When does the first period after miscarriage typically occur. How long does it take for hormone levels to return to normal after a miscarriage. What are common symptoms of the first period following a miscarriage. How can women manage pain and discomfort during their first post-miscarriage period.

Understanding Miscarriage: Prevalence and Impact

Miscarriage is a common but often unspoken aspect of reproductive health. According to the Mayo Clinic, approximately 10 to 20 percent of recognized pregnancies end in miscarriage. However, the actual number may be higher, as many women experience early miscarriages before they even realize they’re pregnant.

The physical and emotional toll of a miscarriage can be significant. While most people are aware of the psychological impact, the physical effects on a woman’s body are equally important to understand.

Physical Symptoms of Miscarriage

• Severe abdominal and lower back pain or cramping
• Vaginal bleeding with fluid and tissue
• Symptoms may last from a few days to several weeks

It’s crucial to differentiate these symptoms from normal pregnancy discomfort or typical menstrual periods. If you suspect you’ve had a miscarriage, consulting a healthcare provider is essential for proper diagnosis and care.

The First Period After Miscarriage: Timing and Characteristics

One of the most noticeable effects of a miscarriage is its impact on a woman’s menstrual cycle. The timing and nature of the first period after a miscarriage can vary significantly from person to person.

When to Expect Your First Period

Most women experience their first period four to six weeks after a miscarriage. However, this timeline can be influenced by various factors, including the duration of the pregnancy before the miscarriage occurred.

Why does it take several weeks for menstruation to resume? After a miscarriage, the body needs time for hormone levels to return to their pre-pregnancy state. The length of this process can vary, which is why the timing of the first period may differ among women.

Characteristics of the First Post-Miscarriage Period

The first menstrual cycle following a miscarriage often differs from a woman’s typical period. Common characteristics include:

• Heavier flow than usual
• Longer duration
• Increased pain or cramping
• Strong odor accompanying discharge

These differences are generally temporary and result from the body’s adjustment process. However, if these symptoms persist or are particularly severe, it’s advisable to consult a healthcare provider.

Managing Pain and Discomfort During the First Period

The first period after a miscarriage can be more painful than usual, and many women experience additional discomfort such as breast tenderness. Fortunately, there are several strategies to alleviate these symptoms.

Pain Relief Methods

1. Over-the-counter pain relievers such as ibuprofen (Advil) or acetaminophen (Tylenol)
2. Applying a heating pad or hot water bottle to the abdomen
3. Wearing a supportive bra without binding
4. Avoiding the use of tampons, which may cause discomfort
5. Abstaining from sexual intercourse, which could be painful during this time

Is it safe to use pain medication during the first period after a miscarriage? In most cases, over-the-counter pain relievers are safe and effective. However, it’s always best to consult with a healthcare provider before taking any medication, especially if you have any underlying health conditions or concerns.

Fertility and Contraception After Miscarriage

Understanding fertility and contraception following a miscarriage is crucial for women who may or may not be planning future pregnancies.

Return of Fertility

Ovulation can resume as soon as two weeks after a miscarriage, although it may take up to six weeks or more for hormone levels and the body to return to normal. This means that pregnancy is possible before the first post-miscarriage period occurs.

Contraception Options

It’s generally safe to begin using contraception immediately after a miscarriage. The choice of contraceptive method should be discussed with a healthcare provider, as some options may be more suitable than others depending on individual circumstances.

How long should couples wait before trying to conceive again after a miscarriage? While there’s no universal answer, many healthcare providers recommend waiting until after the first normal period to ensure the body has fully recovered. However, this can vary based on individual health factors and emotional readiness.

Emotional Recovery and Coping Strategies

The emotional impact of a miscarriage often outlasts the physical recovery. It’s a deeply personal experience that can evoke a range of emotions, including grief, anger, and self-blame.

Processing Grief

Allowing time to grieve is crucial for emotional healing. It’s important to recognize that there’s no “right” way to feel after a miscarriage, and everyone’s experience is unique.

Seeking Support

Talking about the experience can be beneficial for many women and couples. Support can come from various sources:

• Partner, family, and friends
• Support groups for those who have experienced pregnancy loss
• Professional counseling or therapy
• Online communities and resources

How can partners and loved ones best support someone who has experienced a miscarriage? Listening without judgment, acknowledging the loss, and offering practical help can be invaluable forms of support.

Understanding the Causes of Miscarriage

While the exact cause of a miscarriage often remains unknown, understanding potential factors can help alleviate feelings of self-blame and provide context for the experience.

Common Causes

• Chromosomal abnormalities in the developing fetus
• Maternal health conditions
• Hormonal imbalances
• Uterine or cervical issues
• Lifestyle factors (e.g., smoking, alcohol consumption)

It’s crucial to emphasize that in most cases, miscarriages are not caused by anything the woman did or didn’t do. They are often the result of natural processes beyond anyone’s control.

Risk Factors

While miscarriages can happen to anyone, certain factors may increase the risk:

• Advanced maternal age (35 years or older)
• Previous miscarriages
• Chronic conditions such as uncontrolled diabetes
• Certain infections
• Exposure to harmful substances

Can lifestyle changes reduce the risk of future miscarriages? While not all miscarriages are preventable, maintaining a healthy lifestyle, managing chronic conditions, and avoiding harmful substances can contribute to overall reproductive health.

Long-Term Considerations and Future Pregnancies

For many women and couples, thoughts about future pregnancies arise in the aftermath of a miscarriage. It’s important to approach this topic with sensitivity and armed with accurate information.

Impact on Future Fertility

Most women who experience a miscarriage can go on to have successful pregnancies in the future. A single miscarriage does not necessarily indicate an increased risk for subsequent pregnancies.

When to Try Again

The decision to try for another pregnancy is deeply personal and should be made based on physical recovery, emotional readiness, and medical advice. Some healthcare providers suggest waiting for one complete menstrual cycle before attempting to conceive, while others may recommend a longer waiting period depending on individual circumstances.

Preconception Care

Before attempting to conceive again, it can be beneficial to:

• Schedule a preconception check-up with a healthcare provider
• Address any underlying health conditions
• Begin taking prenatal vitamins
• Make any necessary lifestyle changes

How can women prepare emotionally for a subsequent pregnancy after a miscarriage? Acknowledging fears and anxieties, seeking support from healthcare providers and loved ones, and focusing on self-care can help in preparing for future pregnancies.

Understanding the physical and emotional aspects of miscarriage, including what to expect during the first post-miscarriage period, can help women navigate this challenging experience. While each person’s journey is unique, knowledge, support, and proper care are essential components of the recovery process. As research continues to advance our understanding of miscarriage and reproductive health, it’s crucial for women to have access to accurate information and compassionate care throughout their reproductive journeys.

What to Expect, Pain Relief, and More

One of the most visible things a miscarriage can affect is a woman’s first period afterward. As with abortion, miscarriage often may delay your first period afterward due to the increased levels of hormones in your system from pregnancy.

Usually, the longer a pregnancy has advanced, the less typical the first period after a miscarriage will be.

Most women who have miscarried have a period four to six weeks later. Your period may be heavier or more painful than usual, and you may notice a strong odor.

A miscarriage is the most common way to lose a pregnancy.

According to the Mayo Clinic, about 10 to 20 percent of all known pregnancies result in a miscarriage. But there are likely many more women who miscarry before they recognize signs of their pregnancy, such as a missed period.

Miscarriages are difficult experiences for expectant parents and the people around them, so many people are uncomfortable talking about the subject. But if you or someone you know has experienced a miscarriage, it can be helpful to stay informed.

Most people understand that a miscarriage can cause psychological trauma for expecting parents. But it also affects a woman’s body physically in different ways.

When you miscarry, your body tries to pass the contents of your uterus through your vagina. You’re likely to experience severe pain or cramping in your abdomen and lower back, and may begin to pass blood through the vagina with fluid and tissue.

Some or all of these symptoms may last as little as a few days or take a few weeks to stop.

A miscarriage is different from the occasional pain and spotting some women experience during pregnancy and their menstrual period, which aren’t causes for concern.

Many women who miscarry weren’t aware they were pregnant. If you’re not sure whether you’ve had a miscarriage, you can see your doctor to measure your levels of HCG.

HCG, or human chorionic gonadotropin, is a hormone that forms in the body during pregnancy to support fetal growth. If you’ve recently miscarried, it’s possible for a doctor to measure this hormone in your body.

If you’re healthy, you will have a period in four to six weeks. But you may notice your first period is different than normal. It may be:

• accompanied by discharge with a strong odor
• heavier than usual
• longer than usual
• more painful than usual

It can take a month or more for your body to fully recover from a miscarriage.

When you become pregnant, your body’s hormones undergo major changes. They need time to return to pre-pregnancy levels before your body has another period. So in the meantime, your periods may seem unusual.

The length of your first period after a miscarriage varies depending on how long you carried your pregnancy beforehand.

If your periods were irregular before you got pregnant, they often remain irregular after your miscarriage. So it’s possible it may take your body longer than four to six weeks to begin its next period.

Your first period after a miscarriage may be more painful than normal. You may also experience tender breasts. There are some things you can do to help deal with the discomfort. Some treatments include:

• abstaining from sex, which may be painful
• applying a heating pad or hot water bottle to your abdomen
• avoiding use of tampons, which may be painful
• taking ibuprofen (Advil) or acetaminophen (Tylenol)
• wearing a supportive bra without binding

It’s possible for your body to ovulate, or release an egg for fertilization, as soon as two weeks after a miscarriage. But it may take six weeks or more before your body and hormone levels return to normal.

Avoid having sex for two weeks following miscarriage to prevent pain and complications. It’s fine to begin using any type of contraception immediately after a miscarriage. Some require less time than others to recover from a miscarriage, especially if it happened very early in their pregnancy.

Doctors can’t always determine the cause, but often miscarriages happen because of problems with the baby’s development. A miscarriage also appears more likely if a woman has a genetic disorder, is 35 or older, smokes, drinks, takes drugs, or has an infection or physical problem in the uterus.

Most women who miscarry can go on to carry their next pregnancy to full term, if they choose to try again.

A miscarriage can be difficult on the mind and body. For expecting parents, a miscarriage can be an incredibly traumatic event. A woman may blame herself for the miscarriage, even though in most cases a problem with the fetus caused it.

Usually, the emotional healing of a miscarriage takes longer than the physical healing. You may feel angry and sad. It’s important to give yourself time to grieve, especially before trying to get pregnant again.

Because it can be difficult to talk to others and process your miscarriage, it can be helpful to know tips for coping. Some strategies that might help include:

• joining a support group for women who have miscarried
• reducing your stress with breathing exercises, meditation, and other relaxation techniques
• seeing a psychologist, psychiatrist, or reproductive counselor for support and help if you feel depressed
• taking extra time to rest and relax

Here are a few online resources where you can find support in the United States:

• Centering Corporation
• Compassionate Friends
• “From Hurt to Healing” booklet by the March of Dimes
• Journey Program of Seattle Children’s Hospital
• Share Your Story Community at March of Dimes
• Share Pregnancy and Infant Loss Support

There’s no right time to try for another pregnancy after a miscarriage. If and when you do feel ready, you can minimize your risks for another miscarriage by:

• getting regular exercise
• maintaining a healthy weight
• reducing stress
• sticking to a balanced diet
• taking folic acid to help the development of a baby’s nervous system
• quitting smoking

See your doctor right away if you think you have miscarried. It’s possible you will need to undergo a procedure to remove any remaining fetal tissue from your uterus.

Unless you have passed all the tissue, they may recommend you undergo a curette, called a D and C or dilation and curettage, which involves scraping the uterus with a spoon-shaped instrument called a curette. This reduces your risks of infection and will reduce the duration of any bleeding.

This procedure is done under general anesthesia, and usually you’re able to go home the same day.

You should seek emergency services if you experience any of the following symptoms, as they can be signs of serious infection:

• abdominal or shoulder pain that’s severe
• a very large amount of bleeding (soaking two pads an hour) or passing blood clots that are the size of golf balls
• chills or fever
• diarrhea or pain when trying to have a bowel movement
• dizziness
• fainting
• very strong-smelling vaginal discharge
• weakness

Whether your first period after a miscarriage seems unusual, you should have a checkup with your doctor within six weeks of your miscarriage. It’s important for your doctor to check that you have recovered and that your uterus has returned to normal size.

Call your doctor right away after your miscarriage and initial treatment if:

• you experience multiple periods that are more painful and heavier than normal
• your period never comes
• your periods are very irregular

A miscarriage can be traumatic for an expecting parent. After a miscarriage, it takes about a month for your body to adjust back to its normal state. During that time, you may experience an unusual first period, which is rarely a sign of a problem.

It often takes the body less time to heal than the mind. You may be filled with feelings of sadness, guilt, and anger that you need to process. So if you’ve miscarried, be sure to get both the medical and psychological support you need to heal fully whether you decide to try to get pregnant again.

Seeing a mental healthcare provider or joining a miscarriage support group may help you through the grieving process.

What to Expect with Your First Period After Miscarriage

Written by WebMD Editorial Contributors

In this Article

• Common Concerns

Miscarriage is not, as many people assume, a singular event that begins and ends at defined times. Some women describe both miscarriage and the ensuing recovery as a lengthy process that involves extended emotional and physical challenges.

The grieving associated with miscarriage can last several months. Physically, the first period after a miscarriage may be different from what you usually experience. It can be unusually heavy and cause more discomfort than typical menstruation or be unusually light but with severe emotional distress.

Unusual menstrual symptoms after a miscarriage can be alarming for those who don’t know what to expect. While these issues vary from one person to the next, the following concerns are especially common:

Late periods. Many women return to their regular cycle four weeks after having a miscarriage, but for some women, menstruation may be delayed even longer.

The timing for the first period after a miscarriage largely depends on when the miscarriage becomes “complete.” A miscarriage is complete when the uterus has shed all tissues from the pregnancy. This process can occur naturally, but a dilation and curettage (D&C) procedure may be required. In a D&C, the tissue is surgically removed from the uterus.

After a miscarriage, tissue fragments can remain in your uterus for days or even weeks. The remaining tissue can cause bleeding to pick up again after it appears to have tapered off. The sooner all placental tissue (source of nutrients and oxygen for a baby in the womb) is gone, the sooner your menstrual cycles will return to normal.

Women who were nearing the end of the first trimester or already in the second trimester at the time of miscarriage may take longer to return to “typical” menstruation due to elevated levels of a pregnancy hormone called human chorionic gonadotropin (hCG).

Heavy flow. Regardless of when your first period after miscarriage takes place, it is likely to be heavier than usual. Regardless of when your first period after miscarriage takes place, it is likely to be heavier than usual. The endometrial lining (lining of the inside of the uterus) may be thicker than usual and this may lead to a heavier flow. This can also cause your period to last longer than usual.

Some women experience menstrual clotting for the first time during their initial post-miscarriage period. This is normal and won’t necessarily continue for future periods. Pain as well as other menstrual symptoms, such as acne, food cravings, and tiredness, can also be more significant for the first few post-miscarriage periods.

Given the severity of post-miscarriage periods, some women choose to take a few days off of work to rest and recuperate.

Severe cramps can be managed with help from over-the-counter medications like ibuprofen or acetaminophen. You can also use a heating pad or hot water bottle to ease painful cramps. 

Light flow. While many women experience a heavier than usual flow after a miscarriage, others discover that their period is actually lighter. Despite this, other menstrual symptoms may still be more severe than usual. 

If you have an abnormally light flow after a miscarriage, monitor your cycle closely for a month or two. Contact your physician if your period still seems unusually light after this time.

While a light period is usually harmless after a miscarriage, it can sometimes be a sign of Asherman’s syndrome. This condition occasionally happens after a D&C and may involve scarring of the uterus.

Hormonal fluctuations. Many women also have major hormonal fluctuations during their first period after miscarriage. These fluctuations may lead to significant emotional distress and symptoms, which sometimes resemble postpartum depression. 

The hormonal changes from your first post-miscarriage period may contribute to mental health issues. Nearly one in five women may develop symptoms of major depression or anxiety after miscarriage.

Although many women find that their emotional distress eases significantly after the first post-miscarriage menstrual cycle, for some women, symptoms of depression and anxiety last much longer.   If these symptoms continue for more than a month or two after a miscarriage, they could be a sign of a larger problem and should be addressed as soon as possible. 

If you’re worried about your mental health after a miscarriage, consider tracking both emotional and physical changes and meeting with a physician six to eight weeks after the loss.

Physical readiness to conceive. The first real period after miscarriage signals that you are physically capable of getting pregnant again. If you don’t feel ready, emotionally or physically, to try for a baby so soon after your miscarriage, you may want to ask your doctor about birth control. 

Depending on the severity of the miscarriage, it may be preferable to wait for a few cycles before you try to get pregnant again. This provides more time for physical and emotional recovery and the opportunity to track ovulation. Keep in mind that getting an early period after a miscarriage doesn’t necessarily mean that you have ovulated already.

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Traps – Additional Rules | SRD 5.1 – D&D 5e

Traps can be found almost anywhere. One wrong step in an ancient tomb – and blades will fly out of the walls, cutting through both armor and bones. Innocent creepers that grow above the entrance to the cave can grab and choke those who want to pass through them. A net hidden under the canopy of trees can fall on adventurers passing under it. In a fantasy game, careless adventurers can fall and crash, burn to death, or be targeted by hundreds of poison darts.

The trap may be mechanical or magical in nature. The mechanical traps of include pits, arrow traps, falling boulders, water-filling rooms, spinning blades, and anything mechanically driven. Magic Traps are either magical devices or spell traps. Magic devices, when activated, generate the effect of a particular spell. Spell Traps are spells like Guardian Runes and Character which function as traps.

Traps in the Game

When adventurers encounter a trap, you need to know what triggers the trap and what it does, as well as how likely it is to be detected and disabled.

Trap Trigger

Most traps are triggered when a creature walks or touches something that the trap’s creator wanted to protect. Usually the triggers are a pressure plate or a false section of the floor, a rope will be pulled over the floor, a doorknob or the wrong key in the lock. Magic traps usually trigger when a creature enters a guarded area or touches an object. Some magical traps (such as spell Warding Runes ) can be triggered under more complex conditions, including the pronunciation of a password that prevents the trap from activating.

Trap detection and deactivation

Usually some part of the trap can be found with careful examination. Characters may notice a protruding stone slab that contains a pressure plate, a glimmer of light on a stretched wire, small holes in the wall from which flames can burst, or other signs of a trap.

The description of the trap specifies the checks and their DCs to detect, disable, or both. A character actively looking for the trap can make a Wisdom (Perception) check against the trap’s DC. You can also compare the detection DC to the passive Wisdom (Perception) scores of all characters to determine if any of the characters spotted the trap in passing. If the adventurers discover the trap before it goes off, they can try to disable it, either permanently or for a short period to safely bypass it. You can ask the character to make an Intelligence (Investigation) check to let the character know what to do, followed by a Dexterity check using thieves’ tools to perform the desired action.

Any character may attempt an Intelligence (Arcana) check to locate or disable a magical trap, in addition to any other checks listed in the trap’s description. The difficulty level is the same regardless of the type of validation used. In addition, Dispel Magic has a chance to disable most magic traps. Description of the magic trap grants the DC of an ability check made using dispel magic .

In most cases, the description of a trap makes it clear whether the characters can use their actions to detect or break the trap. As with so many other things, don’t let the dice ruin an interesting game and good plans. Use common sense and the description of the trap to determine what might have happened. No trap device can provide for all the options that the characters can take.

You must allow the character to detect the trap without an ability check if the action clearly indicates the presence of the trap. For example, if a character picks up a carpet that hides a pressure plate, he will find the trigger without checking.

Disarming traps is a bit more complicated. Consider a treasure chest and a trap. If opened without first turning the two handles, the mechanism within fires a hail of poisoned needles at those in front of it. After examining the chest and making several checks, the characters are still unsure if it contains traps. Instead of simply opening the chest, they place a shield in front of it and open it from a distance with an iron bar. In this case, the trap is triggered, but the spikes hit the shield powerlessly.

Traps are often designed with mechanisms to temporarily disable or bypass them. Sentient monsters that place traps in or near their lair must somehow exist near them without harming themselves. Such traps may have a secret lever that disables the trigger, or a secret door that allows you to bypass the trap.

Trap Effects

Trap effects can range from harmless to lethal, and can use arrows, spikes, blades, poisons, gases, fiery flashes, and deep pits. In the most dangerous traps, several elements are used at once to kill, injure, hold, or vice versa, drive away unwanted creatures. The description of the trap says what happens when it is activated.

The trap’s attack bonus, saving throw DC to resist its effects, and the damage it deals depends on the trap’s threat level. Use the two tables below to select values ​​for the three types of traps.

Traps that should inconvenience theoretically should not kill or seriously injure characters of the specified levels, **dangerous **traps can seriously injure (and even kill) characters of the specified levels. **Deadly**trap will most likely kill characters of the indicated levels.

Save DC against trap effects and attack bonuses (table)

Trap Danger	Save DC	Attack Bonus
Inconvenience	10–11	+3 to +5
Dangerous	12–15	+6 to +8
Deadly	16–20	+9 to +12 9 0061

Damage severity by levels (table) 91 -4

1k10 2k10 4k10 5-10 2k10 4k10 10k10 11-16 4k10 10k10 18k10 17-20 90 061

10k10 18k10 24k10

Complex traps

Complex traps act like normal traps, but when activated, they perform a certain set of actions every round. A complex trap turns the process of turning it off into a kind of battle scene.

When a complex trap is activated, it makes an initiative check. The description of the trap lists its initiative bonus. On its turn, the trap activates again, usually performing an action in the process. She can attack aliens, create effects that change over time, or create some other dynamic change. In all other respects, a complex trap can be detected and neutralized in the same way.

For example, a trap that fills a room with water is best represented as a complex trap. During the course of the trap, the water level will increase. After a few rounds, the room will be completely flooded.

Examples of traps

The magical and mechanical traps shown here differ in their degree of threat and are listed in alphabetical order.

Collapsing Ceiling

^{Mechanical Trap}

This trap uses a taut rope to break a stand holding a piece of crumbling ceiling.

Guy wire is 3 inches off the ground and strung between two support beams. The DC to detect the stretch marks is 10. A successful DC 15 Dexterity check using thieves’ tools disables the trap. A character without thieves’ tools can make this check with disadvantage using a sharp weapon or tool. On a failed save, the trap is triggered.

One who examines the supports can easily determine that they are barely holding in place. The character can use an action to push the prop, triggering the trap.

The ceiling above the rope is in poor condition and anyone who sees it can tell that there is a risk of it collapsing.

When the trap is triggered, the ceiling collapses. Each creature in the area under the wobbly ceiling must succeed on a DC 15 Dexterity saving throw, taking 22 (4d10) bludgeoning damage on a failed save, or half as much damage on a successful one. Once the trap is triggered, the floor below it fills with rubble and becomes difficult terrain.

Falling net

^{Mechanical trap}

In this trap, a stretched rope drops a net suspended from the ceiling.

The guy line is 7 centimeters above the floor and is stretched between two columns or trees. The network is masked by cobwebs or foliage. The Difficulty level for detecting the rope and net is 10. A successful DC 15 Dexterity check using thieves’ tools allows the rope to be cut safely. A character without thieves’ tools can make this check with disadvantage using a sharp weapon or tool. On a failed save, the trap is triggered.

When the trap is triggered, the net falls, covering a 10-foot square. Those in the area are restrained, and those who fail a DC 10 Strength saving throw are also knocked prone. Creatures can use their action to make a DC 10 Strength check, freeing themselves or another creature within range on a success. The UZ network has 10 and 20 hits. Dealing a web of slashing damage 5 (HD 10) destroys a 5-foot square, freeing the creatures there.

Fire Breathing Statue

^{Arcane Trap}

This trap is activated when an intruder steps on a hidden pressure plate, releasing a magical burst of flame from the statue. The statue can be anything, including a dragon or a wizard casting a spell.

DC of detecting a pressure plate, as well as small marks on the floor and walls, is 15. A spell or other effect that senses the presence of magic, such as detect magic , reveals the presence around the statue of the magic school of the Incarnation.

The trap is activated when more than 20 pounds of weight is placed on the pressure plate, after which the statue emits a 30-foot cone of fire. Each creature in the fire must make a DC 13 Dexterity saving throw, taking 22 (4d10) fire damage on a failed save, or half on a successful one.

Placing an iron spike or other thin object under the pressure plate will prevent the trap from activating. Successful dispel magic (DC 13) cast on the statue destroys the trap.

Pit

^{Mechanical trap}

There are four types of pit traps.

Simple Pit. A simple hole trap is a hole dug in the ground. The hole is covered with a large piece of cloth, fastened around the edges, and masked with dirt and debris.

Pit Detect DC is 10. Whoever steps on the cloth falls, pulling the cloth behind them, taking damage based on the depth of the pit (usually 10 feet, but can be deeper).

Hidden Pit. Such a pit is covered from above with a material identical to the surrounding surface.

A successful DC 15 Wisdom (Perception) check reveals the absence of footprints on the floor above the pit. A successful DC 15 Intelligence (Investigation) check reveals that a hole has been dug under that part of the floor.

If a creature steps on the surface above the pit, it opens like a trapdoor, knocking the intruder down. Usually the depth of such a hole is from 10 to 20 feet, but it can be deeper.

Once a trap has been discovered, an iron spike or similar object may be driven between the pit cover and the surrounding floor to prevent the cover from turning and to be walked over. The lid can also be kept closed by spell magic lock or similar magic.

Lockable pit. This trap is identical to the concealed pit, with one exception: the hatch covering the pit has a bolt. After the creature falls into the pit, the lid locks it inside.

Opening a hatch requires a successful DC 20 Strength check. The hatch can also be destroyed. A character in the pit can also attempt to disarm the locking mechanism with a DC 15 Dexterity check using thieves’ tools, provided the mechanism can be reached and the character can see. In some cases, the hatch is opened by a mechanism (usually hidden behind a secret door).

Pit with spikes. This is a simple, hidden or lockable pit with wooden or iron spikes on the bottom. A creature that falls into it takes 11 (2d10) piercing damage from the spikes, as well as normal fall damage. There are also more dangerous varieties when the thorns are covered with poison. In this case, whoever takes piercing damage from the spikes must also make a DC 13 Constitution saving throw, taking 22 (4d10) poison damage on a failed save, or half as much damage on a successful one.

Poison Darts

^{Mechanical Trap}

When a creature steps on a hidden pressure plate, darts tipped with poison are fired from pressurized or spring-loaded tubes in the wall. Multiple pressure plates can be placed on the terrain, and each will activate a different set of darts.

Tiny holes in the wall are covered with dust and cobwebs, or masked among the bas-reliefs and frescoes. The DC for detecting them is 15. A successful Intelligence (Investigation) check with a DC of 15 will reveal the presence of the pressure plates from the floor level fluctuations. Placing an iron spike or other thin object under the pressure plate will prevent the trap from activating. If the holes are plugged with cloth or wax, this will prevent the darts from flying out.

The trap is activated when more than 20 pounds of weight is on the pressure plate, after which four darts are fired. Each dart makes a +8 ranged attack against a random target within 10 feet of the pressure plate (visibility does not interfere with this attack roll).

Poison Needle

^{Mechanical Trap}

Poison Needle is hidden in the lock of a chest or other object. If you try to open the chest without the proper key, a needle will pop out, transferring a dose of poison.

When the trap is activated, the needle pops out 3 inches from the lock. A creature in the area takes 1 piercing damage and 11 (2d10) poison damage, and must succeed on a DC 15 Constitution saving throw or be poisoned for 1 hour.

A successful DC 20 Intelligence (Investigation) check allows a character to recognize the presence of a trap by altering the castle to accommodate the needle. A successful DC 15 Dexterity check using thieves’ tools disables the trap by removing the needle from the lock. An unsuccessful attempt to pick the lock also triggers the trap.

Rolling Sphere

^{Mechanical Trap}

If 20 or more pounds of weight is placed on the pressure plate of this trap, a secret hatch in the ceiling opens, releasing a 3m stone ball.

With a successful DC 15 Wisdom (Perception) check, the character can spot the hatch and pressure plate Searching the floor followed by a successful DC 15 Intelligence (Investigation) check reveals a height difference that indicates the presence of a pressure plate. The same check when examining the ceiling allows you to find a hatch. Placing an iron spike or other thin object under the pressure plate will prevent the trap from activating.

When the orb is activated, all creatures present make an initiative check. The orb makes an initiative check with a +8 bonus. On its turn, it moves 60 feet in a straight line. The orb can pass through creatures’ space, and creatures can move through its space, treating it as difficult terrain. When the ball enters a creature’s space, or a creature enters its space while the ball is rolling, that creature must succeed on a DC 15 Dexterity saving throw or take 55 (10d10) bludgeoning damage and be knocked prone.

The ball stops when it hits a wall or similar obstacle. It can’t go around corners, but smart dungeon builders make gentle turns to keep the ball rolling.

A creature within 5 feet of the orb can attempt to slow it with a DC 20 Strength check. On a success, the orb’s speed is reduced by 15 feet. If the speed of the ball decreases to 0, it stops and ceases to be a threat.

Annihilation Orb

^{Magic trap}

Magic impenetrable darkness fills the gaping mouth of the stone face carved into the wall. The diameter of the round mouth is 60 centimeters. Sounds are not heard from it, light cannot penetrate inside it, and all matter entering there is instantly destroyed.

A successful DC 20 Intelligence (Investigation) check reveals that the mouth contains an annihilation sphere that cannot be controlled or moved. Otherwise it is identical to the normal Annihilation Sphere .

In some variations of this trap, an enchantment is placed on the stone face to make certain creatures feel an irresistible urge to approach the mouth and crawl inside. This effect is otherwise similar to the feature of the dislike/sympathy spell. Successful Dispel Magic (DC 18) removes this spell effect.

Postoperative period after the installation of dental implants

Chief editor of the site:

Snitkovsky Arkady Aleksandrovich

Chief physician of professorial dentistry “22nd Century”, dentist, orthopedic dentist

Author of the article:

Scientific team of dentistry “22nd Century”

Dentists and, candidates and doctors of medical Sciences, professors

Dental implantation is a full-fledged operation and, like any other surgical intervention, causes certain protective reactions of the body in response to injury. Therefore The postoperative period is an extremely important stage in the successful implantation of teeth and can affect the timing of prosthetics . Therefore, it is very important to follow the doctor’s recommendations. This is due to the inevitable incision of the oral mucosa, which will be a kind of entrance gate of the infection until it is completely healed. Also, the mucous membrane becomes sensitive not only to external stimuli, but also to its own microflora.

Postoperative period after implant placement

Healing of the wound surface lasts an average of 7-10 days, but in each individual case, the time may vary. Dental implants The early postoperative stage (the first three days after the intervention) is accompanied by normal protective reactions of the body, which may increase during this period, but gradually disappear within a few days. Sometimes the process of installing implants is tolerated by patients more easily than the postoperative period of implantation, especially if it was accompanied by methods of increasing bone tissue in the area of ​​the operation – this is bone grafting or sinus lifting – raising the bottom of the maxillary sinus in order to create the necessary bone volume. In this case, in the first three days, edema may develop on the part of the manipulation, pain, fever, general weakness, and hematomas may appear. It is worth noting the importance of strict adherence to the recommendations given by the doctor. This will not only reduce discomfort, but also avoid possible complications.

Recommendations for dental implantation in the postoperative period

Recommendations given by the doctor after implantation of teeth or bone grafting may differ, be individual and depend on many factors, including the volume and nature of the surgical intervention, the characteristics of the patient’s body, the possible presence of concomitant somatic diseases, bad habits. There are general guidelines to follow to avoid complications that only your doctor can give. On the first day, it is recommended to apply cold every 30 minutes, it can be an ice pack wrapped in a napkin or cloth, this will reduce swelling. To relieve pain, the doctor prescribes painkillers and anti-inflammatory drugs . It is also possible to prescribe antibiotics. It is necessary to provide peace to the place of operation, the food should be soft and homogeneous, excluding hot and spicy.

It is very important to refrain from smoking and drinking alcohol, physical activity, flights, sauna visits. In the first days after the operation, you can not rinse your mouth intensively, only oral baths with an antiseptic are allowed, which the doctor will recommend. It is necessary to observe thorough oral hygiene not only in the postoperative period of implant installation, but also after prosthetics, the operation area cannot be touched. Blowing your nose is contraindicated, and sneezing should be done with caution, especially after sinus lift and bone grafting, in order to avoid rupture of the sutures, resumption of bleeding and trauma to the wound surface. In some cases, the doctor may prescribe nasal drops and sleep on high pillows. The success of the operation depends on the thoroughness of the patient’s compliance with the doctor’s recommendations. With any deterioration in the patient’s condition, self-medication is contraindicated, you should immediately consult a doctor.

Types of prosthetics on implants

Prosthetics on implants can be removable or non-removable. Clasp prosthesis Fixed prostheses can be in the form of single crowns or bridge structures and are fixed with dental cement or screws. Removable structures are used for complete edentulous and are fixed by special locks – spherical abutments or beams. This allows you to significantly reduce the volume of the prosthesis and improve its fixation due to the presence of anchor points – implanted implants.

There is also early prosthetics , which is carried out a few days or weeks after the implantation of teeth, delayed – after 3-6 months or immediate – immediately after implant placement.

Delayed prosthetics on implants

This is the most common implantation technique, as it has fewer risks when loading the implant. Indications can be either complete adentia or the absence of one or more teeth. Produced under classical two-stage implantation . In this case, the first stage is the installation of implants. Then, after 3-6 months, the second stage begins. This time is necessary for the healing of titanium screws and depends on many factors, such as bone density, the presence or absence of bone grafting or sinus lift, and so on. At the second stage, the implants are opened, the gum formers are fixed to them, and then the abutments, to which the future structures will be attached.

Early and immediate prosthetics

These methods allow to fix the prosthesis immediately or a few days after the operation. Indications can be either the absence of one or all teeth, sometimes it is possible even immediately after extraction. But these techniques also have certain risks associated with the development of micro-movement of the implant, which can lead to its integration with fibrous tissue instead of bone. In order to level them, it is necessary to achieve high primary stability of the screw and minimize the occlusal load on it. This can be achieved with the right choice of its type, determining the type of bone tissue and construct that will be partially or completely removed from the bite.

There are no absolute contraindications to early or immediate prosthetics, but it is worth considering factors that can serve as relative ones. This is a high chewing load, chronic, progressive periodontal disease, a small amount of bone in the area of ​​the upcoming operation, as well as its nature. If the cortical plate of the bone is thin, then sufficient primary stability will most likely not be achieved. It also includes bad habits, poor hygiene and not sanitized oral cavity.

The choice of one or another type of dental implantation and further prosthetics on installed implants should be based on the clinical picture, indications and contraindications, as well as on a thorough examination of the patient.