Miscarriage occurs when a baby dies before 28 weeks of pregnancy, whereas a intrauterine fetal demise occurs when the baby dies at or after 28 weeks. Dr Madhavi Reddy, Consultant Obstetrician & Gynaecologist, Motherhood Hospitals, Bangalore says, “As diverse as the experience of losing a child may be, stigma, shame, and guilt emerge as worldwide themes. Women who lose their babies are taught to keep their grief to themselves, as these first-person accounts indicate, either because miscarriage and intrauterine fetal demise are still so common, or because they are thought to be unavoidable.”
What Are The Reasons For Miscarriage?
Miscarriages can occur for several reasons, including
•the age of the mother
•infections, including malaria and syphilis
Although the exact cause of miscarriage is often difficult to understand and varies from woman to woman.
How To Prevent Miscarriage?
•Avoiding smoking, drugs, and alcohol
•Maintaining a healthy weight.
These factors are concerned with lifestyle, which, if not followed, can result in miscarriage.
As with other health issues, such as mental health, which remains a huge taboo, many women report that their friends and family do not want to talk about their loss, regardless of their culture, education, or upbringing. This appears to be related to the silence that surrounds the discussion of grief in general.
While pregnancy apps help to create a sense of community and provide useful information to mothers-to-be, nothing is built in to help them when things go wrong, and they end up losing their babies. This lack of information adds to the stress of an already traumatic experience by leaving parents unsure of what to expect during the procedure.
Too many babies are lost during pregnancy or childbirth. One in every four pregnancies ends in miscarriage, usually before 28 weeks, and 2.6 million babies are stillborn, half of whom die during childbirth. Many of these deaths, especially stillbirths, could be avoided with proper prenatal and postpartum care.
Whatever the circumstances surrounding a baby's death, every woman deserves respectful and dignified healthcare that acknowledges her loss, offers support for any psychological issues she may be experiencing, and empowers her to make decisions for the future about conceiving.
When a woman loses a baby, she is still stigmatized and shamed, and she is often discouraged from talking about her experience and loss. This can lead to isolation and disconnection, even from partners and close family members, and can trap women in their own personal grief.
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Respect and autonomy are essential components of women-centered care. Young girls must be protected from harmful practices like child marriage and female genital mutilation, and women must have control over their sexual and reproductive choices beginning in adolescence and continuing through pregnancy and beyond. Women should not be denied the right to control their reproductive lives because of culture, socioeconomic circumstances, or social norms.
Miscarriages are not always unavoidable. We have several tools and protocols that, if used correctly, have the potential to prevent at least 1.3 million stillbirths. Among these are early pregnancy diagnosis, proper screening for any medical conditions that may have a negative impact on pregnancy outcomes, monitoring the baby's heart rate at appropriate times during pregnancy and throughout labour, treating infections such as malaria and syphilis, and providing good labour surveillance.
To ensure a healthy pregnancy, women must have access to effective antenatal care from the beginning of their pregnancy, be able to access care in the community, and, where possible, have midwife-led continuity of care.
Dr Madhavi Reddy also says, “Miscarriage is a common issue experienced by women, but women who experience it often feel isolated and alone. Women usually find out about a miscarriage from family and friends. During those dark times, they feel left out and the conversation about miscarriage and pregnancy loss has really opened in recent years. However, it is essential to encourage greater sensitivity in dealing with grieving couples, as well as to remove the taboo and stigma associated with discussing baby loss.”
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