MARKETING AFRICA MAL 18/17 mal 18:17 online - Page 62

Gyn Chronicles PREGNANCY AND MISCARRIAGE Dr. Maureen Owiti O ne of the challenges about being a doctor is the fact that you are always dealing with some form of pain or loss whether past present or in future. One of the most challenging things in obstetrics is how to handle mothers who are dealing with any pregnancy loss. The crux of the matter is more of the emotional and psychological support that the client requires because the management is rather basic though it can sometimes get very complicated. Just this recently I’ve had the challenge of managing more than 3 women with an early pregnancy loss so that also tells us that it is quite frequent. articles more user friendly. Poor guy!!! So what is a miscarriage? This is defined as any spontaneous loss of pregnancy prior 20 weeks of gestation. As one of the biggest culprits please forgive us to inform people that the medical term for a miscarriage is a spontaneous abortion, so kindly no offence if we get engrossed in work and slip up and use the “a” word. The first thing I would like to encourage any woman who has had a miscarriage is that you are not alone and the second is that there is probably absolutely nothing wrong with you and in the off chance that there is something wrong your obstetrician should be able to find a solution for you as long as you have an open mind as it may not be what you think. Also, just in case I get a bit verbose please send feedback so that I will attempt to use as little jargon as possible however, I believe our very able editor does a lot to make my ‘‘ Research tells us that the incidence of a first trimester miscarriage is about 15%- 25%. This means that for every 7 women with a recognized pregnancy about 1 will lose the pregnancy in the first trimester. Also unknown to most women is that 50% of all pregnancies end up as miscarriages usually before a missed period or before the woman is aware she is pregnant.’’ 60 MAL 18/17 ISSUE Why do I say you are not alone? Well research tells us that the incidence of a first trimester miscarriage is about 15%-25%. This means that for every 7 women with a recognized pregnancy about 1 will lose the pregnancy in the first trimester. Also unknown to most women is that 50% of all pregnancies end up as miscarriages usually before a missed period or before the woman is aware she is pregnant. How do you know you are having a miscarriage? The most common symptom of a miscarriage is bleeding. It usually starts as light painless bleeding and the amount can increase and be