How long should one rest in bed for a threatened miscarriage?

Written by Yue Hua
Obstetrics and Gynecology
Updated on September 13, 2024
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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 Zhang Lu
Obstetrics
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How long should one stay in bed for a threatened miscarriage?

Threatened miscarriage, as the name implies, is the appearance of signs of miscarriage, such as lower abdominal pain, bleeding, and a feeling of heaviness. For threatened miscarriage, it is appropriate to choose bed rest for treatment, but absolute bed rest is not necessary during threatened miscarriage. Prolonged bed rest is not always beneficial for the recovery of a woman’s health. Being bedridden for a long time can cause constipation, prevent vaginal bleeding from being expelled, and lead to mental stress. It is generally recommended to get out of bed for light activities during the day, aside from normal sleeping hours. Simple, light activities will not worsen the miscarriage. Generally, after a threatened miscarriage, it is advised to rest in bed for 3-5 days at most, and during this period, it is necessary to get out of bed intermittently.

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Written by Du Rui Xia
Obstetrics
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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 Du Rui Xia
Obstetrics
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What should you not eat during a threatened miscarriage?

When there are signs of a threatened miscarriage, pregnant women should avoid consuming raw, cold, spicy, and irritating food such as onions, ginger, garlic, chili peppers, and overly sour food, as these may stimulate the uterus, causing it to contract, and increase the risk of miscarriage. Additionally, do not consume cold-natured foods, especially chilled beverages straight from the refrigerator or melons and fruits. Also, some foods can cause uterine contractions, such as hawthorn, seafood products, and black fungus; these should be avoided during this period. Also, try not to be overly anxious.

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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 Du Rui Xia
Obstetrics
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Can a threatened miscarriage be treated to preserve the pregnancy?

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.