If we were to list the things you can do during the recovery phase after a miscarriage;
Drink plenty of fluids.
Take a break from work for a few days.
Try to sleep, eat healthy foods you love, and take vitamins.
Use the medications given to you regularly and completely.
Do not exercise for 2 weeks.
Do not swim in the pool or take a tub bath for 2 weeks.
Do not lift weights over 3 kilograms for 2 weeks.
Do not put tampons in the chamber and do not douche for 2-4 weeks.
Avoid sexual intercourse for 2-4 weeks.
After a miscarriage, especially 2 weeks after the abortion, you will have the potential to become pregnant because ovulation may occur. Therefore, do not have sexual intercourse until you feel physically and emotionally ready or decide on pregnancy plans with your partner. Get help for a birth control method that suits your plans.
If you have a miscarriage after 9 weeks or more of pregnancy, you may experience breast milk discharge. This is a sad but swollen condition caused by pregnancy hormones and is seen after the pregnancy ends. The breasts may be tense, swollen and there may be a milky discharge from the nipple. A tight bra or tight breast bandage can be used to prevent milk discharge, and with this application without using medication, milk discharge should stop after 1-4 weeks. During this period, breast tenderness and high fever may develop, and a breast infection (mastitis) may develop. In this case, you should consult your doctor. However, you may need to use medication after the miscarriage to prevent milk discharge.
You may be called for a check-up 1-2 weeks after the miscarriage. During this check-up, it is checked whether there is an infection, especially in the uterus. It is checked whether the healing process is going well. It is checked whether the cervix has closed. The cervix should have closed after 2 weeks or so. After it is seen that the cervix has returned to its normal state, swimming, bathing in a tub, and intercourse become safe. If the cervix has not returned to its normal state, an infection may occur due to the spread of bacteria to the uterus and upper genital system. Pain, bleeding, and tissue damage may occur due to this infection. In addition, during this check-up, it is checked whether there is any miscarriage material left in the uterus. If there is, it is called incomplete miscarriage. In this case, an abortion may be necessary.
Physical findings that you should pay attention to after a miscarriage are as follows:
If you have a high fever of 38℃ or higher that has not responded to medication and has persisted for 48 hours, call your doctor.
Your vaginal bleeding after a miscarriage may continue for 3 days to 5 weeks. There should be no heavy bleeding. The bleeding should gradually decrease. Grape-sized clots may be seen, but if you have a peach or orange-sized clot, you should call your doctor as it is a cause for concern.
The type of bleeding is important. The bleeding should gradually become darker. Light red bleeding is an indication of active new bleeding and you should inform your doctor. In this case, if you are actively working, rest yourself and lie down with your feet up. Inform your relatives about your condition.
If you experience cramps and pain that are more severe than during your heavy menstrual cramps and medications are not relieving the pain, inform your doctor.
If you have foul-smelling vaginal discharge
If there is swelling and tenderness in the abdomen
If pregnancy symptoms persist
If there has been a change in your bowel and urinary habits, especially if you do not feel your bowel movements.
If there is blood in the stool and urine
If there is nausea, vomiting and weakness
If you have heavy vaginal bleeding, call your doctor, inform your relatives, and if you feel very unwell, do not forget to call an ambulance.
14- Postabortal syndrome (meaning post-miscarriage syndrome) is a condition characterized by severe cramp-like pain that prevents the uterus from returning to its previous state due to the accumulation of bleeding in the uterus due to tissue and clots blocking the cervix after miscarriage. This condition is also called postabortal hematometra due to the accumulation of bleeding in the uterus. It can develop immediately after the miscarriage or it can be seen a few days later. Therefore, inform your doctor if you have complaints such as pain, nausea, vomiting, diarrhea, and sweating on top of cramp-like, i.e. menstrual pain that comes and goes and gets stronger. Treatment can be provided by aspiration after intrauterine ultrasound.
15- If you had a curettage and an intravenous access was established after a miscarriage, if there is bleeding from the areas where the intravenous access was established in the following period, call an ambulance immediately and inform your doctor. This is important as it may be a symptom of disseminated intravascular coagulation disorder.
16- Most miscarriages are safe and can be uncomplicated. However, if you have any of the above-mentioned complaints or if you feel unwell, do not hesitate to inform your doctor.
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