Can threatened miscarriage be treated with medical abortion?

Written by Zhang Lu
Obstetrics
Updated on September 02, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
46sec home-news-image

Is threatened miscarriage dangerous?

There are various causes of threatened miscarriage, so the danger of a threatened miscarriage depends on the cause. If the reason for the threatened miscarriage is due to abnormal fetal chromosome development, gynecological inflammation, or endocrine dysfunction, then it is necessary to receive timely treatment. If fetal development abnormalities are detected, the pregnancy must be terminated promptly and cannot continue. However, if the threatened miscarriage is simply due to low progesterone levels, then generally, the pregnancy can be successfully maintained by timely supplementation of progesterone, and this situation is not severe.

doctor image
home-news-image
Written by Zhang Lu
Obstetrics
1min 10sec home-news-image

Intercourse during a threatened miscarriage can have what effect?

Threatened miscarriage refers to the symptoms indicating an impending miscarriage, often characterized by significant lower abdominal pain and vaginal bleeding. During a threatened miscarriage, intense activities should be avoided, appropriate rest is necessary, and sexual intercourse should also be avoided. Engaging in sexual intercourse during a threatened miscarriage can cause the following harms: First, intercourse can stimulate the uterus, causing lower abdominal pain, which can lead to uterine contractions. These contractions can stimulate the gestational sac, and in severe cases, can trigger a spontaneous miscarriage. Second, sexual activity can stimulate the vagina and alter the vaginal flora, which sometimes can lead to vaginitis. Vaginitis can spread through the cervix into the uterine cavity, sometimes causing endometritis, affecting the development of the gestational sac and in severe cases can also lead to a spontaneous miscarriage. Therefore, it is crucial not to engage in sexual intercourse when symptoms of a threatened miscarriage appear.

doctor image
home-news-image
Written by Zhang Lu
Obstetrics
57sec home-news-image

What is the cause of nausea in threatened miscarriage?

Threatened miscarriage refers to signs of miscarriage during pregnancy, and some women with threatened miscarriage may experience nausea. This situation includes several reasons: First, threatened miscarriage is not the same as a natural miscarriage; women are still pregnant, hence early pregnancy reactions such as nausea are normal. If the nausea is mild, rest and observation are advisable. However, if severe, it is important to visit the hospital for an examination to rule out hyperemesis gravidarum. Second, some cases of threatened miscarriage are caused by gastrointestinal inflammation, such as acute gastritis causing uterine contractions, which then leads to threatened miscarriage. The nausea in these situations is due to acute gastritis, so the nausea is a symptom caused by the condition that leads to the threatened miscarriage, not a direct result of the threatened miscarriage itself.

doctor image
home-news-image
Written by Zhang Lu
Obstetrics
54sec home-news-image

Does a threatened miscarriage require a uterine curettage?

Threatened miscarriage, as the name suggests, refers to signs indicating a potential miscarriage. Whether a curettage is necessary in cases of threatened miscarriage mainly depends on the pregnancy outcome. For threatened miscarriage, treatment is chosen based on the patient's wishes. If the patient desires to continue the pregnancy and try to preserve it, medication can be used initially for conservation. However, if a woman experiencing threatened miscarriage does not wish to continue the pregnancy, she can opt for artificial intervention to induce the miscarriage. Miscarriage can be induced through oral medication or through a curettage procedure. Thus, curettage is not necessarily required for a threatened miscarriage, and even if the pregnancy is to be terminated, medication can be used as an alternative. Therefore, there is no inevitable connection between threatened miscarriage and curettage.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
47sec home-news-image

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.