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Pregnancy Bliss | Reproductive Health Hub

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I have just had a miscarriage and I am so scared of getting pregnant again. Is there something I can do to make sure it doesn't happen again?
Pregnancy after a miscarriage can be a very anxious time, especially as there is no recipe that will guarantee a healthy pregnancy. Do remember, though, that you are more likely to have a healthy pregnancy than another miscarriage, even if you have had several losses.

Good care and support from your GP and perhaps an early scan can reduce anxiety and some research suggests that  care and support in themselves may be good for you and your baby.

In general it is a good idea to aim for a healthy diet and lifestyle both before conception and during pregnancy. Don't eat unpasteurised dairy products, such as Brie and Camembert, pâté or foods made with raw eggs. Ensure that meat is well cooked and fruit and salad vegetables thoroughly washed, and follow the Department of Health guidelines on taking folic acid. Try not to smoke and it is probably best to avoid alcohol, too, although an occasional glass of wine is not harmful.

I read in the paper that taking junior aspirin prevents miscarriage. Is this true?
Low-dose aspirin (75 - 100 mg), often combined with another drug called heparin, is proving to be an effective treatment for women whose miscarriages are caused by a particular disorder of the immune system (called antiphospholipid syndrome, or APS). It will not help in other situations, so don't take aspirin regularly unless it has been prescribed. If you have recurrent miscarriage, ask your doctor if you can be referred to a specialist centre for investigations.  The Miscarriage Association has an information leaflet on investigations following  recurrent miscarriages.

How long should I expect to bleed after a miscarriage?
This differs from person to person and from miscarriage to miscarriage.  If the miscarriage  happens naturally, the bleeding may last for a week to 10 days and there may be several days of heavy bleeding, with blood clots.  The bleeding usually reduces during this time.  If the bleeding increases, and/or if there is a discharge that looks or smells offensive, this may indicate an infection and you should contact your doctor. In some cases, especially if the miscarriage is removed surgically (an ERPC or D&C), bleeding may last for just  two or three days, or it may stop and start over a week or so.

Was the miscarriage my fault?
Miscarriage is rarely due to anything a woman or her partner did or didn’t do. Moderate exercise, sexual intercourse, work, air travel and working at a computer do not cause miscarriage.

Regarding  lifestyle, smoking has been associated with increased risk of miscarriage, but it is difficult to point to it as a direct cause. . There is increasing evidence that regular or binge drinking of alcohol  increases the risk of, but that’s not the same as saying that drinking alcohol might have caused your miscarriage.

Will bed-rest help prevent miscarriage?
There is no evidence that bed-rest will prevent an early  miscarriage.  Lying down may slow down or stop bleeding for a time, but when you get up to go to the toilet, blood that has pooled higher up will simply come away.  Bed-rest may, however,  be helpful for some women in the last few months of pregnancy