How long should one rest for a threatened miscarriage?

Written by Du Rui Xia
Obstetrics
Updated on September 21, 2024
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During the occurrence of threatened miscarriage, it is generally necessary to rest in bed for a week. During this period, medication should be taken under the guidance of a doctor to preserve the pregnancy, and prenatal follow-up visits should be made at the hospital. There is abdominal pain or spotting during a miscarriage, but it has not yet progressed to the extent of miscarriage, so treatment to preserve the pregnancy can be administered. Additionally, emotional stability should be maintained during pregnancy preservation, avoiding stimulating the patient, ensuring rest, enhancing nutrition, and maintaining genital hygiene. Furthermore, during the pregnancy preservation period, one should rest in bed as much as possible and avoid activity.

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Written by Yue Hua
Obstetrics and Gynecology
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How long should one rest in bed for a threatened miscarriage?

The duration of bed rest for threatened miscarriage varies from person to person. It depends on the patient's clinical symptoms. Generally, one should rest until there is no vaginal bleeding for a week before starting to get out of bed and move around. This is because the typical clinical symptom of threatened miscarriage is minor vaginal bleeding. During this time, in addition to bed rest, it is advisable to take some progestogen medication for miscarriage prevention treatment. After successful miscarriage prevention, most people will see the disappearance of clinical symptoms. Then, one week after the symptoms disappear, they may gradually start getting out of bed but should still avoid intense physical activities.

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Written by Du Rui Xia
Obstetrics
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Is threatened miscarriage dangerous?

There are various causes of threatened miscarriage, so the danger of a threatened miscarriage depends on the cause. If the reason for the threatened miscarriage is due to abnormal fetal chromosome development, gynecological inflammation, or endocrine dysfunction, then it is necessary to receive timely treatment. If fetal development abnormalities are detected, the pregnancy must be terminated promptly and cannot continue. However, if the threatened miscarriage is simply due to low progesterone levels, then generally, the pregnancy can be successfully maintained by timely supplementation of progesterone, and this situation is not severe.

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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.

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Written by Zhang Lu
Obstetrics
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Intercourse during a threatened miscarriage can have what effect?

Threatened miscarriage refers to the symptoms indicating an impending miscarriage, often characterized by significant lower abdominal pain and vaginal bleeding. During a threatened miscarriage, intense activities should be avoided, appropriate rest is necessary, and sexual intercourse should also be avoided. Engaging in sexual intercourse during a threatened miscarriage can cause the following harms: First, intercourse can stimulate the uterus, causing lower abdominal pain, which can lead to uterine contractions. These contractions can stimulate the gestational sac, and in severe cases, can trigger a spontaneous miscarriage. Second, sexual activity can stimulate the vagina and alter the vaginal flora, which sometimes can lead to vaginitis. Vaginitis can spread through the cervix into the uterine cavity, sometimes causing endometritis, affecting the development of the gestational sac and in severe cases can also lead to a spontaneous miscarriage. Therefore, it is crucial not to engage in sexual intercourse when symptoms of a threatened miscarriage appear.

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Written by Zhang Lu
Obstetrics
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Can a threatened miscarriage have a transvaginal ultrasound?

Whether or not to perform a transvaginal ultrasound during a threatened miscarriage mainly depends on the symptoms of the threatened miscarriage. A threatened miscarriage refers to the signs of a potential miscarriage, with common symptoms including vaginal bleeding and severe abdominal pain. If there is significant abdominal pain, a transvaginal ultrasound can be performed to determine the position of the gestational sac, or an abdominal ultrasound can also be done. If there is vaginal bleeding, performing a transvaginal ultrasound in this case may aggravate stimulation to the uterus and can easily lead to vaginal inflammation. In such cases, an abdominal ultrasound is generally recommended. Therefore, a transvaginal ultrasound can be performed if there is only abdominal pain during a threatened miscarriage, but it should not be done if there is concurrent vaginal bleeding.