Threatened miscarriage how many days naturally miscarry

Written by Zhang Lu
Obstetrics
Updated on September 12, 2024
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Threatened miscarriage refers to the occurrence of symptoms suggesting a possible miscarriage, such as severe abdominal pain or vaginal bleeding. However, a threatened miscarriage does not always progress to an actual miscarriage. With appropriate treatment and oral medication, the majority of embryos can be saved during a threatened miscarriage. If the quality of the embryo is poor and the symptoms of threatened miscarriage continue to worsen, it may develop into a natural miscarriage. However, there is no specific clinical guideline on how many days it may take for a natural miscarriage to occur following a threatened miscarriage. If the symptoms of threatened miscarriage are mild, with only slight abdominal pain or vaginal bleeding, it may not lead to a natural miscarriage, or it might take up to a week to occur naturally. If the symptoms of threatened miscarriage are severe, featuring intense abdominal pain or heavy vaginal bleeding, it generally may result in a natural miscarriage within one to two days.

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Written by Yue Hua
Obstetrics and Gynecology
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How long should one rest in bed for a threatened miscarriage?

The duration of bed rest for threatened miscarriage varies from person to person. It depends on the patient's clinical symptoms. Generally, one should rest until there is no vaginal bleeding for a week before starting to get out of bed and move around. This is because the typical clinical symptom of threatened miscarriage is minor vaginal bleeding. During this time, in addition to bed rest, it is advisable to take some progestogen medication for miscarriage prevention treatment. After successful miscarriage prevention, most people will see the disappearance of clinical symptoms. Then, one week after the symptoms disappear, they may gradually start getting out of bed but should still avoid intense physical activities.

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Written by Du Rui Xia
Obstetrics
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Can you take a bath with a threatened miscarriage?

When a threatened miscarriage occurs, it is not advisable to bathe, as the threatened miscarriage could lead to an inevitable miscarriage, so it is essential to undergo treatment to support the pregnancy. At this time, it's crucial to rest in bed as much as possible, only getting up for bathroom needs, and to stay as still as possible. Sexual activity should be prohibited, and it's important to maintain emotional stability and not be overly anxious. Nutritional intake should be adequate, with an emphasis on easily digestible foods and a moderate consumption of fresh vegetables and fruits. If necessary, progesterone can be used under the guidance of a doctor to support the pregnancy. Activities can be resumed once everything stabilizes, and bathing is permissible, but care must be taken to avoid intense physical activities and excessive time spent bathing.

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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.

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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.