Does a threatened miscarriage require a uterine curettage?

Written by Zhang Lu
Obstetrics
Updated on September 18, 2024
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Threatened miscarriage, as the name suggests, refers to signs indicating a potential miscarriage. Whether a curettage is necessary in cases of threatened miscarriage mainly depends on the pregnancy outcome. For threatened miscarriage, treatment is chosen based on the patient's wishes. If the patient desires to continue the pregnancy and try to preserve it, medication can be used initially for conservation. However, if a woman experiencing threatened miscarriage does not wish to continue the pregnancy, she can opt for artificial intervention to induce the miscarriage. Miscarriage can be induced through oral medication or through a curettage procedure. Thus, curettage is not necessarily required for a threatened miscarriage, and even if the pregnancy is to be terminated, medication can be used as an alternative. Therefore, there is no inevitable connection between threatened miscarriage and curettage.

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Written by Du Rui Xia
Obstetrics
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Is a threatened miscarriage considered a miscarriage?

Threatened miscarriage is not actually a miscarriage. If handled properly, it is possible to successfully preserve the pregnancy. However, if not treated in time, it could develop into an inevitable miscarriage. During a threatened miscarriage, the fetal heartbeat and embryonic tissue are generally normal, and there may be minor vaginal bleeding or slight lower abdominal pain. At this time, it is crucial to go to the hospital for an ultrasound and have blood tests for progesterone and human chorionic gonadotropin. If the fetal heartbeat and embryo are normal, then treatment to preserve the pregnancy is needed. At this time, it is important to rest, reduce activity, and avoid any vigorous exercise.

doctor image
home-news-image
Written by Zhang Lu
Obstetrics
54sec home-news-image

Does a threatened miscarriage require a uterine curettage?

Threatened miscarriage, as the name suggests, refers to signs indicating a potential miscarriage. Whether a curettage is necessary in cases of threatened miscarriage mainly depends on the pregnancy outcome. For threatened miscarriage, treatment is chosen based on the patient's wishes. If the patient desires to continue the pregnancy and try to preserve it, medication can be used initially for conservation. However, if a woman experiencing threatened miscarriage does not wish to continue the pregnancy, she can opt for artificial intervention to induce the miscarriage. Miscarriage can be induced through oral medication or through a curettage procedure. Thus, curettage is not necessarily required for a threatened miscarriage, and even if the pregnancy is to be terminated, medication can be used as an alternative. Therefore, there is no inevitable connection between threatened miscarriage and curettage.

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home-news-image
Written by Du Rui Xia
Obstetrics
1min home-news-image

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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Can you eat chestnuts with a threatened miscarriage?

When experiencing signs of threatened miscarriage, pregnant women can eat chestnuts in moderation. Chestnuts are very nutritious, containing protein, amino acids, trace elements, and vitamins. These nutrients can enhance a woman's physical resistance and are beneficial for pregnancy maintenance, hence chestnuts can be consumed during a miscarriage. Additionally, it is crucial to rest in bed during a miscarriage and maintain emotional stability without being overly anxious. During this period, sexual activity is strictly forbidden. Attention should be paid to genital hygiene. Dietarily, it is advised to consume foods rich in protein and to avoid raw, spicy, and irritating foods.

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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.