Early symptoms of threatened miscarriage

Written by Du Rui Xia

Obstetrics

Updated on September 07, 2024

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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 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 Yue Hua

Obstetrics and Gynecology

46sec

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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 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 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.

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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.