What awaits you
in our Miscarriages Special?
If you're reading this, you might be looking for support and answers. Miscarriages are a personal and often secretive issue, but one that affects many couples. On these pages, we want to give you the information you need now.
Bleeding during pregnancy can be a cause for concern. Here you can find out what the reasons may be behind this and which steps should be taken.
A miscarriage is very stressful. We'll explain the causes and what you can do to reduce the risk of another miscarriage after one or more miscarriages.
We'll help you get through the jungle of medical terms related to miscarriages.
Are you ready to learn more and support yourself on your personal journey? Then start our quiz now.
We offer you rapid, guideline-based diagnostics with individual, personal care from experienced reproductive doctors.
Understand, process, prevent
A miscarriage is more than a loss — it is a drastic event in the lives of expectant parents. The World Health Organization WHO defines it as the loss of a pregnancy from the onset of conception to 24 weeks of pregnancy or when the fetus weighs less than 500 g. In medicine, this is also referred to as “spontaneous abortion.”
We differentiate between early and late miscarriages. Early miscarriages that occur before the 12th week account for the majority of all miscarriages. Late miscarriages between the 12th and 24th weeks are rarer, but often even more emotionally stressful for the affected couples.
The diagnosis of “repeated spontaneous abortion” is made when there are three or more miscarriages in a row. In such cases, it is crucial to identify and treat potential causes through comprehensive diagnostics. Current medical guidelines recommend such diagnostics in some cases even after two miscarriages.
At Fertia, we specialize in offering you not only diagnostics, but also individually tailored treatment options. Our goal is to focus on you and your needs in order to pave the way for a successful pregnancy.
There are various terms that represent miscarriage diagnoses, each of which describes specific situations and may therefore sound familiar to you (you can find further terms in our glossary “Understand your doctor's letter”)
Here, the fetus has stopped growing and living, but there is no spontaneous bleeding from the body. The diagnosis is often made by ultrasound. The therapy can be a wait-and-see behavior, a drug procedure or even an operation (suction curettage/curettage). The attending physician will discuss this with you individually.
In this case, all embryonic or fetal tissue, as well as the placenta and egg membranes, is completely bled out of the uterus. No further therapy is therefore necessary.
The fetal and placental tissue is not completely bled off. Further therapy must be carried out here, but it may also be possible to simply wait and see first. The individual approach depends on various points: Is there pain, severe bleeding, how much time has passed since the miscarriage?
There are signs here that indicate an impending miscarriage, such as vaginal bleeding, but the cervix is still closed and the fetus is alive. The German, Danish and English guidelines recommend treatment with progesterone for women who already have a history of miscarriages, to support the pregnancy. Your doctor will discuss this treatment option with you and also assess whether it makes sense in your case. Studies have not conclusively clarified whether physical protection in the sense of bed rest is useful. Overall, it is recommended that you take it easy, but do not go to bed rest. If you carry out diagnostics with Fertia, you will receive treatment recommendations, which should serve as a guide in the event of another pregnancy.
In this case, the process of miscarriage has already begun, often with the opening of the cervix, but the fetus and placenta are still in the uterus. The reasons for miscarriage are varied and may include genetic peculiarities, hormonal disorders, problems with the placenta, or even immunological factors. In many cases, however, the exact cause remains unexplained. It is important to raise awareness that miscarriages are not preventable and are only very rarely the result of a mother's behavior. This point is crucial as many affected couples are plagued by feelings of guilt. Despite the medical incidence of miscarriages, the topic often remains taboo, which further increases the psychological burden for those affected. You should therefore find information and support here, and possibly also be able to start diagnostics!
The incidence of miscarriages is surprisingly high and is around 10-20% of all known pregnancies. These statistics only include pregnancies that have been medically confirmed; the number of unreported cases is significantly higher. Miscarriages are the most common, especially in early pregnancy, before the 12th week.
The risk varies in different weeks of pregnancy (see link to graph below) and falls from 6-10% in the 6th week of pregnancy to around 2% in the 12th week of pregnancy. From week 12, the risk of miscarriage is less than 1% — meaning 99% of pregnancies that are intact in week 12 don't end in a miscarriage!
It is important to note that these figures are general estimates and can be influenced by various factors, such as maternal age, presence of chronic diseases, quality of antenatal care, and other individual health factors.
Overcoming the taboo and offering support
The high incidence of miscarriages shows how important open discussions and access to medical and psychological support are. It is about creating a space for exchange and medical and psychological support. That is exactly what we want to achieve here with you!