[\/et_pb_accordion_item][et_pb_accordion_item title=”Afwachten” open=”off” _builder_version=”4.21.0″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n
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Over het algemeen kun je\u00a0een spontaan einde van de miskraam afwachten. Meestal komt een miskraam na het eerste bloedverlies binnen een aantal dagen op gang. Soms duurt dit langer, zelfs tot enkele weken.<\/p>\n
Voordelen van afwachten;<\/strong><\/p>\n\n- Het geeft een spontane miskraam een meer natuurlijk beloop.<\/li>\n
- Het verdriet kan thuis beleefd worden.<\/li>\n
- Eventuele complicaties van een curettage worden vermeden.<\/li>\n<\/ul>\n
Nadelen van afwachten;<\/strong><\/p>\n\n- Het kan emotioneel zwaar zijn. Bespreek met ons hoe lang\u00a0je wilt afwachten.<\/li>\n
- Soms vinden mensen het eng om een spontane miskraam thuis door te maken.<\/li>\n
- Door ruim bloedverlies of pijn of door een incomplete miskraam kan later alsnog een curettage nodig zijn.<\/li>\n<\/ul>\n<\/div>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”Medicijnen” open=”off” _builder_version=”4.21.0″ _module_preset=”default” global_colors_info=”{}”]Als de miskraam niet vanzelf op gang komt, kun je\u00a0ervoor kiezen om het met medicijnen op te wekken.
\nAls\u00a0je dit graag wil, dan wordt er een afspraak gemaakt bij een gynaecoloog. Na uitleg krijg je 2 soorten medicijnen mee. Het eerste medicijn bereidt de baarmoeder voor. Het andere medicijn (meestal vaginale tabletten) neem je 2 dagen later; dit medicijn brengt de miskraam op gang.
\nMocht de medicatie onvoldoende werken (de miskraam komt niet of onvoldoende op gang), dan kan er, afhankelijk van de situatie en in overleg, gekozen worden om af te wachten of om een curettage te verrichten.
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\nVoordelen van behandeling met medicijnen;<\/strong><\/p>\n\n- Naast afwachten, de meeste kans op een natuurlijk verloop.<\/li>\n
- Verdriet kan thuis beleefd worden.<\/li>\n
- Bij goed resultaat is er geen curettage nodig (85%)<\/li>\n<\/ul>\n
Nadelen van behandeling met medicijnen;<\/strong><\/p>\n\n- Soms vinden mensen het eng om een spontane miskraam thuis door te maken.<\/li>\n
- Als bijwerking van de medicijnen\u00a0kan misselijkheid en diarree optreden.<\/li>\n
- Het is mogelijk dat de miskraam met\u00a0de medicijnen\u00a0niet of slechts gedeeltelijk tot stand komt, waardoor er alsnog een curettage nodig kan zijn.<\/li>\n<\/ul>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”Curretage” open=”off” _builder_version=”4.21.0″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n
Bij een curettage verwijdert de gynaecoloog het zwangerschapsweefsel uit de baarmoeder. Hij doet dit via een dun buisje (vacu\u00fcmcurettage) of schrapertje (curette) via de vagina en de baarmoedermond. De curettage kan onder een roesje of onder algehele narcose plaatsvinden.\u00a0Meestal kun je\u00a0dezelfde dag weer naar huis.<\/p>\nVoordelen van een curettage<\/strong><\/p>\n
\n- Minder onzekerheid dan bij het afwachten.<\/li>\n
- Minder verstoring van het normale leven.<\/li>\n<\/ul>\n
Nadelen van een curettage<\/strong><\/p>\n\n- Een curettage is een medische ingreep.<\/li>\n
- Een zeldzaam voorkomende complicatie is het syndroom van Asherman: hierbij ontstaan verklevingen aan de binnenzijde van de baarmoeder. Deze kunnen de vruchtbaarheid nadelig be\u00efnvloeden en moeten door middel van een operatie in een later stadium worden verwijderd.<\/li>\n
- Een enkele keer komt een perforatie voor: het buisje of de curette gaat door de wand van de baarmoeder. Meestal heeft dit geen gevolgen, maar soms is het verstandig een extra nacht in het ziekenhuis te blijven. Vaak krijg je dan antibiotica.<\/li>\n
- Een andere complicatie is een incomplete curettage, waarbij een rest van de miskraam achterblijft. Dit gedeelte kan alsnog spontaan naar buiten komen, maar ook kan het nodig zijn hiervoor een tweede curettage te moeten ondergaan.<\/li>\n<\/ul>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”Herstel na een miskraam” open=”off” _builder_version=”4.21.0″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n
Het lichamelijke herstel na een miskraam is meestal vlot. Gedurende 1 tot 2 weken kan er nog wat vaginaal bloedverlies zijn, in het begin helderrood, later meestal wat bruinig. Tijdens dit bloedverlies is het raadzaam te wachten met vrijen, tampons te gebruiken of te gaan zwemmen.<\/p>\n
De volgende menstruatie kun je na ongeveer 4 tot 6 weken verwachten, maar het kan ook eerder of later plaatsvinden.<\/p>\n
Sommigen kunnen een doorgemaakte miskraam vrij goed naast zich neerleggen, anderen hebben daar meer tijd voor nodig; Een miskraam kan een zeer ingrijpende gebeurtenis waarna er tekenen zijn van een rouwproces. Een miskraam maakt een einde aan de zwangerschap, maar ook aan je verwachtingen en (nabije) toekomstbeeld. Een miskraam kan gepaard gaan met veel verdriet, teleurstelling, schuldgevoelens, boosheid, leegte en ongeloof. De verwerking van een miskraam doet ieder op zijn eigen manier. Hoe lang dit proces duurt is voor iedereen verschillend. Belangrijk is om er samen over te praten en het een plek proberen te geven.
Heb je het idee dat het niet lukt om de miskraam een plekje te geven, dan bespreek dit met ons. Samen kunnen we dan kijken hoe we je hierin kunnen begeleiden.<\/p>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”Een volgende zwangerschap” open=”off” _builder_version=”4.21.0″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n
In principe mag je meteen weer zwanger worden na een miskraam.
Veel mensen vinden het echter prettig om in ieder geval \u00e9\u00e9n menstruatie af te wachten. Op deze manier weet je ook hoever je zwanger bent als je opnieuw een positieve zwangerschapstest hebt.<\/p>\n
Een volgende zwangerschap verloopt in de meeste gevallen goed. De eerste periode zal echter wel spannend zijn, zou het deze keer wel goed gaan? Je kunt al vroeg in de zwangerschap contact met ons opnemen zodat we in een vroeg stadium een echo kunnen maken.<\/p>\n
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MiskraamDe eerste maanden van de zwangerschap is een kritische periode. Het vruchtje ontwikkelt zich en nestelt in de baarmoederwand. Helaas gaat dit niet altijd goed. Dan is er sprake van een miskraam. Een miskraam is het verlies van een niet-levensvatbare vrucht in de eerste periode van de zwangerschap. Het vruchtje kan om verschillende redenen afsterven […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"yoast_head":"\n
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