Friday, March 4, 2016

The Miscarriage Taboo

из статьи про выкидыши, там много лирики, которую опустил, ссылка в конце

  “Don’t worry, pregnancy isn’t an illness”

The list of things I don’t understand about my miscarriage seems never-ending. I don’t know how old the embryo was when it stopped living. I don’t know why it stopped living. I will never know.

“Miscarriages are so common—one in five pregnancies end up in a miscarriage,”
в РФ, пожалуй, поменьше
есть ещё некое правило 12 недель, про что оно — не понял :(
miscarriage is not a smb failt

The one in five figure is often quoted. Sometimes it creeps up to one in four. This is because it’s difficult to determine how many miscarriages take place. In the U.K., miscarriage means the loss of a pregnancy during the first 23 weeks (any later and it is called stillbirth). But it often occurs before a woman even realizes she’s pregnant, and most of the time—85 percent—it is in the first 12 weeks of pregnancy.

A recent survey of over 6,000 women who had had a miscarriage, conducted by the charity Tommy’s, found that around two-thirds found it hard to talk about.

Around 1 percent of couples are affected by recurrent miscarriage, which in the U.K. is defined as the loss of three or more consecutive pregnancies.

Breaking the silence is crucial. Research has shown that one-third of women attending specialist clinics as a result of their miscarriage are clinically depressed. As well as depression and grief, it’s been reported that both women and their partners experience increased anxiety for several months after a miscarriage. Post-traumatic stress disorder, obsessive–compulsive disorders and panic disorders have also been observed in research studies.

The unspecified genetic abnormalities that are said to underlie most miscarriages have various possible causes. The risk of random genetic faults in the fetus seems to increase with the age of the mother: the chances of having a miscarriage rise from 9 percent aged 20–24 to more than 50 percent for women aged 40 and over. Beyond age, other risk factors associated with miscarriage include obesity, smoking, drug use, and drinking more than two units of alcohol a week or more than a couple of cups of coffee a day.
практически уверен, что всё=фуфло

Some women who’ve had a number of miscarriages have antibodies in their blood that seem to prevent the pregnancy embedding properly or cause blood clots in the placenta. This is called antiphospholipid syndrome, also commonly known as sticky blood syndrome, and it is the most important treatable cause of recurrent miscarriage. Low doses of aspirin, sometimes also the blood-thinning drug heparin, seem to help these women carry a pregnancy to term. It’s the kind of hope many women and their partners cling to: that a cause will be found and an effective treatment will follow.

While aspirin increases the chances of a successful pregnancy for the minority of women with sticky blood syndrome, it had no significant effect in clinical trials for other women at risk of miscarrying. And following years of debate, the results of the PROMISE trial announced in November 2015 showed that progesterone supplements did not prevent early miscarriage for women with unexplained, recurrent losses.

... if the womb lining isn’t suitably prepared, it may prevent healthy embryos from implanting—or do the opposite. Brosens and Quenby’s research has found that in women with recurrent miscarriage, the womb lining is often super-receptive but unselective, meaning that it allows genetically doomed embryos to implant and grow. These women may get pregnant fairly easily, but the pregnancy never truly has a chance of succeeding.

Today, after just one miscarriage, the statistics tell me that I have an 80 percent chance of my next pregnancy being successful.
здорово: вполне возможно, что события натурально случайные, никак меж собой не связаты



источник: The Atlantic

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