What is the cause of nausea in threatened miscarriage?

Written by Zhang Lu
Obstetrics
Updated on August 31, 2024
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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 Du Rui Xia
Obstetrics
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Symptoms of threatened miscarriage and missed abortion

In the event of threatened miscarriage or fetal developmental arrest, the first symptom to appear is vaginal bleeding, which is a very important sign. Mainly, the uterus expels the fetus that has stopped developing based on the principle of natural selection. Another symptom that may occur after embryonic arrest is pain in the lower abdomen, which is also common. Furthermore, after embryonic arrest, the hormones secreted in the body will gradually decrease, leading to a reduction or disappearance of early pregnancy reactions such as nausea, vomiting, loss of appetite, and breast tenderness in pregnant women. It is crucial to address fetal arrest promptly and to regularly conduct prenatal check-ups during pregnancy to monitor the health of the fetus.

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Written by Zhang Lu
Obstetrics
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Can a threatened miscarriage have a transvaginal ultrasound?

Whether or not to perform a transvaginal ultrasound during a threatened miscarriage mainly depends on the symptoms of the threatened miscarriage. A threatened miscarriage refers to the signs of a potential miscarriage, with common symptoms including vaginal bleeding and severe abdominal pain. If there is significant abdominal pain, a transvaginal ultrasound can be performed to determine the position of the gestational sac, or an abdominal ultrasound can also be done. If there is vaginal bleeding, performing a transvaginal ultrasound in this case may aggravate stimulation to the uterus and can easily lead to vaginal inflammation. In such cases, an abdominal ultrasound is generally recommended. Therefore, a transvaginal ultrasound can be performed if there is only abdominal pain during a threatened miscarriage, but it should not be done if there is concurrent vaginal bleeding.

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Written by Zhang Lu
Obstetrics
57sec home-news-image

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 Yin Xing
Obstetrics
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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.

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Written by Du Rui Xia
Obstetrics
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How long should one rest for a threatened miscarriage?

During the occurrence of threatened miscarriage, it is generally necessary to rest in bed for a week. During this period, medication should be taken under the guidance of a doctor to preserve the pregnancy, and prenatal follow-up visits should be made at the hospital. There is abdominal pain or spotting during a miscarriage, but it has not yet progressed to the extent of miscarriage, so treatment to preserve the pregnancy can be administered. Additionally, emotional stability should be maintained during pregnancy preservation, avoiding stimulating the patient, ensuring rest, enhancing nutrition, and maintaining genital hygiene. Furthermore, during the pregnancy preservation period, one should rest in bed as much as possible and avoid activity.