Pregnancy & Baby 
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Getting pregnant after miscarriage

by Dr Howard Lee
continued from page 1

Coping with the grief

You never forget the experience of losing a baby. As well as the grief, your body will undergo some profound hormonal adjustments, which may make you feel emotionally vulnerable and volatile.

Although it's difficult, it may help to tell family or close friends how you feel. If you'd like to talk to other couples who have been through a miscarriage, you can log on to our message board or get in touch with local support groups in your area by contacting the Miscarriage Association: www.miscarriageassociation.org.uk Helpline: 01924 200 799 (Mon-Fri 9-4pm, then answer phone).

Each woman will have her own way of handling the situation, but the days and weeks following a miscarriage can be extremely difficult. A sense of shock, grief, depression, fatigue or failure may set in.

Some couples feel isolated and withdrawn, others want to talk about their loss. But remember that not everyone is going to understand your emotions. To outsiders it may just be 'another miscarriage'.

Is it important to wait before trying for another baby?

Some couples decide that they want to begin trying for another pregnancy right away; others feel that they need time to get over their loss. It's up to you.

Many health professionals suggest that you should wait between three and six months after a miscarriage before trying to get pregnant again - most recommend that you have at least one normal period.

Research suggests that the risk of miscarriage in the next pregnancy is about one and a half times higher if you don't allow yourself one normal cycle before you try again.

However, don't worry if you find yourself pregnant again before you have a period.

The risk of further miscarriages

Having a miscarriage does not necessarily mean that you have a fertility problem. Most women go on to have healthy pregnancies later. Even after repeated miscarriages (three or more in a row) you still have a 70-80 per cent chance of carrying another pregnancy to term.

Unfortunately, if you had a miscarriage that was associated with an ectopic pregnancy, there is a 20 per cent risk that a further pregnancy could become ectopic and this may affect your fertility.

How to prepare for pregnancy after a miscarriage

  • Take regular exercise
  • Eat a healthy diet
  • Try to keep your weight within reasonable limits
  • Lower your alcohol intake
  • Reduce your intake of high-caffeine drinks, such as coffee
  • Stop smoking
  • Take folic acid to help the development of your baby's nervous system
  • Avoid any unnecessary medication
  • Rest as much as possible during the first few weeks of pregnancy

Easier said than done - but try not to get over anxious

Stress is known to release certain chemicals in the brain that can interfere with the production of your normal pregnancy hormones.

If you're worried, talking to others who have had similar problems does help, so log on to our message board and share your feelings.

Above all, try to remember that most couples that have a miscarriage go on to have a healthy baby.



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