Wednesday, 24 July 2019

Blighted Ovum-Missed abortion-Early pregancy loss.



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What You Should Know About Blighted Ovum, Miscarriage, and Future Pregnancies
What is a blighted ovum?
A blighted ovum is a fertilized egg that implants itself in the uterus but doesn’t become an embryo. The placenta and embryonic sac form, but remain empty. There’s no growing  foetal pole . It’s also known as Anembryonic   gestation or  anembryonic pregnancy.  Even though there’s no embryo, the placenta still produces human chorionic gonadotropin (hCG).. Blood and urine pregnancy tests look for hCG, so blighted ovum can result in a positive pregnancy test even though the pregnancy isn’t actually proceeding. Pregnancy-related symptoms, such as sore breasts and nausea, may also occur. A  blighted ovum eventually leads to miscarriage. It’s not able to turn into a viable pregnancy. What are the symptoms?
A blighted ovum sometimes ends before  one  realize  pregnant. When this happens, one may just think you’re having a heavier-than-normal menstrual period.
A blighted ovum may have the same symptoms associated with pregnancy, such as:
·         a positive pregnancy test
·         sore breasts
·         a missed period
As the pregnancy ends, symptoms may include those of miscarriage. These can include: vaginal spotting or bleeding, abdominal cramping, disappearance of breast soreness. Pregnancy tests measure hCG levels, so a blighted ovum can continue to result in positive test results before the tissues are passed.
What are the causes?
This condition isn’t caused by anything that you did or didn’t do, either during or before your pregnancy. The exact cause of blighted ovum isn’t known. It’s thought to be caused by chromosomal abnormalities occurring within the fertilized egg. This may be the result of genetics, or of poor-quality eggs or sperm. Blighted ovum may be linked to abnormalities within chromosome 9. If one have repeated blighted ovum pregnancies, consider about a chromosomal analysis of  embryos. One may be  at a significantly higher risk of blighted ovum than the general population if partner is biologically related to you.(consgaunity) A blighted ovum can occur so early that it goes unrecognized. However, many women who receive a diagnosis of this condition go on to have subsequent healthy pregnancies. It’s not clear if blighted ovum occurs most typically in first-time pregnancies or if they sometimes occur more than once. Most women who have a blighted ovum do go on to have successful pregnancies and healthy babies.
How is this diagnosed?
A blighted ovum is often discovered on the first ultrasound given during a prenatal appointment. The sonogram will show the placenta and empty embryonic sac. A blighted ovum usually occurs between the 8th and 13th weeks of pregnancy.
What are the treatment options?
If blighted ovum is discovered during a prenatal appointment, your doctor will discuss treatment options::=:
·         waiting for miscarriage symptoms to occur naturally
·         taking medication, such as misoprostol (Cytotec), to bring on a miscarriage
·         having a D and C (dilation and curettage) surgical procedure to remove the placental tissues from the uterus, The length of your pregnancy, medical history, and emotional state will all be taken into account when patient, her relatives  and  doctor are deciding upon a treatment option. Patient will be counseled about / /  discussed   the side effects and the standard risks associated with any type of medication or surgical procedure, including a D and C.
·         Emotional issues:-Even though there wasn’t a baby, there has been a loss of a pregnancy. Miscarriages can be emotionally difficult, and waiting for the pregnancy to end can take longer than anticipated. For this reason, some women decide to terminate surgically or with medication. Other women are uncomfortable with these choices and prefer to let the miscarriage happen on its own.
The concerned woman ,it is desirable that she should express her views freely to doctor  should not feel  uncomfortable with any of the options available to you.
Can this be prevented?
A blighted ovum can’t be prevented. If a woman has faced several such incidences then she can  talk & discuss freely about her raucous risked.  doctor should  be   repeatedly consulted. doctor about possible genetic causes and testing procedures, which might help you avoid it. One should communicate if she is  exposure to toxins in the environment. It may be linked to blighted ovum and miscarriage.
Are there any complications with future pregnancies?
No. Not at all but mental stress will be there possibly more than first ptregancu.  Just as with any miscarriage, your body and emotional well-being need time to heal. It’s important to remember that most women who go through a blighted ovum go on to have successful pregnancies.
How long to  wait  ?? Ans: all medl history to be accounted for. It’s typically recommended that you wait three full menstrual cycles so that body has time to recuperate fully and is ready to support pregnancy. During this time, she should focus on healthy lifestyle habits for her  body and mental health, such as:
·         eating well
·         keeping stress at bay
·         exercising
·         taking a daily prenatal supplement that contains folate
Having a blighted ovum once doesn’t mean  she will have destined to have another one. However, there are factors associated with this type of miscarriage that should preferably not discussed  to woman .This will add to her anxiety, But for educated woman doctor can inform the rare possibility of recurrence  about remote possibility of following factors :-. These factors include genetics, egg quality, and sperm quality. After 3-5 blighted ovum it is   recommended  that  following tets be implemented recommend testing for these types of conditions. Tests may include:
·         Perimplantation genetic screening (PGS), a genetic analysis of embryos that can be done prior to implantation into the uterus
·         semen analysis, which is used to determine sperm quality
·         follicle stimulating hormone (FSH) or anti-mullerian hormone (AMH) tests, which can be used to help improve egg quality

The specific cause of blighted ovum is unknown, but chromosomal anomalies appear to be a main factor. Having a blighted ovum doesn’t mean she will have another one. Most women who experience this go on to have healthy pregnancies.


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