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 Du Rui Xia
Obstetrics
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What should I do if the threatened miscarriage is not completely miscarried?

When there is a threatened miscarriage and the miscarriage is not complete, the treatment method needs to be determined based on the size of the residual tissue. It is recommended to first go to the hospital for an ultrasound to evaluate the amount of residual tissue in the uterus. If the residual tissue is relatively small, it can generally be treated with oral medications that promote blood circulation and remove blood stasis, which helps the uterus contract and aids in the expulsion of the remaining tissue. However, if the residual tissue is large and medication is ineffective, a repeat uterine curettage may be necessary. Therefore, when there is residual tissue in the uterine cavity, it must be dealt with promptly, otherwise it can lead to repeated vaginal bleeding, decrease the body's resistance, and increase the risk of anemia and infections.

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Written by Du Rui Xia
Obstetrics
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Can you eat chili peppers with a threatened miscarriage?

When a threatened miscarriage occurs, pregnant women should not eat chili peppers. This is because chili peppers are spicy and stimulating foods, and consuming them can easily lead to abdominal pain, diarrhea, and reflexively cause uterine contractions, which may result in miscarriage. After a threatened miscarriage occurs, it is essential to pay attention to diet. It is recommended to eat light, easy-to-digest foods, such as thin porridge, soft noodles, or soft bread. Additionally, it is important to increase the intake of fresh vegetables and fruits. These supplements of vitamins and proteins can enhance the immune capacity of pregnant women and strengthen their resistance, which is also helpful for successful pregnancy maintenance.

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Written by Du Rui Xia
Obstetrics
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Can you eat chestnuts with a threatened miscarriage?

When experiencing signs of threatened miscarriage, pregnant women can eat chestnuts in moderation. Chestnuts are very nutritious, containing protein, amino acids, trace elements, and vitamins. These nutrients can enhance a woman's physical resistance and are beneficial for pregnancy maintenance, hence chestnuts can be consumed during a miscarriage. Additionally, it is crucial to rest in bed during a miscarriage and maintain emotional stability without being overly anxious. During this period, sexual activity is strictly forbidden. Attention should be paid to genital hygiene. Dietarily, it is advised to consume foods rich in protein and to avoid raw, spicy, and irritating foods.

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Written by Du Rui Xia
Obstetrics
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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.

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Written by Zhang Yin Xing
Obstetrics
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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.