Will I have a miscarriage?

When bleeding happens, it is frightening. "Am I losing the baby?" is bound to be the biggest fear in early pregnancy. Bleeding in early pregnancy does not usually mean miscarriage, but it can be one of the early signs that the pregnancy is not going well. "How can I tell what is going to happen?" There are two different ways to investigate bleeding in early pregnancy. When bleeding happens very early, hormone levels can be measured and followed to help determine if things are going well. HCG and Progesterone levels can be checked in your blood, and if the level of progesterone and the increase in HCG levels is normal, your pregnancy is probably doing well. HCG levels in early pregnancy should double about every three days. "When can we see the baby on sonogram?" The pregnancy sac can be seen before the baby. When HCG levels are greater than 1500, Dr. Daum should be able to see the sac with transvaginal sonograms. If the sac is not visible at this hormone level, the possibility of an ectopic (tubal) pregnancy must be considered. If the sac is seen in the uterus, the baby and a heartbeat should be able to be seen by about 6 1/2 weeks from the last period. Seeing the heartbeat usually means that things will be OK. "How will I know the danger is over?" When the baby's heartbeat is seen, everyone can breathe a little easier. Miscarriages usually happen before 10 weeks of pregnancy, and are very unusual after 12 weeks. When bleeding happens and the heartbeat is there, more frequent sonograms may be done to make sure the baby is growing normally. When bleeding stops and the pregnancy reaches 9 to 10 weeks, usually the danger is past. "Why do miscarriages happen?" Most early miscarriages happen because something went wrong with the combination of the sperm and the egg. The majority of first trimester miscarriages contained an abnormal number of chromosomes. Normal pregnancies have 46, but miscarried pregnancies may have 45, 47, broken chromosomes, or completely duplicated sets. Health problems and severe illness can be related to miscarriage, but are not common. Most losses are random events and not related to your feelings, stress, or physical activity. Unless you have had multiple miscarriages in a row, your risk of miscarriage in your next pregnancy should not increase. Have faith, things should go well next time.

Patient Education

Mirena IUD

Mirena IUD's are plastic devices that fit inside your uterus and provide contraception. They have several advantages. First they are very effective with greater than 99% prevention of pregnancy.  The stem of the Mirena contains levonorgestrel, a part of many popular birth control pills. Second, once inserted, they are almost... Read More

Abnormal Pap Smear - Now What?

Many women will have an abnormal pap smear result at some point in their life. If you have had an abnormal pap smear, you will generally need to have a follow up pap smear within 6 months.  Potential results of a follow up pap smear are: - Your follow up pap smear... Read More

Influenza

Pregnant women are more likely to get seriously ill from the flu. Get your flu shot.   You should get vaccinated as soon as you finish the first trimester. (12 weeks). You will not get the flu from a flu shot. Any side effects you get are generally limited to soreness... Read More

Having your baby at Methodist Mansfield

Methodist Mansfield is a great place to have your baby. Dr. Daum delivered the first baby at Methodist Mansfield on December 26th, 2006. Since that day the hospital has grown, but retains the small hospital feeling that many women enjoy. The NICU is now considered a level III A nursery,... Read More

Hereditary Cancer Syndrome Screening Information

Anyone can be at increased risk for cancer based on their family history. This is especially true for certain types of cancers such as: breast, ovary, colon, endometrium (uterine), pancreas, and melanoma. The more unusual the timing of the cancer (early age onset) or prevalence within a family, the higher... Read More

Essure Tubal Sterilization

There has been a good bit of advertising recently about the Essure method of tubal sterilization. Essure is not new, and has been on the market for a number of years. The Essure method of sterilization  requires placement of a device in each tubal opening, where it opens into the... Read More

Insurance

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