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 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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Early symptoms of threatened miscarriage

Premature birth refers to the condition where delivery occurs after the pregnancy has reached 28 weeks but before completing 37 weeks. Premature infants have a very high mortality rate. If a woman experiences prolonged back pain and a hardening of the lower abdomen during this time, it is due to contractions of the uterus. There can also be vaginal discharge of fluids, indicating early breaking of waters. Increased vaginal discharge, sometimes with traces of blood, might also indicate imminent premature birth; medical check-ups and treatment should be sought immediately.

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Written by Zhang Yin Xing
Obstetrics
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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.

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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 Zhang Lu
Obstetrics
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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.