The Truth Behind Miscarriage: Debunking Common Misconceptions
Introduction
Miscarriage, the loss of a pregnancy before 20 weeks of gestation, is a common experience for women throughout all generations. Despite advancements in medical technology, there are still many misconceptions and myths surrounding miscarriage that can lead to unnecessary emotional stress and long-term health issues for those who experience it.
In this blog, we will address and dispel these five big misconceptions to raise awareness and aid in the physical and mental recovery of those who have experienced a miscarriage, with the goal of helping women rebuild their health and regain a positive mindset during their pregnancy journey.
No. 1 Myth: Miscarriage is rare and uncommon.
Miscarriage is often not discussed openly in society, leading many to believe that it is a rare or abnormal occurrence in pregnancy. However, statistics show that approximately 1 in 3 confirmed pregnancies end in miscarriage, and the rate is even higher when including unconfirmed pregnancies. This high rate of miscarriage highlights that it is a common and normal experience for many women and families. Because of this misconception, those who have experienced a miscarriage may feel ashamed or uncomfortable talking about it, leading to feelings of failure, inadequacy, and stress.
If society viewed miscarriage as a common and normal life event in pregnancy, it would create a more open and supportive environment for those who have experienced it. Women would feel more comfortable sharing their experiences, raising awareness, and supporting one another. This would allow them to navigate their unique journey in a more positive and understanding environment.
No. 2 Myth: Miscarriage is preventable.
While having a healthy lifestyle is important for a normal pregnancy and healthy baby, many studies have shown that the majority of miscarriages are caused by genetic chromosomal disorders. Adopting healthy habits such as avoiding foods that may contain Listeria, cutting down on sugar, salt, tea, and coffee, and avoiding smoking, illicit drugs, alcohol, and harmful chemicals can lower the risk of miscarriage, but it will not prevent it if the cause is chromosomal abnormalities. Women over 35 are at a higher risk for chromosomal abnormalities, but even younger women can be affected.
The American College of Obstetricians and Gynecologists recommends Non-Invasive Prenatal Screening tests (NIPS) for all women, regardless of their age or risk of chromosomal abnormalities. The most advanced test is Chromosomal Microarray Analysis (CMA), which can detect common genetic chromosomal disorders such as Trisomy 13 disorder (Patau syndrome), Trisomy 18 disorder (Edwards syndrome), Trisomy 21 disorder (Down syndrome), and monosomy disorders such as Turner syndrome and Klinefelter syndrome. If both parents opt for NIPS, they can get a more clear picture of potential genetic risks, but it is important to fully understand the tests and be prepared for any further action and responsibility for the results.
A small percentage of miscarriages are due to non-genetic issues, such as maternal cervical dysfunction, gynecological anatomic issues, severe infectious diseases, autoimmune diseases, and stress, anxiety, and depression, living in an unhealthy, abusive relationship or poverty can also increase the risk of miscarriage. Early medical attention can help prevent recurrent miscarriages in the future if the cause is non-genetic.
No. 3 Myth: Once you have had a miscarriage, you will most likely get it again.
From a biological perspective, every baby is formed by the union of a sperm and egg cell in the mother's fallopian tube, resulting in a combination of genetic information from both parents. Most early pregnancy losses are caused by chromosomal genetic abnormalities, making it unlikely for the same pregnancy to occur again.
However, the psychological trauma of a miscarriage should not be underestimated. Many women expect to have a normal pregnancy, but miscarriage is a common experience. Miscarriage can cause physical symptoms such as vaginal spotting or bleeding, abdominal cramps, and pain, as well as psychological trauma, feelings of powerlessness, stress and anxiety. These negative emotions can persist long-term and can lead to mental health issues such as anxiety disorder and major depression, and even physical conditions such as cardiovascular diseases and autoimmune disorders.
It's important to note that each pregnancy is unique, and the risk of recurrent miscarriage is unlikely if both parents are healthy.
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No. 4 Myth: Transvaginal ultrasound scans and cervical Pap smear tests should be avoided in pregnancy as they can cause a miscarriage.
Doctors often use transvaginal scans to confirm early pregnancies. The procedure involves a probe being inserted into the vagina, and while it may be uncomfortable and mildly invasive, there is no evidence that it harms the baby or increases the risk of miscarriage.
Additionally, they may recommend a cervical Pap smear test as part of routine prenatal care. This test involves the doctor examining the cervix and collecting a sample of cervical cells for testing.
Some women may experience light spotting after the test, but it is unlikely that the procedure causes a miscarriage. It's important to note that miscarriages are common, with 1 in 3 confirmed pregnancies ending in miscarriage.
It is possible for a woman to experience symptoms of a miscarriage after a transvaginal ultrasound or cervical Pap smear test and subsequently lose her baby, but it is more likely that the miscarriage was coincidental and not caused by the procedure.
No. 5 Myth: Women should take responsibility for miscarriage.
Pregnancy is a unique and different experience for every woman, despite the fact that it may be from the same parents. Each baby is created from different sperm and egg and carries a unique set of genetic elements. While it is common for expectant mothers to aim for optimal outcomes in childbirth, miscarriages can occur due to genetic issues and are not the fault of the mother.
There are many misconceptions surrounding pregnancy and childbirth in society. Some people believe that certain physical activities such as running, jumping, sexual intercourse, or prolonged computer work can cause miscarriages. Certain ancient cultures also believe in the balance of Yin and Yang in the body and food, dictating what pregnant women should eat, drink, wear and do. They believe that pregnant women should avoid certain Yin (cold) foods to maintain balance in the uterus and avoid miscarriages. However, these beliefs can be harmful as they may lead to nutritional deficiencies and neglect the health of both mother and baby.
Additionally, some superstitions suggest that pregnant women should not reveal their pregnancy until the second trimester and should avoid any physical movement, lifting, or relocation during pregnancy, which is not backed by any scientific evidence. It's important for pregnant women to consult with their healthcare provider and follow their advice regarding nutrition, physical activity, and other aspects of pregnancy care.
Many cultural and traditional beliefs surrounding pregnancy and childbirth can restrict the freedom and autonomy of pregnant women, leading to increased anxiety and stress. When a miscarriage occurs, it is not uncommon for women to blame themselves and feel a sense of shame, failure, and guilt. These negative emotions can have negative impacts on a woman's overall health and well-being. Studies have shown that prolonged stress and anxiety can lead to a variety of health issues, such as cardiovascular disease, high blood pressure, stroke, and hormonal imbalances.
It is important to note that modern science has shown that the majority of miscarriages are caused by genetic chromosomal abnormalities, and the unborn baby is well protected by the mother's body, especially in early pregnancy. Engaging in physical activity for health benefits is safe for the baby and will not cause a miscarriage. Miscarriage is never the fault of the woman. It is crucial for women to understand this and empower themselves and others to live their lives with joy, free from the psychological burdens of a miscarriage.
Conclusion
In conclusion, this blog has addressed five main common misconceptions about miscarriage. These misunderstandings have been prevalent throughout human history, but it is important to understand that we live in the 21st century, where human evolution is constantly evolving, not just from a biological perspective but also from a holistic one - connecting body, mind, and spirit. This holistic approach to pregnancy and childbirth empowers women to build a healthy body, maintain a positive mindset, and be prepared for future pregnancies.
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