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Should I be worried? Thank you for Subscribing Our Housecall e-newsletter will keep you up-to-date on the latest health information. Please try again. Something went wrong on our side, please try again. Show references Kilpatrick SJ. Initial evaluation and management of pregnant women with major trauma. Accessed Dec. Brewin D, et al. Women's perspectives on falls and fall prevention during pregnancy. American College of Obstetricians and Gynecologists. Month 6. It is one of those conventions you may have seen in movies: A pregnant woman falls down a flight of stairs and ends up in critical condition.
But, are situations like this merely cinematic drama, or can miscarriages really happen after a fall? The simple answer is that, yes, trauma can lead to the unfortunate loss of pregnancy. The actual risk is largely influenced by the stage of pregnancy and the severity of the accident. The female body is built to withstand a certain amount of bumps and bruises when carrying an embryo or fetus. However, certain circumstances or conditions increase the likelihood of miscarriage loss within the first 20 weeks or stillbirth loss after the first 20 weeks following an injury.
Generally speaking, a fall during the first trimester is not as likely to lead to miscarriage. During the first trimester, the uterus has a thick wall and is protected by the bones in the pelvic girdle. In the second trimester, a high volume of amniotic fluid surrounds the baby, offering added protection as well.
As pregnancy progresses, the uterus stretches and grows larger in size. By the third trimester, the uterus has a thin wall and the baby is positioned in a prominent area.
Blunt trauma in the third trimester is more likely to cause a placental abruption where the placental lining is separated from the uterus. Unfortunately, falling is more common in the third trimester. As your belly grows, your center of gravity shifts forward, making it harder to stay balanced. Pregnancy hormones, specifically the hormone relaxin, can also make you feel unsteady on your feet. Relaxin is produced by the body to relax the ligaments in the pelvis and to soften and widen the cervix in preparation for delivery.
The reason? Falls are common when you're pregnant, and chances are everything will be okay with both you and your baby. But be sure to talk to your practitioner to tell him or her about the spill and confirm that everything is fine.
If you've taken a more serious fall, you might suffer from sprains, broken bones or other issues, but your doctor will be able to give you a proper diagnosis and the right course of treatment if that's the case.
It's also completely normal to worry about the baby or about falling again, but try not to stress too much. At every stage of pregnancy, your belly is meant to withstand some pretty tough circumstances in order to protect your baby. For one, your little bundle is surrounded by shock-absorbing amniotic fluid and a muscular uterus, plus sturdy membranes and your abdominal cavity which is made up of muscle and bones.
It would take a severe accident for any blow to penetrate beyond all those protective layers and affect your baby.
In the first, the uterus is well-protected by your pelvis and often shielded from trauma. There are a lot of reasons why pregnancy — particularly the third trimester — may trip you up. For one, your growing belly shifts your center of gravity forward, making it harder for you to stay upright, especially on uneven surfaces like a sidewalk curb. This hormone will be a good thing for you eventually, because it enables the joints and connective tissues in your pelvis and cervix to stretch during delivery — making it easier for you to push your baby out.
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