How many months will it take for a threatened miscarriage to stabilize?

Written by Zhang Lu
Obstetrics
Updated on September 04, 2024
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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 Du Rui Xia
Obstetrics
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Will there be stomach pain in a threatened miscarriage?

In general, when threatened miscarriage occurs, pregnant women often experience abdominal pain. This pain is usually a dull ache in the lower abdomen, similar to the pain experienced during menstrual cramps. If the symptoms of threatened miscarriage are severe and the pain is quite pronounced, miscarriage may occur. This type of pain is mainly caused by contractions of the uterus. Besides abdominal pain, vaginal bleeding often accompanies this condition, which can also lead to miscarriage. When threatened miscarriage occurs, it is essential to rest in bed, reduce physical activity, avoid emotional stress, and consider visiting a hospital for an ultrasound to observe the development of the gestational sac.

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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 Zhang Lu
Obstetrics
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What should be done for a threatened miscarriage?

Threatened miscarriage, as the name suggests, is a precursor to miscarriage, typically manifesting in several ways: first, a feeling of heaviness or pain in the lower abdomen; second, vaginal bleeding. The presence of these two symptoms often indicates signs of a miscarriage. Regarding the management of threatened miscarriage, whether to proceed with treatment to preserve the pregnancy primarily depends on the severity of the condition and the value of preserving the pregnancy. First, for minor cases of threatened miscarriage, if there is only slight bleeding and mild abdominal pain, medication can be used to inhibit uterine contractions and reduce bleeding. Second, if there is significant vaginal bleeding and severe abdominal pain, and if the embryo has already been confirmed to have ceased developing, preserving the pregnancy is generally not recommended. It is advised to terminate the pregnancy promptly or let it proceed naturally. (Medication should be used under the guidance of a doctor.)

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Written by Du Rui Xia
Obstetrics
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Threatened miscarriage occurs in how many months?

Threatened miscarriage mostly occurs during the first three months of pregnancy because, at this time, the embryo's development is still unstable, and its connection to the mother is not secure, making it susceptible to various factors that might lead to a threatened miscarriage. In the first three months, before week 12 of pregnancy, which is considered the early stage, special attention must be given. First and foremost, one should not overexert themselves and must ensure adequate rest and sufficient sleep. Sexual intercourse should be avoided during early pregnancy as well as foods that might stimulate uterine contractions, such as hawthorn and coix seed. Generally, paying attention to nutritional intake and avoiding intense physical activities should largely prevent any major issues.

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Written by Du Rui Xia
Obstetrics
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How long does it take to prevent a threatened miscarriage?

During threatened miscarriage, proactive treatment to preserve the pregnancy is required. However, the duration of such treatment varies from person to person and should be based on the specific circumstances of the patient. If the patient has a history of recurrent miscarriages, in the event of a threatened miscarriage, the pregnancy should be preserved for a longer period, at least until three months into the pregnancy when the fetal development has stabilized. However, if the patient experiences light vaginal bleeding without abdominal pain, and the condition is relatively mild, approximately a week of medication may be sufficient for improvement. It is recommended that one to two weeks after the bleeding stops, a visit to the hospital should be made to perform an abdominal ultrasound to check the embryo's growth.