How many months will it take for a threatened miscarriage to stabilize?

Written by Zhang Lu
Obstetrics
Updated on September 04, 2024
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Threatened miscarriage refers to the situation where abdominal pain and bleeding occur during pregnancy due to instability of the gestational sac or fetus. Most threatened miscarriages occur in the early stages of pregnancy, hence, the likelihood of experiencing threatened miscarriages during the mid or late stages of pregnancy is relatively low. Most threatened miscarriages stabilize after the first three months of pregnancy, which is approximately 12 weeks. By this time, the fetus has moved from the pelvic cavity into the abdominal cavity, and the placenta has formed. With the support of the placenta, the fetus can grow more stably. In early pregnancy, the instability of the gestational sac makes it susceptible to external influences, which can easily lead to threatened or even spontaneous miscarriage.

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Written by Zhang Lu
Obstetrics
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Threatened miscarriage how many days naturally miscarry

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 Du Rui Xia
Obstetrics
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Threatened miscarriage occurs in how many months?

Threatened miscarriage mostly occurs during the first three months of pregnancy because, at this time, the embryo's development is still unstable, and its connection to the mother is not secure, making it susceptible to various factors that might lead to a threatened miscarriage. In the first three months, before week 12 of pregnancy, which is considered the early stage, special attention must be given. First and foremost, one should not overexert themselves and must ensure adequate rest and sufficient sleep. Sexual intercourse should be avoided during early pregnancy as well as foods that might stimulate uterine contractions, such as hawthorn and coix seed. Generally, paying attention to nutritional intake and avoiding intense physical activities should largely prevent any major issues.

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Written by Du Rui Xia
Obstetrics
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Symptoms of threatened miscarriage and missed abortion

In the event of threatened miscarriage or fetal developmental arrest, the first symptom to appear is vaginal bleeding, which is a very important sign. Mainly, the uterus expels the fetus that has stopped developing based on the principle of natural selection. Another symptom that may occur after embryonic arrest is pain in the lower abdomen, which is also common. Furthermore, after embryonic arrest, the hormones secreted in the body will gradually decrease, leading to a reduction or disappearance of early pregnancy reactions such as nausea, vomiting, loss of appetite, and breast tenderness in pregnant women. It is crucial to address fetal arrest promptly and to regularly conduct prenatal check-ups during pregnancy to monitor the health of the fetus.

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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.

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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.