第3133期:The US designates October as Pregnancy and Infant Loss Awareness Month.
A moment that is filled with both happiness and worry for future parents. 对准父母来说，这是一个既充满幸福又夹杂着担忧的时刻。 It's like we're having a baby. Social networks are filled with such videos. 我们要迎来一个新生命了。社交网络中充斥着这样的视频。 However, it's pretty hard to find stories from the other end of the spectrum: families talking about miscarriages. 然而，要找到另一个极端的故事却相当困难，即那些谈论流产经历的家庭故事。 Heather Hodnicki and her husband Joe, parents of a one-year-old boy, recorded this video when doctors told them Heather's second pregnancy is unlikely to be viable. Heather Hodnicki和她的丈夫Joe有一个一岁大的男孩，当医生告诉他们Heather的第二次怀孕不太可能成功时，他们录下了这段视频。 A hematoma formed around the fetus, and at nine weeks Heather had a miscarriage. 胎儿周围形成了血肿，到第九周时，Heather流产了。 Instead of closing up, she started a blog on Instagram, where she shares her difficult experience. 她没有封闭自己，而是在照片墙上开了一个博客，分享自己的艰难经历。 It was a loss of a little life, and then I would relate to it. As you know it was a little soul that was with me, and I saw a heartbeat on the monitor, and then that little soul was gone. 我失去了一个小生命，我对此感同身受。如你所知，那是一个曾陪伴着我的小灵魂，我在监视器上看到了心跳，接着那个小灵魂就消逝了。 So talking to other women took the taboo. I mean, I know it's something that's very taboo to talk about. 和其他女性谈论这个话题就成了禁忌，我知道这是一个禁忌话题， But in doing so, it made it easier for me to process the fact that it is a loss, and I am allowed to feel the emotions that I'm feeling. 但这样做让我更容易接受失去的事实，而且我也被允许去感受自己当下的情绪。 Out of every hundred pregnancies, about 10 to 15 end in miscarriages and a lot of women blame themselves. 每100次怀孕中，大约有10到15次会以流产告终，许多女性会自责。 Doctors say a miscarriage before the end of the first trimester usually means the embryo had chromosomal abnormalities. 医生表示，在妊娠前三个月内发生的流产通常意味着胚胎有染色体异常。 We've just gonna present next month a study on 55,000 patients that had miscarriages, and they had genetic testing on the miscarriage. 我们将在下个月发布一项关于55,000名流产患者的研究，并对流产组织进行了基因检测。 56 percent of the pregnancies that were lost were genetically abnormal. 在流产的孕妇中，有56%是基因异常。 Doctors say age plays a critical role. If a woman is in her 30s and has one or even two miscarriages, there can be a reason that is structural. 医生说年龄起着至关重要的作用。如果一个30多岁的女人流产了一次甚至两次，可能有一个结构性的原因。 In other words, like a fibroid, or can be immunological or homological, that could be a clotting disorder or an antibody, could be an infection, so there could be something that is really treatable. 换句话说，可能像纤维瘤一样，可能是免疫问题，也可能是同源的，可能是凝血障碍或者抗体问题，也可能是感染，有些病症是可以治愈的。 If a woman's in her 40s, then recurrent miscarriages are usually due to the eggs not being healthy, because when a woman's in her 40s, almost 90 percent of the eggs exit chromosomally abnormal. 如果一个女人40多岁，反复流产通常是由于卵子不健康，因为当女性到了40多岁时，近90%的卵子会出现染色体异常。 Doctors say that most women who have experienced a miscarriage will in time give birth to healthy babies, most of them without any special treatment. 医生们表示，大多数经历过流产的女性最终都会生下健康的宝宝，其中大部分无需任何特殊治疗。 I had a patient years ago. She came in and she was in her early 30s. She had 27 miscarriages and I said first I didn't believe her. 几年前我有个病人。她来就诊时，大约三十岁出头。她经历过27次流产，起初我不相信她。 I got all her records, went through them. They all had been documented. 我拿到了她所有的记录，仔细查看了一番。所有记录都已存档。 She had had most of the tests done and we completed the tests, and really in her case there were a few little things that were off but nothing major. 她已完成大部分检查，我们完成了剩余检查，就她的情况而言，确实有几个小指标异常，但并无大碍。 And after I got all her information, I said, "Can I ask you a question?" I asked her. 等我了解到她所有的信息后 ，我问她：“我能问你个问题吗？” I said, "I've been seeing patients with miscarriages for many many years. 我说：“多年来，我一直在接诊流产患者。 I don't even, I can't even imagine how you can think about trying to have another pregnancy after having 27 pregnancies and 27 miscarriages." 我简直无法想象，在经历了27次怀孕和27次流产之后，你怎么还会想着再去尝试怀孕。” And she said, "Dr Kutteh, I just know that. I'm gonna have a baby." 她说：“库特医生，我就是知道。我会怀上孩子的。” And I said, "Well, as long as you're willing to still have hope and continue trying that, I'm willing to do everything that I can to help you." 我说：“只要你愿意仍然抱有希望并继续努力，我愿意尽我所能帮助你。” And she eventually, with her next pregnancy, did have a pregnancy. 最终，她再次怀孕时，确实成功受孕了。 Three months ago, Heather gave birth to a healthy baby girl. 三个月前Heather生了一个健康的女孩。 Like many other women who have gone through a miscarriage experience, she calls her daughter a rainbow child, and baby Willow unknowingly helps her mom heal very fast. 和其他许多有过流产经历的女性一样，她称自己的女儿为“彩虹宝宝” ，而小薇洛在不知不觉中帮助妈妈很快地治愈了心灵创伤。 It's always emotional thinking about that baby that we lost. 一想到我们失去的那个孩子，总是让人感慨万千。 The best advice that I can give to women who are going through something similar is to reach out to your friends, reach out to your family, possibly reach out to your doctors, to see if they can give you any advice on who to turn to, who to talk to. 我能给有类似经历的女性的最好建议是：向你的朋友求助，向你的家人求助，也可以向你的医生咨询，看看他们能否给你一些建议，告诉你该向谁求助、该和谁倾诉。 Definitely, you know, talking it out with anybody I find helps. 当然，我觉得和任何人把事情说出来都有帮助。
