How long should one stay in bed for a threatened miscarriage?

Written by Du Rui Xia
Obstetrics
Updated on January 23, 2025
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Improper management of an impending miscarriage could potentially lead to an inevitable miscarriage. Therefore, it is crucial to rest during this period, preferably staying in bed. However, the specific duration of bed rest depends on the patient's clinical symptoms; for instance, if the woman experiences only minor vaginal bleeding and mild abdominal pain.

Typically, through timely conservative treatment for maintaining pregnancy, taking progesterone orally or receiving progesterone injections can quickly stop the bleeding and alleviate lower abdominal pain. Generally, the patient can get out of bed three days after the symptoms disappear, but if there is still significant bleeding, continued bed rest is necessary until the bleeding stops for one week.

(The use of medications should be conducted under the guidance of a doctor.)

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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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Obstetrics
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Can you eat red dates during a threatened miscarriage?

You can eat red dates during threatened miscarriage. Red dates are beneficial for replenishing qi and blood, and they also provide a large amount of vitamins. However, eating red dates alone cannot solve the problem when a threatened miscarriage occurs. It is crucial to visit a hospital for an examination timely. Treatment should be selected based on the examination results. Additionally, it is important to rest, reduce physical activity, maintain a cheerful spirit, avoid excessive mental stress, avoid getting cold, and abstain from sexual intercourse.

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Written by Du Rui Xia
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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 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 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.