It's also known as a silent miscarriage or silent abortion. Not all women whove had a miscarriage require a D and C. But if a woman experiences heavy bleeding and/or signs of infection, surgical intervention may be required. When you are experiencing a miscarriage, you may also notice the following symptoms: a discharge of fluid from your vagina. Diarrhea is normal. What are the signs of early miscarriage? A Group Leader is a What to Expect community member who has been selected by our staff to help maintain a positive, supportive tone within a group. kellyrn9956 member. Current Obstetric & Gynecologic Diagnosis & Treatment Ninth Ed. Many women go on to have successful and healthy pregnancies. It is natural to want to, A pregnancy that ends on its own within the first. However, if your bleeding worsens and becomes heavier or does not settle then you may be offered alternative treatment. Unless you are extremely unwell, the first steps are usually: You can read about the treatment of ectopic pregnancy and more here. You can also get cramps in the early weeks because your womb is stretching and growing. During the first trimester, the most common cause of miscarriage is chromosomal abnormality meaning that something is not correct with the babys chromosomes. Last Updated: July 12, 2022 A miscarriage is most likely to occur in the first 13 weeks of pregnancy. While you can expect some spotting, bleeding, or cramping, there are some symptoms you should call your doctor about immediately. Hi doc, is it normal yo have diarrhea after miscarriage. Once you're at the doctor, they will likely do an ultrasound to see if the fetus is developing properly. After a dilation or curettage (D&C) , a miscarriage for which you had to take medication or a medical termination of a pregnancy (if these are legal in your state) Mild cramping for a few days after the procedure Light bleeding for a few days after the procedure Nausea Diarrhea After a vaginal stillbirth This means that you are physically capable of getting pregnant again immediately. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. A miscarriage is the loss of a fetus during pregnancy. Stomach pain might be due to an upset tummy or constipation. Although diarrhea is not directly a symptom of miscarriage, it can increase the chances of a miscarriage if not treated in time. These are the 5 main signs and symptoms of miscarriage. Toward the end of pregnancy, your body releases prostaglandins that help soften the cervix. is this a sign of a miscarriage or can this be normal? They can give you reassurance and advice for the next time. Know that your period may resume the following month. Ive had it on and off throughout this pregnancy so far. By using our site, you agree to our. Symptoms of miscarriage When present, common signs of a miscarriage, or that a person is about to miscarry, include: 2 Abdominal cramps Abdominal pain Vaginal bleeding Discharge of fluid or tissue from the vagina Loss of the common early signs of pregnancy, such as nausea and breast tenderness [1] It might start weeks after getting to the new environment or even during the journey. i have had diarrhea for two days with heavy cramping. or are due to a problem at the time that the zygote went through the division process. Diarrhea causes you to lose vital nutrients from the body. Diarrhea. A blood -clot-like material, or a gush of clear or pink fluid that passes from the vagina. X You may not have expected pregnancy to affect your mouth. Policy. At 12 weeks, you should be concerned if you have vaginal bleeding and belly cramps together. Experiencing a miscarriage doesnt mean that youll never get pregnant again. When it lasts just a few days, diarrhea typically is related to an infection (usually gastroenteritis) or eating something that upsets your stomach. If you had a late miscarriage, your breasts might produce some milk. Diagnosed with a miscarriage and am waiting for it to happen. I did have diarrhea with my pregnancy, but it started weeks before I miscarried. My doctor wanted me to have a natural one., Dont Miss: What To Take For Constipation From Tramadol. Especially in the first trimester, about 60% to 70% of miscarriages are due to the chromosomes not lining up right, Dr. Berkowitz says. Just because it's called a "miscarriage" doesn't mean you did something wrong in carrying the pregnancy. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. There are signs that indicate a pregnancy loss rather than a late period, even at this early date. Do you mean ab incomplete misscarriage where you are coninuing to bleed? no longer experiencing pregnancy symptoms, such as feeling sick and tender breasts (although these symptoms may lessen or go away after the first trimester) Any illness/infection that produces prolonged diarrhea or debilitation can induce pregnancy loss. The reasons for miscarriage are varied, and most often cannot be identified. Genetic disorders in the fetus. But my previous pregnancy in October ended at 6 weeks (we thought we were 10 weeks). Decrease in. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. If persists you should see your doctor. The main goal of treatment during or after a miscarriage is to prevent hemorrhaging and infection. Note that once you confirm, this action cannot be undone. the disappearance of other pregnancy symptoms, such as breast soreness or morning sickness. Diarrhea is a bowel movement which is loose, or frequent or both. Viruses such as rotavirus, entorivus, and hepatitis can be the cause of severe diarrhea once present in the gut. If youve had a positive pregnancy test and are concerned that you may have lost your baby, contact your doctor. Even if youre certain you had a miscarriage, its important to see your doctor. The American College of Obstetricians and Gynecologists, Ch. Signs and symptoms associated with diarrhea (loose, watery stools) may include: Abdominal cramps or pain Bloating Nausea Vomiting Fever Blood in the stool Mucus in the stool Urgent need to have a bowel movement When to see a doctor If you're an adult, see your doctor if: Your diarrhea persists beyond two days with no improvement You May Like: Why Does Lettuce Give Me Diarrhea. However, constipation pain in pregnancy may be a sign of something serious. Ways that we can help. But things like working, exercising, having sex, or morning sickness do not cause miscarriage. If so, the ultrasound will also let the doctor see if it is developing properly. This can add to feelings of distress and disbelief, and may lead to feelings of guilt. Your doctor may recommend avoiding tampons or engaging in intercourse during this time. Diarrhea in itself will not cause a miscarriage. c clsc92 Feb 11, 2018 at 10:20 AM So I actually asked about this at my first appointment. Basically, youre going to see what you want to see. That said, heavy bleeding is a common sign of miscarriage. It's normal. The research on the effects of alcohol, tobacco, and caffeine is unclear. While at it to do the following to help reduce diarrhea. After a miscarriage, you may experience a roller coaster of emotions, as, After a miscarriage, making the decision to try for another pregnancy can be difficult. Today I woke up feeling fine, ate some lunch and literally 15-min later for no reason had severe diarrhea and horrible cramps. A miscarriage is defined as the spontaneous loss of a fetus before it is viable, which in the United States is the 20th week of pregnancy. Taking the tissue with you may seem strange, but the doctor will be able to test it to confirm whether it was fetal tissue. Diarrhea may be a symptom of miscarriage, but having diarrhea will not cause a miscarriage. I told me doctor and she literally laughed and said, it's all those hormones. Learn how to cope with the depression associated with miscarriage. diarrhea during miscarriage T Ttcfaithfully May 17, 2012 at 2:54 AM Is it normal to have diarrhea when u r miscarrying. I had pain in my lower abdomen., When I went to the restroom, I saw that there was a lot of blood on my underwear. This article was medically reviewed by Lacy Windham, MD. Although debatable, some even consider green poop as an early sign of pregnancy, due to the hormonal changes involved. The color of the blood can range from pink to red to brown. Check in with your doctor to determine the best treatment option to reduce dehydration and duration of illness. Heres how to decide when to share the news of your, A miscarriage is the early loss of a pregnancy before the 20th week of pregnancy. This usually stops bleeding, though its okay to have light spotting and cramps for a few days after. If your doctor notices that you are bleeding at six weeks, he/she will monitor if your HCG is rising or not. The doctor will likely do an ultrasound to see if the fetus is visible in your womb. Not if its just spotting, says Ob/Gyn Kathleen Berkowitz, MD. Cravings in pregnancy might cause you to divert specifically to some foods which might have a better taste. The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. Cramping pain, diarrhea, and nausea also can happen. Williams Obstetrics Twenty-Second Ed. Practicing good food hygiene. Planning Your Pregnancy and Birth Third Ed. If you have any of these symptoms, go to the emergency room right away for treatment. We use cookies to make wikiHow great. A missed miscarriage, sometimes called delayed miscarriage, is when your baby has died in the womb but you haven't passed the pregnancy tissue yet. We strive to provide you with a high quality community experience. A threatened miscarriage is when you are showing signs that you may be about to miscarry. Symptoms and signs of miscarriage. Nausea, vomiting, diarrhea and stomach pain everytime i eat slightly less than 2 weeks following a miscarriage, could that be a sign of infection? A Group Owner is a member that has initiated the creation of a group to connect with other members to share their journey through the same pregnancy & baby stages. For more advice, like how to lower your risk for having a miscarriage, read more from our Medical co-author. You can also ask any questions about your miscarriage at this time, including the results of any pathology tests. Avoid all street drugs if you are pregnant or attempting to become pregnant. The risk of miscarriage increases for women over the age of 35. Though many women blame themselves for a miscarriage, in the majority of cases, it has nothing to do with what you did or didnt do, assures Dr. Berkowitz. 2. If this is positive then you will need to see your doctor for an assessment. Often, the embryo doesnt divide and grow properly. Its also an event thats more common than you think. I was having constipation for 4-5 days then all of a sudden I'd have diarrhea and cramps. Diarrhea is a first-week pregnancy symptom. Diarrhea can also be caused by a virus, bacteria, or parasite due to the weakened immune system during pregnancy. I had a natural complete miscarriage 6 days ago. Do not take any medications, even over-the-counter medications or herbal remedies, without first consulting your doctor. Other factors that could cause a miscarriage include: Your doctor may know what caused your miscarriage, but sometimes the miscarriage cause is unknown. If youve had multiple miscarriages, your doctor may perform tests to determine if you have medical conditions or abnormalities. These could indicate a post-miscarriage infection or hemorrhage. It can be difficult to diagnose ectopic pregnancy. Find out more about stomach pain in pregnancy. Next, she does an ultrasound to check for possible causes of the bleeding, such as a fibroid or an abnormality in the uterus. Many women who have had a missed miscarriage don't know it until they go in for a routine prenatal appointment, when an ultrasound or Doppler reading shows no fetal cardiac activity. can h pilory cause miscarriages? March 2012. a medical history, where youre asked about symptoms, other pregnancies etc.. During the coronavirus pandemic, this is most likely to be over the phone in the first instance, so you should contact: your nearest Early Pregnancy Assessment Unit or Emergency Gynaecology Unit or, blood tests, sometimes repeated over several days and perhaps, a keyhole examination done under a general anaesthetic. No, but: Diarrhea in itself will not cause a miscarriage. It is the most common type of pregnancy loss. The bleeding may come and go over several days. 2. If your bleeding and pain settle then you should perform a pregnancy test after three weeks. a discharge of tissue from your vagina. Same thing happened to me. random diarrhoea, then I had a scan a few weeks later when I thought I was meant to be 8 weeks and I was only 6 weeks and it had no heart beat. only to find out a week later at another scan that it hadnt grown and now that you say about the diarrhoea it happened around the 6 week mark ?? Loose stools could mean your body is preparing for delivery. Other factors that could cause a miscarriage include: Your doctor may know what caused your miscarriage, but sometimes the miscarriage cause is unknown. Our Ob/Gyn explains what you need to know. Most women who miscarry go on to have healthy pregnancies afterwards. I will say when I did miscarry, I had diarrhea within about an hour of passing the sac, after I had already been bleeding for a few days. Is constipation a symptom of pregnancy? However, sometimes miscarriages are associated with increase in chemicals called prostaglandins in th No it is not normal. Thats why Dr. Ruiz compares looking at diarrhea as an early sign of pregnancy to trying to read tea leaves. Cleveland Clinic 1995-2023. One vital step is to get as healthy as you can before conceiving to provide a healthy atmosphere for conception to occur. This represents any pregnancy that ends on its own in the first 20 weeks of gestation. If the body does not expel all the tissue, the most common procedure performed to stop bleeding and prevent infection is a dilation and curettage, known as a D&C. Women under the age of 35 yrs old have about a 15% chance of miscarriage, An increase in maternal age affects the chances of miscarriage. It is the most common type of pregnancy loss. You have pain. It shows a slightly brownish or red blood clot. If you miscarried the first time you became pregnant or after already having a child, your chances of having a normal pregnancy the next time around are 90 percent or higher, Hoskins said. Mild stomach pain in early pregnancy is usually caused by your womb expanding, the ligaments stretching as your bump grows, hormones, constipation or trapped wind. I am only going for my first scan on Tuesday. If you have diarrhea, its important to drink plenty of fluids and to call your provider right away if you notice these signs of dehydration: Fatigue, weakness, dizziness, or lightheadedness. Other causes for the symptoms of miscarriage include: Other complications of pregnancy, which may also produce some of the symptoms associated with miscarriage, include: You May Like: What Does It Mean When You Keep Having Heartburn. Here are other possible causes of nausea, diarrhea and bloating in the first weeks of pregnancy, or even any other time. Pregnancy can be such an exciting time, but with the great number of miscarriages that occur, it is beneficial to be informed about all potential miscarriage symptoms. A pregnancy that ends on its own within the first 20 weeks of gestation is called a miscarriage. You may wish to find a support group, such as Share Pregnancy and Loss Support. You may also develop nose bleeds. is this normal? Policy. Dehydration and malabsorption can be serious complications of diarrhea. Somewhere around 5% of couples who experience recurrent miscarriage will be found to have this misalignment.. Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. Please whitelist our site to get all the best deals and offers from our partners. 14. And waiting is tough.. An early pregnancy loss is known as a miscarriage. By signing up you are agreeing to receive emails according to our privacy policy. Talk to your doctor about your concerns. I have symptoms of what you were talking about here. Cunningham, F. Gary, et al, Ch. Once the tests come back, the doctor can tell you whether or not you are miscarrying, and what kind of miscarriage youre experiencing. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. While bleeding is a common symptom associated with miscarriage, there are other symptoms that can occur, too. The most common symptoms indicating diarrhea or related to diarrhea include loose and watery stools an urgent need for a bowel movement abdominal pain or cramping feeling gassy or bloated nausea having blood in your stool fever. The, A chemical pregnancy is an early pregnancy loss that occurs shortly after implantation. Miscarrying at a medical facility like a hospital, surgery center, or clinic, involves a D and C procedure. I wouldn't worry! Cleveland Clinic is a non-profit academic medical center. Dr. Windham attended medical school at the University of Tennessee Health Science Center in Memphis. You may hear your health care provider mention types of miscarriages: Understanding early fetal development and first-trimester development can give you a good idea of what is going on with your pregnancy, and help you know what your health care provider is looking for when there is a possible miscarriage occurring. There are several types of miscarriages and they all may have different miscarriage symptoms. In the first month of pregnancy, the developing embryo is the size of a grain of rice so it is very hard to see. But it's not the only sign. Expectant management may not be offered if you have had a miscarriage in the past or if you have a bleeding disorder or any evidence of infection. You may decide that you would prefer to have a definitive treatment rather than taking this approach. Diarrhea in early pregnancy sign of miscarriage. When a miscarriage occurs very early, the tissue may look like a small blood clot. One sign of pregnancy that absolutely shouldn't be ignored is pain, especially in your abdomen. If you have any concerns about any pains youre having, or even if you just feel like something is wrong, contact your midwife. Its usually because the chromosomes simply didnt line up right and that isnt under anyones control. Talk to your doctor if youre concerned about your role in a miscarriage, advises Dr. Berkowitz. Many pregnant women experience vaginal and/or pelvic pressure. It is completely normal in a healthy pregnancy. Or it may look like a . Pregnancy tissue will be passed along with . Bethesda (MD): National Library of Medicine (US); [updated 2006 Feb 23]. Advertising on our site helps support our mission. They include: vaginal bleeding or spotting. With these symptoms it is difficult to determine what the problem is without an exam. I will be going for an ultrasound tomorrow. Often, the embryo doesnt divide and grow properly. When Is the Best Time to Announce Your Pregnancy? A pregnant person should seek medical attention at the first sign of a suspected miscarriage. Try to avoid changing your diet drastically make gradual changes. Now I'm sure I have had a, "I missed my period last month, I started bleeding heavily and cramping as well. Unfortunately, because most of these miscarriages are chromosomal misalignments, we simply dont have any treatment to fix them or prevent them from happening, Dr. Berkowitz says. Sometimes it may feel like a strong tugging-like sensation inside, as if something is being pulled. This allows your uterus to heal and ideally prepare itself for another healthy pregnancy. Find support and information here. Dirty water may not only cause diarrhea but also mild to severe. Diarrhea is known to commonly occur during pregnancy due to a variety of factors. Diarrhea in Early Pregnancy With an early miscarriage, the tissue may look like a blood clot mixed with grey-white material. 7 Many women get diarrhea while theyre pregnant and continue to have a healthy pregnancy. Last medically reviewed on December 14, 2018. ", "It helped me out with my baby, thank you.". The chances you will miscarry usually drops at 6 weeks compared to the fourth and fifth weeks of pregnancy. This could take up to a month. Being over the age of 35 puts you at a higher risk for miscarriage because chromosomal abnormalities are more common with age. Diarrhea during pregnancy is one of the unfortunate discomforts that may be experienced. Healthline Media does not provide medical advice, diagnosis, or treatment. If you have chills and a fever, it could be a sign of an infection. Also Check: Loose Stool After Eating Salad. wikiHow marks an article as reader-approved once it receives enough positive feedback. Early miscarriages are most commonly diagnosed using a combination of tests, including: While you may experience diarrhea and nausea as signs of early pregnancy, it is not a good idea to presume that the cause is implantation. In most cases the remains of your pregnancy are passed out naturally and the bleeding will stop within a few days after this, although can take up to 14 days to occur. Your blood will be drawn for type and crossmatch so that a blood . Once a fetuss heart rate is established (around six to eight weeks), the risk of a miscarriage goes down significantly. And as long as youre not bleeding or cramping, youll typically have your first ultrasound around 12 to 14 weeks. now i'm bloated, spotting with clots with light bleeding, clear discharge, headache & diarrhea? We do not endorse non-Cleveland Clinic products or services. Does anyone else experience these types of absolute random diarrhea? You will probably have your next period in 4 to 6 weeks. Doctors typically provide answers within 24 hours. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. 3. But there are a small number of women who will go on to have multiple miscarriages. Thats not something thats likely to continue happening pregnancy after pregnancy for most people, but its much more common if youre over the age of 35., The second most common cause is having another medical condition such as diabetes, accounting for around 5% to 7% of miscarriages, says Dr. Berkowitz. Read Also: Does Peanut Butter Give You Heartburn. Your post will be hidden and deleted by moderators. bleeding that carries on and doesn't settle down. You can wait to see if your body passes the remaining tissue on its own. They will conduct several exams to determine if a miscarriage has occurred. This results in fetal abnormalities that keep your pregnancy from progressing. I am so worried about this as it feels so similar and out of the blue as the last time when it didnt end so well. Get a dental checkup early in your pregnancy to make sure your, exposure to environmental hazards like radiation or toxic chemicals, a cervix that opens and thins before a baby has had enough time to develop, taking medications or illegal drugs known to harm a baby. Your doctor may do a pelvic exam to see if your cervix is opening. If you think you are having a miscarriage, get medical help immediately. It's terrible to go through, but now I know for future pregnancies what to do and not do. Allow your vaginal tissues 2 weeks to recover. Complications may include: Pregnancy chills accompanied by a fever could also signal more serious medical conditions that affect only pregnant women, such as preeclampsia or chorioamnionitis. I was having constipation for 4-5 days then all of a sudden I'd have diarrhea and cramps. Its normal to be worried about other symptoms too. Working in jobs that do not raise your risk of being exposed to environmental toxins, infectious agents, chemicals, or radiation. Miscarriage symptoms and signs: stomach pain. This is called expectant management. I am currently 8 weeks pregnant and previously had a miscarriage at 6 weeks. Pathology tests are sometimes performed after a miscarriage, but usually, no cause can be identified. ", http://www.nlm.nih.gov/medlineplus/ency/article/001488.htm, https://www.nichd.nih.gov/health/topics/pregnancyloss, https://www.pregnancybirthbaby.org.au/what-happens-after-miscarriage, https://my.clevelandclinic.org/health/diseases/9688-miscarriage, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6513446/, reconocer las seales de un aborto espontneo, Riconoscere i Segni di un Aborto Spontaneo, reconnaitre les symptmes d'une fausse couche, Mengenali TandaTanda Keguguran Kandungan. A complete miscarriage occurs when all of the fetal and pregnancy tissues are expelled. The diagnostic tests to confirm a miscarriage and possible treatment options will depend on the type of miscarriage a person is having. When this is the case, a woman may choose to miscarry at a medical facility or at home. You might be afraid that you did something that caused your miscarriage. However, doctors agree that a miscarriage is rarely caused by anything the mother did or didnt do . Re: diarrhea pre-miscarriage? Spontaneous abortion: Risk factors, etiology, clinical manifestations, and diagnostic evaluation. 15. The length of time a miscarriage lasts varies from woman to woman, as do the risk. Maternal digestive conditions such as inflammatory bowel disease and irritable bowel syndrome often lead to chronic diarrhea. Bleeding is the most common sign of early miscarriage. Stomach pain woke me this morning and besides heavier bleeding I have awful diarrhea. I just learned that cramps and. There are several types of miscarriages and they all may have different miscarriage symptoms. [2] It felt like I was about to get my period. I'm 9 weeks pregnant and have had diarrhea for the past 3 days. Your first period should occur within four to six weeks. If this happens to you, make an appointment with your obstetrician or a fertility specialist to be evaluated. Signs of miscarriage can include tissue, fluid, or clumps of blood coming out of your vagina, spotting, strong cramping, fever, chills, and back pain. Welcome to my pregnancy. 4. If you are bleeding so much, your doctor will quickly evacuate your womb to prevent further blood loss. Lacy Windham, MD, is a Board-Certified Obstetrician & Gynecologist in Cleveland, Tennessee. My body seems to go one way or another with both pregnancies.. Im either super constipated or have the poops. If you have any of these symptoms, go to the emergency room right away for treatment. This results in fetal abnormalities that keep your pregnancy from progressing. An early sign of a miscarriage is bleeding and cramps in the stomach. It can be devastating to experience a miscarriage in your second trimester. The diarrhea may be watery or bloody and can last for several days. Chemical pregnancies may account for 50-75% of all miscarriages. The previous time I had a sudden onset of diarrhea (for absolutely no reason, I am very cautious with food and hygiene) 1.5-day before my miscarriage. This diagnosis is likely if your cervix has opened, and your uterus is contracting to expel the fetus. An incomplete miscarriage is when you miscarry but some of the fetus or placenta is not passed out through your vagina. You may see discharge the color of coffee grounds, or near black, during a miscarriage. If diarrhea occurring during early pregnancy isnt the result of an illness or health condition, theres really not much you can do other than ride it out until your body adjusts to the hormone shifts. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Sometimes they say that the computation is probably off, but in our case, on both occasions, the doctor told us on the second visit that the embryo is too small for its age., She wasnt surprised anymore when she felt a sharp pain in her lower abdomen a few weeks later. The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. You can learn more about how we ensure our content is accurate and current by reading our. Early miscarriage refers to loss of a pregnancy in the first trimester. If your doctor does say youre having a miscarriage, your symptoms may persist for anywhere from one to two weeks. such as premature labor or miscarriage. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment. Its not uncommon to experience depression after the sudden loss of a pregnancy. If youre experiencing diarrhea due to a health condition such as Crohns disease, speak to your health care specialist about ways to manage this situation. This involves removing any tissue from the pregnancy. Bowel Problems. 2005-2023 Healthline Media a Red Ventures Company. This hormone multiplies every 48 72 hours if pregnant, and a falling level may indicate something is wrong. {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/67\/Know-the-Signs-of-Miscarriage-Step-1-Version-3.jpg\/v4-460px-Know-the-Signs-of-Miscarriage-Step-1-Version-3.jpg","bigUrl":"\/images\/thumb\/6\/67\/Know-the-Signs-of-Miscarriage-Step-1-Version-3.jpg\/aid1625215-v4-728px-Know-the-Signs-of-Miscarriage-Step-1-Version-3.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"