<unk> , also known in medical terms as a spontaneous abortion and pregnancy loss, is the death of an embryo or fetus before it is able to survive independently. Some use the cutoff of 20 weeks of gestation, after which fetal death is known as a stillbirth. The most common symptom of a<unk>  is vaginal bleeding with or without pain. Sadness, anxiety, and guilt may occur afterwards. Tissue and clot-like material may leave the uterus and pass through and out of the vagina. Recurrent<unk>  may also be considered a form of infertility. Risk factors for<unk>  include being an older parent, previous<unk> , exposure to tobacco smoke, obesity, diabetes, thyroid problems, and drug or alcohol use. About 80% of<unk> s occur in the first 12 weeks of pregnancy (the first trimester). The underlying cause in about half of cases involves chromosomal abnormalities. Diagnosis of a<unk>  may involve checking to see if the cervix is open or closed, testing blood levels of human chorionic gonadotropin (hCG), and an ultrasound. Other conditions that can produce similar symptoms include an ectopic pregnancy and implantation bleeding. Prevention is occasionally possible with good prenatal care. Avoiding drugs, alcohol, infectious diseases, and radiation may decrease the risk of<unk> . No specific treatment is usually needed during the first 7 to 14 days. Most<unk> s will complete without additional interventions. Occasionally the medication misoprostol or a procedure such as vacuum aspiration is used to remove the remaining tissue. Women who have a blood type of rhesus negative (Rh negative) may require Rho(D) immune globulin. Pain medication may be beneficial. Emotional support may help with processing the loss.<unk>  is the most common complication of early pregnancy. Among women who know they are pregnant, the<unk>  rate is roughly 10% to 20%, while rates among all fertilisation is around 30% to 50%. In those under the age of 35 the risk is about 10% while it is about 45% in those over the age of 40. Risk begins to increase around the age of 30. About 5% of women have two<unk> s in a row. Some recommend not using the term "abortion" in discussions with those experiencing a<unk>  in an effort to decrease distress. In Britain the term<unk> " has replaced any use of the term "spontaneous abortion" in relation to pregnancy loss and in response to complaints of insensitivity towards women who had suffered such loss. An additional benefit of this change is reducing confusion among medical laymen, who may not realize that the term "spontaneous abortion" refers to a naturally-occurring medical phenomenon, and not the intentional termination of pregnancy.
Miscarriage
Ectopic pregnancy
Recurrent miscarriage
Implantation bleeding
Stillbirth
Forced pregnancy
Dry sex
Pregnancy loss