What should be noted for threatened miscarriage?

Written by Du Rui Xia
Obstetrics
Updated on September 12, 2024
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After the occurrence of threatened miscarriage, it is crucial to rest, and if possible, bed rest is recommended to reduce activity. Additionally, local hygiene must be maintained, frequently changing underwear to keep the area dry and fresh, preventing bacterial infection. Intercourse should be strictly avoided during a threatened miscarriage. It is important to observe vaginal bleeding and discharge. If any tissue-like materials are expelled, they should be preserved and brought to the hospital for examination to determine the nature of the expelled material. Nutrition should be enhanced by consuming light, easily digestible foods, including fresh fruits and vegetables.

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Written by Du Rui Xia
Obstetrics
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Can a threatened miscarriage be treated to preserve the pregnancy?

In cases of threatened miscarriage, whether to continue the pregnancy depends on the specific situation of the pregnant woman and the embryo inside the womb. If the vaginal bleeding is relatively minor, there is no severe abdominal pain, and an ultrasound shows that the embryo is still alive, then it is possible to continue with medication to maintain the pregnancy. However, if the symptoms of threatened miscarriage are severe after it occurs, and ultrasounds show abnormal embryo development, along with a continuous decline in human chorionic gonadotropin levels, these conditions indicate that miscarriage is inevitable, and it is generally not recommended to continue trying to maintain the pregnancy.

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Written by Du Rui Xia
Obstetrics
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What foods are good for threatened miscarriage?

When experiencing signs of threatened miscarriage, pregnant women should choose foods rich in vitamins and pay attention to a light diet, eating food that is easy to digest and absorb. They should avoid spicy and stimulating foods, as well as raw and cold seafood or other barbecue and hot pot foods, to prevent diarrhea and aggravate the miscarriage. When choosing foods, one can opt for soy products, fresh vegetables, fruits, lean meats, eggs, and walnuts. Additionally, it is advisable to select foods that are rich in vitamin E, which supports pregnancy, such as some soy products. It is also beneficial to choose foods containing roughage but avoid cold foods and thermogenic foods like longan, as longan is very heaty and should be avoided as it might induce miscarriage.

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Written by Du Rui Xia
Obstetrics
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What should I do if the threatened miscarriage is not completely miscarried?

When there is a threatened miscarriage and the miscarriage is not complete, the treatment method needs to be determined based on the size of the residual tissue. It is recommended to first go to the hospital for an ultrasound to evaluate the amount of residual tissue in the uterus. If the residual tissue is relatively small, it can generally be treated with oral medications that promote blood circulation and remove blood stasis, which helps the uterus contract and aids in the expulsion of the remaining tissue. However, if the residual tissue is large and medication is ineffective, a repeat uterine curettage may be necessary. Therefore, when there is residual tissue in the uterine cavity, it must be dealt with promptly, otherwise it can lead to repeated vaginal bleeding, decrease the body's resistance, and increase the risk of anemia and infections.

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Written by Du Rui Xia
Obstetrics
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Early symptoms of threatened miscarriage

Premature birth refers to the condition where delivery occurs after the pregnancy has reached 28 weeks but before completing 37 weeks. Premature infants have a very high mortality rate. If a woman experiences prolonged back pain and a hardening of the lower abdomen during this time, it is due to contractions of the uterus. There can also be vaginal discharge of fluids, indicating early breaking of waters. Increased vaginal discharge, sometimes with traces of blood, might also indicate imminent premature birth; medical check-ups and treatment should be sought immediately.

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Written by Zhang Lu
Obstetrics
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How many months will it take for a threatened miscarriage to stabilize?

Threatened miscarriage refers to the situation where abdominal pain and bleeding occur during pregnancy due to instability of the gestational sac or fetus. Most threatened miscarriages occur in the early stages of pregnancy, hence, the likelihood of experiencing threatened miscarriages during the mid or late stages of pregnancy is relatively low. Most threatened miscarriages stabilize after the first three months of pregnancy, which is approximately 12 weeks. By this time, the fetus has moved from the pelvic cavity into the abdominal cavity, and the placenta has formed. With the support of the placenta, the fetus can grow more stably. In early pregnancy, the instability of the gestational sac makes it susceptible to external influences, which can easily lead to threatened or even spontaneous miscarriage.