Spontaneous Abortion


Will a threatened miscarriage lead to a natural miscarriage if not treated to preserve the pregnancy?
During threatened miscarriage, some may end up having a miscarriage. For example, if active treatment for pregnancy preservation isn't administered in time during a threatened miscarriage, increased bleeding and abdominal pain may occur, which can easily lead to miscarriage. However, some cases of threatened miscarriage are relatively mild and may gradually reduce bleeding and eliminate abdominal pain through active pregnancy preservation treatment, rest, or enhanced nursing, marking successful pregnancy preservation. In cases of threatened miscarriage, if one decides not to keep the baby, the options of medication-induced abortion or surgical abortion are available to terminate the pregnancy as soon as possible, as delaying could potentially affect women's health.


Can a missed miscarriage miscarry naturally?
Missed miscarriage and spontaneous miscarriage are two terms describing early pregnancy conditions, but there is a significant difference between them. Missed miscarriage refers to the absence of a fetal heartbeat confirmed by ultrasound in early pregnancy, which indicates that the embryo has stopped developing. On the other hand, spontaneous miscarriage refers to the spontaneous expulsion of the gestational sac from the uterine cavity. In the case of a missed miscarriage, it is important to expedite the miscarriage process to expel the gestational sac from the uterus, minimizing the impact on the mother. It is possible for a missed miscarriage to lead to a spontaneous miscarriage, but it may not happen automatically. For a missed miscarriage, if a spontaneous miscarriage occurs, that is preferable. However, if there are no signs of spontaneous miscarriage, it is not advisable to wait indefinitely. Prompt medical intervention is recommended, and the choice of medical or surgical abortion is available.


Is natural miscarriage harmful?
During a miscarriage, a woman's body can suffer some harm, with the most dangerous issue being the potential for gynecological infections after the miscarriage. This includes conditions such as endometritis, salpingitis, and oophoritis, which can spread to the pelvic area and cause pelvic inflammatory disease. If these inflammations are not actively treated, they can lead to pelvic adhesions, which may impact future pregnancies. Additionally, during a miscarriage, if there is incomplete miscarriage and not all tissue is expelled, it can lead to severe bleeding, and even shock, posing a risk to the woman's life. Therefore, close observation of the body's recovery after a miscarriage is essential.


Can work during a natural miscarriage
During the natural miscarriage period, it is not advisable to go to work. This is because the woman's body is relatively weak after a natural miscarriage and the immune system is compromised, so she should not go to work and needs to rest at home. A natural miscarriage can cause certain harm to a woman's body, and like normal childbirth, confinement is necessary for at least two weeks. During this period, it is important to rest, boost nutrition, and maintain personal hygiene. Once the body has fully recovered, which generally takes about two weeks, one can then return to work. It is also important to maintain hygiene in intimate areas. Sexual intercourse should be avoided for a month, and baths should be replaced with showers as the endometrial lining needs time to repair. Additionally, it is crucial to keep warm, avoid exposure to cold, and refrain from exertion.


How long after a natural miscarriage can one become pregnant?
Miscarriage naturally refers to the process where the embryo is spontaneously lost from the mother's body, this is called a natural miscarriage. After a natural miscarriage, the medical suggestion is to wait for six months before getting pregnant again; however, the current view is that waiting at least three months is also acceptable. In our clinical cases, there are instances where pregnancy occurs one month after a natural miscarriage. If there are no symptoms of physical discomfort after the miscarriage, and the follow-up ultrasound examination is normal, in fact, there is no specific mandated period to wait before becoming pregnant again after a natural miscarriage. Nevertheless, waiting at least three months primarily allows the endometrium sufficient time to fully recover.


Will an empty sac naturally miscarry?
An empty sac does not necessarily lead to a natural miscarriage. Miscarriages are classified into incomplete miscarriage, complete miscarriage, and missed miscarriage. Some people might experience abdominal pain and bleeding after the cessation of development in an empty sac, leading to a miscarriage. Others may retain the dead embryo in the uterine cavity, which is unable to be expelled in a timely manner, manifesting as the disappearance of early pregnancy symptoms, vaginal bleeding, or no symptoms at all, often being discovered during an examination. If the embryo has ceased development for a relatively long period, waiting for a natural miscarriage is not recommended. If the embryo is not expelled for a long time, there may be risks such as the embryo becoming tightly connected to the uterine wall, making dilation and curettage difficult. Additionally, there may be risks of coagulation dysfunction and disseminated intravascular coagulation.


Can you eat oranges after a natural miscarriage?
After a miscarriage, women can eat oranges. After the miscarriage, women's bodies are generally weak and their resistance is lowered. Oranges are rich in Vitamin C, which can enhance women's immunity and resistance, thus promoting physical recovery and preventing infections. Oranges contain a large amount of water and vitamins, and women also need to supplement some nutrients after a miscarriage. However, when eating oranges, choose some at room temperature and avoid cold ones. Additionally, eating more fresh vegetables and fruits can also strengthen the body's resistance and promote recovery.


What to eat to recuperate from a natural miscarriage
After experiencing a miscarriage, women should pay attention to developing good living habits. Since a miscarriage can cause certain damage to a woman's body, it is important to prioritize rest and ensure adequate sleep. Women should strive for a relaxed mood, avoid excessive depression, enhance nutrition, and consume foods rich in protein and vitamins, such as eggs, lean meat, milk, apples, bananas, and grapes. These can provide the nutrients needed for recovery. However, it is important to avoid raw, cold, spicy, stimulating foods, as well as certain cooling foods, which should be completely avoided after a miscarriage.


How long does it take for the bleeding from a natural miscarriage to stop?
If it is a natural miscarriage, and the embryo is expelled completely, there is generally bleeding for about three days, accompanied by a small amount of bleeding or a small amount of brown discharge. If the bleeding lasts for a long time, about three days, and the amount of bleeding is significant, it is considered possible that there might be remnants or that the uterus is not contracting properly. In such cases, it is first necessary to undergo an ultrasound examination. An ultrasound can determine the issue of remnants and how much is left. If the ultrasound shows remnants greater than 1.0 cm, surgical cleaning of the uterus is required; if less than 1.0 cm, it can be treated with medication. Then, another ultrasound will be needed to check the recovery of the uterus.


Does natural miscarriage have anything to do with sperm?
The occurrence of natural miscarriage is somewhat related to the quality of the male's sperm. When the vitality of the sperm and the rate of sperm abnormalities are both decreased, it tends to lead to miscarriage. The combination of sperm and egg requires both to be healthy to conceive a healthy baby. If the quality of the sperm is poor, it might lead to miscarriage even if a fertilized egg is formed. Therefore, before pregnancy, both men and women should go to the hospital for pre-pregnancy check-ups to see if their bodies are suitable for pregnancy. If the sperm quality is poor, it should be regulated, and pregnancy should only be attempted after the sperm quality has been improved.