In recent times, miscarriage rates have significantly increased. Miscarriage is a spontaneous loss of a woman’s pregnancy within the first 20 weeks of gestation. Miscarriage is a significant loss for many couples. While miscarriage is often something that people quietly suffer through, it is a topic that should be discussed more openly because of how common it is. It is estimated that 1 in 5 pregnancies end in miscarriage. If you have experienced a loss of pregnancy, you are not alone. We hope unpacking this topic will empower you and help you heal!

Types of Miscarriage

Blighted Ovum

A blighted ovum happens early in pregnancy when an embryo does not develop and is reabsorbed, leaving an empty gestational sac. A blighted ovum is also called an anembryonic pregnancy. There is much speculation around what causes blighted ovum, but is likely a result of chromosomal abnormalities in the fertilized egg. 

Women experiencing blighted ovum often get a positive pregnancy test and early pregnancy symptoms such as sore breasts and nausea. Once the embryo stops growing, HCG and progesterone levels start to fall and many of the pregnancy symptoms along with it. Women may experience spotting and these pregnancies always result in miscarriage in the first trimester of pregnancy.

Missed Miscarriage 

Missed miscarriage also happens in early pregnancy. In this case, women continue to experience pregnancy symptoms and feel pregnant-hence the name “missed miscarriage.” Oftentimes, this is found during an ultrasound or because of vaginal bleeding. The body may hold onto the baby for many weeks before going into labor.

Threatened Miscarriage

Threatened miscarriage manifests with vaginal bleeding, cramping, and perhaps low back pain. Whille this can be incredibly troublesome, not all women who experience these symptoms within the first 20 weeks of pregnancy end up miscarrying.

Inevitable Miscarriage

An inevitable miscarriage is when a woman is experiencing bleeding and cramping along with cervical dilation. Women sometimes go through all of the stages of labor in this circumstance. 

Incomplete Miscarriage

An incomplete miscarriage is when the body does not completely pass all of the tissue. Sometimes the use of specific herbs including black cohosh, blue cohosh, and angelica can help this process along. Some women may need a D&C in this situation.

Complete Miscarriage

A complete miscarriage is where all of the contents of conception and tissue has passed from the womb. Bleeding may last several days after a complete miscarriage.

Molar Pregnancy

A molar pregnancy is also called a Hydatidiform Mole (HM), Gestational Tropoastic Disease (GTD), or a mole. This happens as a result of genetic errors during fertilization and leads to a rapid growth of abnormal tissue in the uterus and no embryo. This occurs in 1 in 1000 pregnancies. 

Ectopic Pregnancy 

When the fertilized egg implants and grows outside of the main cavity of the uterus it is called an ectopic pregnancy. This usually occurs in the fallopian tube and is therefore sometimes called a tubal pregnancy. Fertilized egg implanted in the fallopian tube will not allow the baby to develop and causes risk for the mother.

Symptoms of Miscarriage

• Vaginal spotting or bleeding

• Pain or cramping in the abdomen or lower back

• Uterine contractions

• Fluid or tissue passing from the vagina

• Worsening or severe back pain

• No longer experiencing pregnancy signs and symptoms

A Conventional Approach

Often times, if the pregnancy is far enough along, conventional doctors will recommend a D & C (short for dilate and curettage) where the cervix is dilated and an instrument is used to scrape the uterine lining. While this resolves the pregnancy loss relatively quickly, there is also risk involved with the procedure including perforated uterus, damage to the cervix, scar tissue, and infection. 

A Holistic Approach

For women seeking a natural alternative, the body often will go through miscarriage on its own. While this can be a difficult experience, many women choose to go through this process within the comfort of their own home. Sometimes, especially in pregnancies that end later in the first trimester, women go through actual labor. It is important to let your OB or midwife know you are walking through this process to so they can monitor you incase of emergency. If at any point during miscarriage you experience fever, chills, lower abdominal tenderness, or foul smelling discharge it is important to contact your healthcare provider immediately.

Herbs such as blue cohosh, black cohosh, cramp bark, and angelica are helpful in promoting the body‘s natural labor. Angelica is particularly helpful if the placenta does not fully pass or profuse bleeding occurs. Additionally, clary sage essential oil is known to promote uterine contractions. Lavender and frankincense are often used to calm the emotions and ease pain.

If you choose to miscarry naturally, it is advised to contact your medical doctor or midwife in case guidance is needed. If you have any abnormal bleeding, cramping, or other strange symptoms, it is imperative to reach out to your trusted healthcare provider!

Recovery

Whether you choose a D & C or miscarry naturally at home, the recovery process is very important to heal physically, emotionally, and spiritually. Here are some considerations.

Nutrition

Whole food nutrition is vitally important to rebuild the body after a pregnancy loss. Consuming non-inflammatory foods such as organic fruits and vegetables, health-promoting fats, and quality grass-fed animal products will help to rebuild the bodies nutrient stores.  Women who walk through miscarriage often need to replenish iron, vitamin C, folate, and other b vitamins. Focus on cooked leafy greens, pasture-raised eggs, quality meats and liver, wild-caught seafood, and citrus. We recommend drinking nettle tea and red raspberry leaf tea after a pregnancy loss to tone the uterus and help it return its non-pregnant state.

Rest

Rest is critical when recovering from a pregnancy loss from a physical and emotional standpoint. Ensure you get at least 8 hours of sleep each night to promote optimal restoration and repair. Give yourself space to grieve and process emotions before jumping back into your regular pace of life.

Exercise

Once physically recovered, many women find exercise helpful for boosting their mood and regulating hormones after a miscarriage. Connecting with your body through physical activity, rather than the sensations of loss, can be healing. Begin with walking, hiking, or another light activity.

Talk with Safe People

Whether it is a loved one such as a spouse, family member, or friend or a professional therapist, it is healing to talk through your experience and grief. Miscarriage is very common, but sometimes it feels isolating and taboo to talk about. Likely the most helpful conversations will be with other women who have gone through miscarriage. Finding a trusted therapist can also be enormously helpful. We often recommend EMDR therapy to help rewire negative brain pathways that have been established due to the trauma of pregnancy loss.  

Functional and Integrative Medicine

Sometimes there are clear reasons why a miscarriage would occur. In other circumstances, the cause is unknown. It is important to understand that miscarriage is never your fault! Getting evaluated by a functional or integrative doctor to assess hormone levels, thyroid function, nutrient status, blood sugar handling, underlying infections, or contributing genetic factors can be empowering in moving forward to future pregnancy. At Restorative, we would love to come alongside of you as a safe, understanding resource as you walk through healing from loss and beyond.

Miscarriage is a significant loss for any couple. The loss of life-no matter how small-is very great! Be encouraged to know that 75% of women who experience miscarriage go on to have healthy pregnancies.

Sources

https://www.mayoclinic.org/diseases-conditions/pregnancy-loss-miscarriage/symptoms-causes/syc-20354298

https://americanpregnancy.org/healthy-pregnancy/pregnancy-complications/signs-of-miscarriage/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610348/