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

48sec

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Can threatened miscarriage be treated with medical abortion?

Threatened miscarriage only indicates signs of a potential miscarriage and does not necessarily result in a spontaneous miscarriage. During a threatened miscarriage, medication can be used to preserve the embryo. If one does not wish to continue the pregnancy upon signs of a threatened miscarriage, intervention can be managed like a normal miscarriage. In early pregnancy, if one chooses to have an abortion, there are two methods available: medical abortion and surgical abortion, which are not significantly different from each other. For the majority of typical women, medical abortion is an option during a threatened miscarriage, though it is notably painful and can be prolonged. Patients must be clearly informed about the specific procedures and drawbacks. Surgical abortion, on the other hand, tends to be simpler and less painful.

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Written by Wang Xiu Mei

Obstetrics

1min 14sec

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How long does threatened miscarriage require bed rest?

Threatened miscarriage generally requires bed rest for about a week. A threatened miscarriage isn't an inevitable or natural miscarriage and may not necessarily result in the loss of the pregnancy. If the bleeding is minor and timely measures are taken to preserve the pregnancy, most cases won't progress to inevitable miscarriage. However, if measures to preserve the pregnancy are unsuccessful and not taken promptly, and if the bleeding is heavy and abdominal pain severe from the start, it will generally result in a miscarriage naturally within one to three days. During the treatment to preserve the pregnancy, it is crucial for the patient to rest in bed as much as possible, minimize physical activity to reduce the chances of miscarriage, and strictly avoid sexual activity to reduce stimulation to the uterus and fetus. Dietary nutrition should be increased, including more proteins, vitamin-rich foods, and high-fiber foods. It is important to actively prevent constipation, avoid spicy and stimulating foods, as well as cold, greasy foods, and maintain stable emotions.

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Written by Du Rui Xia

Obstetrics

45sec

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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 Zhang Yin Xing

Obstetrics

57sec

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What are the symptoms of threatened miscarriage?

Threatened miscarriage primarily refers to the occurrence of a small amount of vaginal bleeding before 28 weeks of pregnancy, often dark red or blood-stained discharge, with no pregnancy tissue expelled. The amount of bleeding generally does not exceed that of a menstrual period and may be accompanied by intermittent pain in the lower abdomen or the sacral area. During a gynecological examination, the cervix is not dilated, the membranes are intact, and the size of the uterus corresponds to the gestational age. After rest or treatment, the symptoms may alleviate, allowing the pregnancy to continue. If vaginal bleeding increases and lower abdominal pain intensifies, and all or part of the pregnancy tissue is expelled through the vagina, a miscarriage that cannot be avoided is considered. In this case, it is necessary to terminate the pregnancy promptly to avoid endangering the pregnant woman's life due to excessive bleeding.