When an imperfect conception has taken place a spontaneous abortion will occur, and even though this is a difficult time for the mother, she must realize that nature in her wisdom knows what is best.
Sometimes, although the conception is a good one, conditions affecting the mother may cause her to miscarry her fetus. We have found that by correcting these conditions, the mother may be able to continue the pregnancy, have a normal labor and delivery and produce a healthy child.
If you have a history of spontaneous abortion it is important that you markedly improve your nutrition before attempting another pregnancy. If you are a practicing vegetarian, you may want to reconsider your dietary preferences before attempting another pregnancy as protein rich foods are vital to maintaining a healthy fetus. If you are underweight, try to gain a little before becoming pregnant, because estrogen is stored in body fat, and we have seen women who have gained as little as ten pounds have successful results.
Following are suggestions for preventing miscarriage which I have found to be very effective both personally and professionally:
1. Refrain from sexual relations or any sexual stimulation when any spotting has occurred, now and during the time of your normal menses thereafter.
2. Take 3 grams of citrus bioflavinoids daily to strengthen the immune system and capillary walls. Avoid all other over the counter medications or medicinal herbs. Please remember that if an herb has a medicinal effect, it is acting as a drug. Many of the stronger herbs act as abortifacients.
3. If spotting has occurred, complete bed rest is advisable for the next three days. When spotting ceases and if no cramping is felt, complete bed rest is usually no longer necessary. You should continue to rest for two hours in the afternoon with feet elevated. Extra rest is essential, and taking an afternoon nap should become a habit.
4. If you have had several previous children and your uterine tone has become lax, it is a good idea to raise the foot of your bed to prevent pressure on the cervix.
5. Avoid hot baths and showers. Do not sleep on a heated waterbed or use electric blankets, all of which may increase bleeding.
6. Avoid lifting, especially toddlers and other living things.
7. Avoid using caffeine (coffee, tea, cola drinks, etc.).
An inevitable abortion cannot and should not be prevented, but even so, you will have peace of mind knowing that you have done everything possible to prevent it. If you experience heavy bleeding, or bleeding with the passage of clots or cramping, please call us immediately so we may properly advise you or refer you for medical care. In most instances of miscarriage, a D&C operation is not necessary. However, if the miscarriage is incomplete, this procedure may be advised.
We want to help all we can during this time, so please do not hesitate to call. We are here for you whether the need be physical, emotional or spiritual.
Valerie El Halta, CPM
Reprinted from Midwifery Today E-News (Vol 1 Issue 48, Nov 26, 1999)
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