Is a threatened miscarriage the same as a biochemical pregnancy?

Written by Zhang Lu
Obstetrics
Updated on September 12, 2024
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Threatened miscarriage and biochemical pregnancy are two important terms used to describe the state of pregnancy in early stages, but they are two completely different physiological states.

First, threatened miscarriage refers to a situation where an intrauterine pregnancy has been confirmed and the gestational sac is unstable or affected by external stimuli, showing symptoms such as lower abdominal pain and spotting. These symptoms merely indicate signs of a possible miscarriage, and with timely treatment, it is possible to revert to a normal pregnancy.

Second, a biochemical pregnancy is a type of natural miscarriage. It refers to early pregnancy where the HCG levels are relatively low, no clear gestational sac has formed, and upon re-examination, the HCG levels are found to decrease quickly, accompanied only by minimal vaginal bleeding.

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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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How long should one rest for a threatened miscarriage?

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 Du Rui Xia
Obstetrics
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Can you eat bananas with threatened miscarriage?

When threatened miscarriage occurs, it is okay for pregnant women to eat bananas. Bananas contain a good amount of nutrients and are low in sodium. They are a very suitable fruit to eat during pregnancy as they help in preventing mental fatigue, moisturizing the lungs to stop coughing, and preventing constipation during pregnancy. Bananas are also easy to digest and absorb, providing many benefits when consumed during threatened miscarriage.

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Written by Zhang Lu
Obstetrics
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What is the cause of nausea in threatened miscarriage?

Threatened miscarriage refers to signs of miscarriage during pregnancy, and some women with threatened miscarriage may experience nausea. This situation includes several reasons: First, threatened miscarriage is not the same as a natural miscarriage; women are still pregnant, hence early pregnancy reactions such as nausea are normal. If the nausea is mild, rest and observation are advisable. However, if severe, it is important to visit the hospital for an examination to rule out hyperemesis gravidarum. Second, some cases of threatened miscarriage are caused by gastrointestinal inflammation, such as acute gastritis causing uterine contractions, which then leads to threatened miscarriage. The nausea in these situations is due to acute gastritis, so the nausea is a symptom caused by the condition that leads to the threatened miscarriage, not a direct result of the threatened miscarriage itself.

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Written by Zhang Lu
Obstetrics
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How long should one stay in bed for a threatened miscarriage?

Threatened miscarriage, as the name implies, is the appearance of signs of miscarriage, such as lower abdominal pain, bleeding, and a feeling of heaviness. For threatened miscarriage, it is appropriate to choose bed rest for treatment, but absolute bed rest is not necessary during threatened miscarriage. Prolonged bed rest is not always beneficial for the recovery of a woman’s health. Being bedridden for a long time can cause constipation, prevent vaginal bleeding from being expelled, and lead to mental stress. It is generally recommended to get out of bed for light activities during the day, aside from normal sleeping hours. Simple, light activities will not worsen the miscarriage. Generally, after a threatened miscarriage, it is advised to rest in bed for 3-5 days at most, and during this period, it is necessary to get out of bed intermittently.