What are some medications for threatened miscarriage to stabilize the pregnancy?

Written by Zhang Lu
Obstetrics
Updated on August 31, 2024
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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.

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Written by Zhang Lu
Obstetrics
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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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Written by Zhang Lu
Obstetrics
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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.

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Written by Du Rui Xia
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
Obstetrics
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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.)

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Written by Du Rui Xia
Obstetrics
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Threatened miscarriage occurs in how many months?

Threatened miscarriage mostly occurs during the first three months of pregnancy because, at this time, the embryo's development is still unstable, and its connection to the mother is not secure, making it susceptible to various factors that might lead to a threatened miscarriage. In the first three months, before week 12 of pregnancy, which is considered the early stage, special attention must be given. First and foremost, one should not overexert themselves and must ensure adequate rest and sufficient sleep. Sexual intercourse should be avoided during early pregnancy as well as foods that might stimulate uterine contractions, such as hawthorn and coix seed. Generally, paying attention to nutritional intake and avoiding intense physical activities should largely prevent any major issues.