Can a threatened miscarriage be treated to preserve the pregnancy?

Written by Du Rui Xia

Obstetrics

Updated on September 10, 2024

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In cases of threatened miscarriage, whether to continue the pregnancy depends on the specific situation of the pregnant woman and the embryo inside the womb. If the vaginal bleeding is relatively minor, there is no severe abdominal pain, and an ultrasound shows that the embryo is still alive, then it is possible to continue with medication to maintain the pregnancy. However, if the symptoms of threatened miscarriage are severe after it occurs, and ultrasounds show abnormal embryo development, along with a continuous decline in human chorionic gonadotropin levels, these conditions indicate that miscarriage is inevitable, and it is generally not recommended to continue trying to maintain the pregnancy.

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Written by Du Rui Xia

Obstetrics

58sec

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How long does it take to prevent a threatened miscarriage?

During threatened miscarriage, proactive treatment to preserve the pregnancy is required. However, the duration of such treatment varies from person to person and should be based on the specific circumstances of the patient. If the patient has a history of recurrent miscarriages, in the event of a threatened miscarriage, the pregnancy should be preserved for a longer period, at least until three months into the pregnancy when the fetal development has stabilized. However, if the patient experiences light vaginal bleeding without abdominal pain, and the condition is relatively mild, approximately a week of medication may be sufficient for improvement. It is recommended that one to two weeks after the bleeding stops, a visit to the hospital should be made to perform an abdominal ultrasound to check the embryo's growth.

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Written by Zhang Lu

Obstetrics

54sec

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Does a threatened miscarriage require a uterine curettage?

Threatened miscarriage, as the name suggests, refers to signs indicating a potential miscarriage. Whether a curettage is necessary in cases of threatened miscarriage mainly depends on the pregnancy outcome. For threatened miscarriage, treatment is chosen based on the patient's wishes. If the patient desires to continue the pregnancy and try to preserve it, medication can be used initially for conservation. However, if a woman experiencing threatened miscarriage does not wish to continue the pregnancy, she can opt for artificial intervention to induce the miscarriage. Miscarriage can be induced through oral medication or through a curettage procedure. Thus, curettage is not necessarily required for a threatened miscarriage, and even if the pregnancy is to be terminated, medication can be used as an alternative. Therefore, there is no inevitable connection between threatened miscarriage and curettage.

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Written by Du Rui Xia

Obstetrics

55sec

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What are the symptoms of a threatened miscarriage?

When threatened miscarriage occurs, pregnant women often experience vaginal bleeding and abdominal pain. However, at this time, the fetal heartbeat and embryo are generally still in good condition, and timely treatment to preserve the pregnancy can be effective. But if the patient experiences a significant amount of bleeding and severe pain, accompanied by backache and a sense of heaviness, it may indicate a threatened miscarriage. It is advised to go to a hospital for an ultrasound examination and to have blood tests to check progesterone levels to determine if treatment to preserve the pregnancy is needed. If, after such treatment, vaginal bleeding stops and abdominal pain disappears, then the pregnancy can typically continue.

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Written by Zhang Yin Xing

Obstetrics

1min 23sec

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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.

home-news-image

Written by Zhang Yin Xing

Obstetrics

58sec

home-news-image

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.