Is a threatened miscarriage considered a miscarriage?

Written by Du Rui Xia
Obstetrics
Updated on February 01, 2025
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Zhang Lu
Obstetrics
1min 1sec home-news-image

Threatened miscarriage how many days naturally miscarry

Threatened miscarriage refers to the occurrence of symptoms suggesting a possible miscarriage, such as severe abdominal pain or vaginal bleeding. However, a threatened miscarriage does not always progress to an actual miscarriage. With appropriate treatment and oral medication, the majority of embryos can be saved during a threatened miscarriage. If the quality of the embryo is poor and the symptoms of threatened miscarriage continue to worsen, it may develop into a natural miscarriage. However, there is no specific clinical guideline on how many days it may take for a natural miscarriage to occur following a threatened miscarriage. If the symptoms of threatened miscarriage are mild, with only slight abdominal pain or vaginal bleeding, it may not lead to a natural miscarriage, or it might take up to a week to occur naturally. If the symptoms of threatened miscarriage are severe, featuring intense abdominal pain or heavy vaginal bleeding, it generally may result in a natural miscarriage within one to two days.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
50sec home-news-image

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.

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

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.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
47sec home-news-image

What should you not eat during a threatened miscarriage?

When there are signs of a threatened miscarriage, pregnant women should avoid consuming raw, cold, spicy, and irritating food such as onions, ginger, garlic, chili peppers, and overly sour food, as these may stimulate the uterus, causing it to contract, and increase the risk of miscarriage. Additionally, do not consume cold-natured foods, especially chilled beverages straight from the refrigerator or melons and fruits. Also, some foods can cause uterine contractions, such as hawthorn, seafood products, and black fungus; these should be avoided during this period. Also, try not to be overly anxious.

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

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

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.)