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Threatened abortion
Is there a lot of bleeding in a threatened miscarriage?
Generally, vaginal bleeding is not heavy during a threatened miscarriage, and the abdominal pain is not severe. This typically occurs before the 28th week of pregnancy because the fetal placenta is not yet firmly connected to the mother and its function is unstable, which can easily lead to a threatened miscarriage. During the early stages of pregnancy, it is crucial for pregnant women to be particularly cautious. They should reduce physical activities, avoid vigorous exercise, abstain from sexual activity, and minimize stimulation to the uterus to maintain a cheerful mood. If one experiences unstable emotions, excessive tension, or sadness, it can disrupt normal brain activity, leading to abnormal embryo development and causing a miscarriage.
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 threatened miscarriage still preserve the pregnancy?
When threatened miscarriage occurs, attempts are generally made to carry out treatment to save the pregnancy. Whether the treatment can successfully save the pregnancy mainly depends on the severity of the symptoms, whether the treatment is timely, and the quality of the embryo itself. Firstly, if it is a mild threatened miscarriage, such as mild lower abdominal pain or light vaginal bleeding, in most cases, the pregnancy can be saved; if the symptoms are very severe, with heavy vaginal bleeding and intense abdominal pain, sometimes the pregnancy may not be saved. Secondly, when threatened miscarriage occurs, treatment should be selected based on the cause, including rest and medication. If the treatment is not timely, the pregnancy may not be saved. Thirdly, if the quality of the gestational sac is good, then even if a mild threatened miscarriage occurs, the pregnancy can often be saved; however, if the quality of the gestational sac is poor, then even with medication treatment, the pregnancy often cannot be saved.
What are the symptoms of a threatened miscarriage?
The symptoms of threatened miscarriage primarily include a small amount of vaginal bleeding and mild lower abdominal pain or sacral pain. Threatened miscarriage refers to the occurrence of a small amount of vaginal bleeding before 28 weeks of pregnancy, often dark red in color, with no pregnancy tissue expelled. This may be accompanied by intermittent lower abdominal pain or back pain, or it may occur without any pain symptoms. During a gynecological examination, the cervix is closed, the membranes are intact, and the uterine size matches the gestational age. After rest and treatment, the symptoms may disappear and the pregnancy can continue. If the amount of vaginal bleeding increases or the lower abdominal pain worsens, accompanied by dilation of the cervix and expulsion or shedding of pregnancy tissue, it can progress to an inevitable miscarriage, which then requires prompt and active management to terminate the pregnancy.
Will hCG levels drop in a threatened miscarriage?
Threatened miscarriage refers to the signs of a potential miscarriage, but this does not necessarily mean that a miscarriage will definitely occur or is inevitable. Whether HCG levels decline during a threatened miscarriage depends primarily on the cause of the threatened miscarriage and the ultimate outcome. First, if the gestational sac is developing well and it is only a mild case of threatened miscarriage, the HCG levels will not decrease and will continue to rise. Second, if the threatened miscarriage is caused by poor embryo development or embryonic arrest, the HCG levels will naturally decline. Third, if the condition of the threatened miscarriage is severe and eventually leads to a miscarriage or inevitable miscarriage, the HCG levels will also decline. Therefore, whether HCG levels decline during a threatened miscarriage largely depends on the cause and the severity of the condition.
How long does the abdominal pain last in threatened miscarriage?
When a threatened miscarriage occurs, the pregnant woman often experiences abdominal pain and vaginal bleeding. The specific timing of the abdominal pain can vary, as each individual's situation is different. Some may experience longer periods of pain, while others may have shorter ones. During a threatened miscarriage, it is essential to go to the hospital promptly for treatment to preserve the pregnancy. If the bleeding stops after active treatment, then it is possible to continue the pregnancy. However, if the symptoms do not relieve and the pain intensifies after treatment, then it is no longer feasible to continue preserving the pregnancy, and an abortion surgery will be necessary.
What are the symptoms of threatened miscarriage?
Threatened miscarriage primarily refers to the occurrence of a small amount of vaginal bleeding before 28 weeks of pregnancy, often dark red or blood-stained discharge, with no pregnancy tissue expelled. The amount of bleeding generally does not exceed that of a menstrual period and may be accompanied by intermittent pain in the lower abdomen or the sacral area. During a gynecological examination, the cervix is not dilated, the membranes are intact, and the size of the uterus corresponds to the gestational age. After rest or treatment, the symptoms may alleviate, allowing the pregnancy to continue. If vaginal bleeding increases and lower abdominal pain intensifies, and all or part of the pregnancy tissue is expelled through the vagina, a miscarriage that cannot be avoided is considered. In this case, it is necessary to terminate the pregnancy promptly to avoid endangering the pregnant woman's life due to excessive bleeding.
What are the symptoms of threatened miscarriage?
Threatened miscarriage refers to a small amount of vaginal bleeding occurring before 28 weeks of pregnancy. Usually, the amount of bleeding does not exceed that of a normal menstrual period, and the blood may be dark red or appear as bloody vaginal discharge. The color of the bleeding is not significant. No pregnancy tissue is expelled initially, and this may be followed by episodic lower abdominal pain or back pain, although these symptoms may not occur. During a gynecological examination, the cervix is closed, the membranes are intact, and the size of the uterus corresponds to the gestational age. After rest and treatment, the symptoms may disappear, and the pregnancy can continue. If the amount of vaginal bleeding increases or lower abdominal pain intensifies, accompanied by the expulsion of pregnancy tissue, it progresses to inevitable miscarriage. Inevitable miscarriage refers to a miscarriage that cannot be avoided. Based on the symptoms of a threatened miscarriage, the amount of vaginal bleeding increases, and episodic lower abdominal pain intensifies, possibly accompanied by vaginal fluid discharge. During a gynecological examination for inevitable miscarriage, the cervix is dilated, and embryonic tissue or the amniotic sac can be seen obstructing the cervical opening.
What are the symptoms of a threatened miscarriage?
When threatened miscarriage occurs, pregnant women often experience vaginal bleeding and abdominal pain. However, at this time, the fetal heartbeat and embryo are generally still in good condition, and timely treatment to preserve the pregnancy can be effective. But if the patient experiences a significant amount of bleeding and severe pain, accompanied by backache and a sense of heaviness, it may indicate a threatened miscarriage. It is advised to go to a hospital for an ultrasound examination and to have blood tests to check progesterone levels to determine if treatment to preserve the pregnancy is needed. If, after such treatment, vaginal bleeding stops and abdominal pain disappears, then the pregnancy can typically continue.
What to do about a threatened miscarriage?
Threatened miscarriage refers to the occurrence of a small amount of vaginal bleeding before 28 weeks of pregnancy, often dark red, with no pregnancy tissue expelled, and may include pain in the lower abdomen and back. During a gynecological examination, the cervix is closed and the membrane is unruptured, and the pregnancy can continue if the symptoms disappear after rest and treatment. In handling a threatened miscarriage, it is first necessary to analyze the causes of the miscarriage. Common causes include embryonic factors, mainly chromosomal abnormalities. If the miscarriage is caused by chromosomal abnormalities, it is mostly unavoidable. Maternal factors, such as systemic diseases in pregnant women, include increased blood pressure, severe anemia, high fever, etc. Pregnancy can mostly continue with treatment of the cause. Abnormalities in the reproductive organs, such as uterine malformations, submucous and intramural fibroids, adenomyosis, etc., can lead to miscarriage. With appropriate treatment to preserve the pregnancy, there is hope to continue the pregnancy. If due to endocrine abnormalities, such as luteal phase deficiency or hypothyroidism, supplementing with progesterone and thyroid hormones can mostly allow the pregnancy to continue. Identifying the cause of a miscarriage is extremely important, as different causes can lead to different pregnancy outcomes.