diagnostics. Over long periods of time, such manipulation can be performed using a special sensor or cardiotocography apparatus.

During the study, the specialist always compares the expected date and size of the embryo. Much attention is paid to the fertilized egg. The examination is also carried out on the area of the corpus luteum. A frozen pregnancy in the first trimester has the following signs according to ultrasound:

discrepancy between the size and timing of pregnancy;
in some cases the embryo is completely absent;
contraction of the heart muscle is not detected;
Additional defects are established (absence of the corpus luteum, presence of detachment, and so on).

It is worth noting that without ultrasound diagnostics it is impossible to talk about these signs. It is this method of examination that is considered the most reliable in making the described diagnosis. Let's look at what other signs a frozen pregnancy has in the first trimester.

Painful sensations in the abdomen

Up to 70 percent of missed pregnancies are accompanied by pain in the lower abdomen. They develop due to the fact that the body tries to independently reject the pathological. This is how the human self-preservation system works. Pain occurs when the production of certain hormones stops. The uterus becomes more sensitive and begins to contract, the cervical canal slightly changes its position and expands. A woman may experience an unpleasant pulling sensation in the lower abdomen or feel severe cramping pain. Each situation is individual and does not depend on the stage of pregnancy.

It is worth saying that such sensations often arise when there is a threat of interruption. If a woman’s body does not produce enough certain hormones, as well as under the influence of other factors, contraction of the reproductive organ may begin. This process can be reversed in the early stages. You just need to take the appropriate medications and follow the doctor’s instructions. This is why it is so important to seek help from a doctor if pain in the lower abdomen occurs in the earliest stages and later.

Discharge from the genital tract of various types

What other signs does a frozen pregnancy have in the first trimester? A symptom of the development of pathology can be called vaginal discharge. During pregnancy, especially in the early stages, their number increases. This is considered the norm. However, the color of such a liquid should be transparent or milky. Impurities of blood, pus and other substances are recognized as pathology. They should be a reason to immediately consult a doctor.

Bloody discharge may indicate that the process of rejection of the fertilized egg has already begun. As a result, small capillaries are damaged. When bleeding becomes severe, we may be talking about a progressive spontaneous miscarriage. In the presence of purulent discharge, there may be a suspicion that the fetus died quite a long time ago, and the process of its decomposition has already begun. It is worth noting that, as in the previous paragraph, these signs can only indicate a threat of miscarriage. The sooner you seek help from a gynecologist, the greater the chance of saving the child.

Sensations in the mammary glands

What other signs does a frozen pregnancy have? Symptoms of pathology can manifest themselves in the form of disappearance of soreness and sensitivity of the mammary glands.

Under the influence of the pregnancy hormone (progesterone), the process of preparation for breastfeeding begins immediately after fertilization. The mammary glands will undergo changes throughout pregnancy. First, the breasts become larger and become especially sensitive. Some women even experience pain. All these signs persist until approximately 12 - 16 weeks. This is when the placenta begins to work. A sudden disappearance of breast sensitivity may indicate that there has been a stop in fetal development.

Toxicosis and its absence

What are the signs of a frozen pregnancy in the first trimester? A photo of the embryo is presented to your attention in the article.

Most expectant mothers experience toxicosis. It appears within a few weeks after fertilization and can be more or less strong. The reliable reasons for this condition still cannot be stated.

An abrupt cessation of severe toxicosis may indicate that the pregnancy has stalled. This sign is indirect, but, like all those described above, it requires additional diagnostics and confirmation. It is worth saying that some expectant mothers do not experience such sensations at all. They successfully endure the first stages of pregnancy. This does not mean at all that there is a risk of a frozen pregnancy.

Basal body temperature

What are the signs of a frozen pregnancy in the first trimester? The causes of the pathology have already become known to you. Another symptom of the problem is a decrease in high basal temperature. If you have observed the work of your body in this way, you may notice that immediately after ovulation the level of the thermometer readings increases. After fertilization and implantation, it can become even taller. Thus, the average basal temperature in expectant mothers is 37 - 37.2 degrees. If the graph line suddenly drops to 36 - 36.5 degrees, then we can talk about a frozen pregnancy.

It is worth noting that this sign can only be checked by those women who have previously conducted appropriate observations. The initial measurement in most cases turns out to be unreliable, because you will have nothing to compare with.

Fever

Another sign of a frozen pregnancy is an increase in body temperature. It occurs due to the fact that the fetus in the uterus begins to gradually decompose. It is worth noting that this symptom appears over a long period of time. This can be very dangerous for a woman.

If you have a high temperature, and also have the additional symptoms described above, then you should immediately run to the hospital, or better yet, call an ambulance. The slightest delay during sepsis can lead to the death of a woman.

How to find out about a frozen pregnancy before an ultrasound?

If you have any suspicions, only an ultrasound examination can confirm them. Any indirect signs cannot be a reason for making a diagnosis, remember this.

There are studies that can help you find out about the problem before diagnosis. This is a blood test. During the study, the amount of human chorionic gonadotropin in your blood is determined. The results are checked against generally accepted standards. Based on this, you can judge whether your actual deadline matches the expected one. For a more accurate diagnosis, it is recommended to conduct the study several times with a break of three or five days.

Frozen pregnancy in the first trimester: treatment

If you find out about the presence of this pathology, it must be eliminated as soon as possible. In most cases, gynecological curettage is performed. For short periods of time, it is possible to use other methods of cleansing the uterus, for example, medical abortion or In some situations, when abortion begins (bleeding), doctors choose expectant management. If complete cleansing of the uterus does not occur within a few days, the patient is offered a cleaning. What are the consequences of a frozen pregnancy in the first trimester?

In most cases, the pathology does not in any way affect the patient’s future life and fertility. Only in particularly severe cases can we talk about acquired infertility. Usually, a representative of the fairer sex is capable of a new pregnancy within 3 to 6 months after the incident. Often, after the manipulation, a woman is prescribed medications to correct the condition. These could be antibiotics, immunomodulators, agents for restoring microflora, and so on.

Instead of the conclusion of the article, or a short summary

You have learned what causes a frozen pregnancy in the first trimester. This is a very unpleasant phenomenon. This is especially difficult for those women who have been wanting to give birth to a baby for a long time, but nothing works out for them. If the situation with a frozen pregnancy is repeated more than twice, then the fairer sex, like her partner, is advised to consult a hematologist and geneticist. In such situations, it is worth starting a full examination and finding the reason why conception occurs, but the embryo at some stage simply stops developing. I wish you good health and success!

Registration of a pregnant woman at a dispensary

Physiological changes in the body of a pregnant woman

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Weight gain

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Fetal heartbeat

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Fetal development calendar

How to determine a frozen pregnancy

How to determine a frozen pregnancy?

How is a frozen pregnancy diagnosed?

Treatment of frozen pregnancy

Why does pregnancy stop? Can this be prevented?

How to independently determine a frozen pregnancy at home?

Dates with the highest probability of pregnancy fading

The first signs that the pregnancy has stopped

What to do to maintain pregnancy?

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Topic closed

How do you know that the fetus is developing normally in the womb?

Until what period can a pregnancy be terminated?

Late pregnancy: for or against?

Your comment Cancel reply

Open speech therapy session for children aged 6-7 years on the topic “Retelling the Russian folk tale “The Fox and the Crane”.

DIY New Year's Baba Yaga costume

Logic puzzles

A fairy tale about a girl Olya

Summary of a speech therapy lesson on the lexical topic “Migratory Birds”

First visit to the gynecologist at the age of 14, what was it like?

How to behave correctly with a teenager?

History of chocolate

Outline of the speech therapy lesson “Sound “T”. Letter "T"

Summary of the open leisure lesson “Clever and smart girls. Differentiation of sounds Ts-H”

First trimester and first changes

Hypertonicity or training contractions?

Excess weight: is swelling or excessive appetite to blame?

What studies are performed in the second and third trimesters?

Family values – do they make sense?