Spontaneous Abortion

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Written by Liu Wei Jie
Obstetrics
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Does a natural miscarriage count as an abortion?

Is miscarriage considered the same as abortion? These are not the same concepts, but they share similarities. Miscarriage is due to factors related to the mother or fetus, leading to the natural loss of the embryo, whereas abortion involves artificially inducing the removal of the embryo from the womb. Although miscarriages might also result in some postpartum complications, abortions tend to have more complications due to the artificial means involved. These artificial ways include surgical abortion procedures, during which there might be risks of infection and damage to the uterine lining.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How long does it take to get a period after a natural miscarriage?

For patients who have had a spontaneous miscarriage, if their menstrual cycle is usually regular, the first day of the spontaneous miscarriage is the time when their next period would begin. However, if the miscarriage is incomplete and a dilation and curettage (D&C) procedure is required, the first day after the D&C is considered the start date for the next menstrual cycle. Some people experience spontaneous miscarriages due to menstrual irregularities and an irregular menstrual cycle, which may be caused by hormonal imbalances. In such cases, the timing of the next period after a miscarriage is uncertain. If the menstrual cycle is regular, the next period can be estimated based on the aforementioned timings. However, if the cycle is irregular, the timing of the next period post-miscarriage primarily depends on the condition of the endometrium. If the endometrium has recovered to a thickness of 1.0 or more, menstruation is likely to occur. If the endometrial lining is thin, menstruation may not occur for the time being. Therefore, the length of time until menstruation resumes following a spontaneous miscarriage also requires monitoring of the hormonal balance and the regularity of the usual menstrual cycle.

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Written by Zhang Lu
Obstetrics
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Threatened miscarriage how many days naturally miscarry

Threatened miscarriage refers to the occurrence of symptoms suggesting a possible miscarriage, such as severe abdominal pain or vaginal bleeding. However, a threatened miscarriage does not always progress to an actual miscarriage. With appropriate treatment and oral medication, the majority of embryos can be saved during a threatened miscarriage. If the quality of the embryo is poor and the symptoms of threatened miscarriage continue to worsen, it may develop into a natural miscarriage. However, there is no specific clinical guideline on how many days it may take for a natural miscarriage to occur following a threatened miscarriage. If the symptoms of threatened miscarriage are mild, with only slight abdominal pain or vaginal bleeding, it may not lead to a natural miscarriage, or it might take up to a week to occur naturally. If the symptoms of threatened miscarriage are severe, featuring intense abdominal pain or heavy vaginal bleeding, it generally may result in a natural miscarriage within one to two days.

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Written by Zhang Lu
Obstetrics
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Spontaneous abortion embryonic pathological examination

After a natural miscarriage, pathological tests can be performed on the embryonic tissue. The main purposes of these tests include the following two aspects: First, to check if the chorionic villi in the embryonic tissue are edematous or if it is a hydatidiform mole. In cases of natural miscarriage, if it is a hydatidiform mole, it is necessary to determine whether it is a benign or malignant hydatidiform mole. If it is not a hydatidiform mole, it can be treated as a regular miscarriage. Secondly, testing the embryo can clarify the reasons for the miscarriage, such as checking the chromosomes of the embryo to determine if there are any issues with the chromosomes, which can be informative for the next pregnancy.

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Written by Du Rui Xia
Obstetrics
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Can a natural miscarriage be completely cleared?

After a natural miscarriage, whether it can be completely cleared varies from individual to individual. Some women may have a complete miscarriage naturally. However, some people may have existing gynecological inflammation or be relatively weak, which can lead to incomplete miscarriage, necessitating further uterine cleaning. After the miscarriage, women should closely monitor their vaginal bleeding and abdominal pain. Normally, after such a miscarriage, abdominal pain should last about two to three days, and vaginal bleeding should clear up within a week. If vaginal bleeding persists for a longer time and abdominal pain occurs, the possibility of residual materials in the uterine cavity should be considered, and it is advised to go to the hospital for further ultrasound examination and subsequent treatment as needed.

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Written by Zhang Lu
Obstetrics
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What is the discharge from a natural miscarriage?

Miscarriage refers to the spontaneous expulsion of the gestational sac from the uterine cavity, without the need for human intervention. Human interventions mainly include medical abortion or painless surgical abortion. During a miscarriage, the gestational sac is expelled from the uterus, so the expelled material is primarily the gestational sac. The sac generally consists of white villous tissue, and during a natural miscarriage, it is essential to identify villous tissue in the pregnancy tissue in order to confirm a natural miscarriage. Besides the villous tissue, due to decidualization changes in the endometrium after pregnancy, the tissue expelled during a miscarriage also contains a certain amount of decidual tissue. Therefore, the material expelled in a natural miscarriage mainly includes the villous tissue, followed by uterine decidual tissue.

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Written by Du Rui Xia
Obstetrics
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How to recuperate from a natural miscarriage

When a patient experiences a natural miscarriage, it is important to rest. It is recommended to rest for about half a month if possible, avoid overexertion, vigorous exercise, staying up late, and abstain from sexual activity within a month after the miscarriage. Avoid contact with cold water recently and pay attention to keeping warm and not catching a cold. In terms of diet, eat more light, easily digestible foods, and additionally consume foods rich in protein, vitamins, and minerals. You can eat more eggs, lean meat, milk, fresh vegetables, and fruits. Within a month of the natural miscarriage, it is recommended to visit the hospital for a follow-up to check the recovery of the uterus.

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Written by Du Rui Xia
Obstetrics
47sec home-news-image

Can you smoke after a natural miscarriage?

After a natural miscarriage, it is best for women not to smoke, as smoking is an unhealthy lifestyle habit that can reduce a woman's body resistance. After a miscarriage, a woman’s body is relatively weak, and smoking could possibly induce infections, such as gynecological inflammation. After the miscarriage, it's important to avoid smoking and ensure rest, adequate sleep, enhanced nutrition, and intake of foods rich in protein and vitamins. It is also essential to drink plenty of water and maintain a positive mood. After the miscarriage, one should avoid heavy physical labor and spicy, stimulating foods to ensure a good mood and promote physical recovery.

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Written by Du Rui Xia
Obstetrics
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Does a natural miscarriage require a uterine cleaning (D&C)?

When a miscarriage occurs, whether a uterine cleaning is needed depends on whether there are any remnants in the uterine cavity as shown by a follow-up ultrasound examination, that is, to see if the miscarriage was complete. If the examination reveals significant remnants in the uterine cavity after the miscarriage, then a uterine cleaning treatment is required. Most women do not need a uterine cleaning after a natural miscarriage, as typically the bleeding will stop around 7-10 days post-miscarriage. Therefore, women should focus on resting, improving their nutrition, and enhancing their body's resistance to prevent any potential complications after a natural miscarriage.

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Written by Yue Hua
Obstetrics and Gynecology
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How long is it normal to bleed after a natural miscarriage?

A natural miscarriage generally stops bleeding within a week; if the bleeding continues beyond a week, it is considered abnormal. This is because in most cases of natural miscarriage, the embryo and the decidua are expelled together, followed by uterine contractions, resulting in some vaginal bleeding. Normally, such bleeding should not persist beyond a week. If vaginal bleeding continues past this period, an ultrasound should be conducted to examine whether the uterine cavity is clean and free of any residual embryonic tissue. If remnants are found, it may be necessary to take some medications to promote blood circulation and remove the residual tissues.