Prepare for pregnancy after a miscarriage should not only the woman herself, but her partner. What should be remembered and what should each partner do if the couple decided to become happy parents, especially if the preparation for pregnancy is carried out after the miscarriage?
If, up to this point, no research has yet been conducted to determine the blood type of a man and a woman, their Rh factor, the first step is precisely this. If a woman has a positive Rh factor, and a man is negative, then everything is in order, there is no cause for concern. If, on the contrary, a woman shows negative Rh factor, and her man - positive, then there can be a Rh-conflict. That is why it is desirable for women before the pregnancy to make a blood test to detect antibodies to the Rh factor. This is due to the fact that if before the pregnancy a woman had surgical operations (abortion, childbirth, blood transfusion, etc.), then there is a possibility that antibodies were formed in the woman's blood. If a woman with a negative rhesus wears a child with a positive Rh factor, then there is a risk of developing immune complications (eg, hemolytic disease). To prevent complications, antiresus gammaglobulin is injected into the pregnant woman's blood.
The next step is the delivery of tests for hepatitis B and C, HIV, viral and infectious diseases (toxoplasmosis, chlamydia, human papillomavirus, cytomegalovirus infection, herpes (first and second type), rubella and others), Wasserman's test (syphilis diagnosis ).
In time, an undetected, chronic or untreated bacterial or viral infection is the main cause of miscarriage. As practice shows, such common diseases as thrush, bacterial vaginosis, which are sometimes considered not very serious, can seriously complicate the course of pregnancy. Even if there is no direct exposure to the fetus by the infectious process, the development of chronic endometritis is possible; In addition, autoimmune and endocrine disorders can occur, which cause various deviations in fetal development, while the embryo may die.
At the third stage, you should undergo a medical genetic examination. It is necessary to evaluate the immune and interferon status. It has been established by science that the system of interestolone is responsible for the resistance of the organism to viral infections. Interferons are produced by human cells in response to an infection that has entered the body. They block only viral RNA, thereby preventing the virus from multiplying and spreading. Thus, during the preparation for pregnancy this property of interferons is successfully used.
Another common cause of abortion is the immune response of the body. Autoimmune reactions are directed to their own body tissues. The number of antibodies after spontaneous abortions is very often increased, as autoimmunization occurs to the hormone HCG (human chorionic gonadotropin), which is produced during pregnancy by the placenta. Also, the number of antibodies increases after endocrine diseases, with chronic infection, with autoimmune diseases (eg, lupus, rheumatism, myasthenia gravis, and others). That is why it is very important to be examined for immune status when planning pregnancy after a miscarriage.
If one of the couple has a common disease that is not related to childbearing, for example, endocrine diseases, oncological, liver, heart or kidney disorders, etc., it is advisable to consult with specialists in this field when preparing for pregnancy. It is necessary to undergo the necessary examinations to understand the degree of damage to the diseased organ, the body's ability to adapt to the state of pregnancy, the prognosis of fetal development. Based on the results, the specialist determines the level of general health and appoints, if necessary, appropriate preparation for conception. The risk of miscarriage will be minimized.