Threatened abortion


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.


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


Intercourse during a threatened miscarriage can have what effect?
Threatened miscarriage refers to the symptoms indicating an impending miscarriage, often characterized by significant lower abdominal pain and vaginal bleeding. During a threatened miscarriage, intense activities should be avoided, appropriate rest is necessary, and sexual intercourse should also be avoided. Engaging in sexual intercourse during a threatened miscarriage can cause the following harms: First, intercourse can stimulate the uterus, causing lower abdominal pain, which can lead to uterine contractions. These contractions can stimulate the gestational sac, and in severe cases, can trigger a spontaneous miscarriage. Second, sexual activity can stimulate the vagina and alter the vaginal flora, which sometimes can lead to vaginitis. Vaginitis can spread through the cervix into the uterine cavity, sometimes causing endometritis, affecting the development of the gestational sac and in severe cases can also lead to a spontaneous miscarriage. Therefore, it is crucial not to engage in sexual intercourse when symptoms of a threatened miscarriage appear.


Can you take a bath with a threatened miscarriage?
If a threatened miscarriage occurs, it indicates that the connection between the embryo and the mother is not yet secure, making bleeding likely. Therefore, it is advisable to avoid bathing at this time to prevent exacerbating vaginal bleeding and promoting the progression of miscarriage. During the threatened miscarriage phase, it is best to avoid what can be avoided. Wait until the vaginal bleeding has stopped and abdominal pain has disappeared for a week before bathing, as the impact will be minimal by then.


Can threatened miscarriage be treated with medical abortion?
Threatened miscarriage only indicates signs of a potential miscarriage and does not necessarily result in a spontaneous miscarriage. During a threatened miscarriage, medication can be used to preserve the embryo. If one does not wish to continue the pregnancy upon signs of a threatened miscarriage, intervention can be managed like a normal miscarriage. In early pregnancy, if one chooses to have an abortion, there are two methods available: medical abortion and surgical abortion, which are not significantly different from each other. For the majority of typical women, medical abortion is an option during a threatened miscarriage, though it is notably painful and can be prolonged. Patients must be clearly informed about the specific procedures and drawbacks. Surgical abortion, on the other hand, tends to be simpler and less painful.


What are some medications for threatened miscarriage to stabilize the pregnancy?
When threatened miscarriage occurs, it is necessary to use medications to sustain the pregnancy. Commonly used medications include the following types: The first type is progesterone medications, which have the effects of stabilizing the uterus and suppressing the immune system; the second type is estrogen medications, which can promote the proliferation of the endometrium, providing a favorable environment for the implantation and growth of the gestational sac; third, traditional Chinese medicine formulations, which also have the effects of stabilizing the uterus, promoting the development of the gestational sac, and reducing bleeding. In addition, it is necessary to conduct examinations based on the symptoms of threatened miscarriage to determine if there are any abnormalities in coagulation indicators. If the threatened miscarriage is caused by abnormal coagulation indicators, anticoagulant medications can be used for treatment.


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.