Can threatened miscarriage be treated with medical abortion?

Written by Zhang Lu
Obstetrics
Updated on September 02, 2024
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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
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What are the symptoms of threatened miscarriage?

Threatened miscarriage primarily refers to the occurrence of a small amount of vaginal bleeding before 28 weeks of pregnancy, often dark red or blood-stained discharge, with no pregnancy tissue expelled. The amount of bleeding generally does not exceed that of a menstrual period and may be accompanied by intermittent pain in the lower abdomen or the sacral area. During a gynecological examination, the cervix is not dilated, the membranes are intact, and the size of the uterus corresponds to the gestational age. After rest or treatment, the symptoms may alleviate, allowing the pregnancy to continue. If vaginal bleeding increases and lower abdominal pain intensifies, and all or part of the pregnancy tissue is expelled through the vagina, a miscarriage that cannot be avoided is considered. In this case, it is necessary to terminate the pregnancy promptly to avoid endangering the pregnant woman's life due to excessive bleeding.

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Written by Du Rui Xia
Obstetrics
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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.

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Written by Du Rui Xia
Obstetrics
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Can you eat bananas with threatened miscarriage?

When threatened miscarriage occurs, it is okay for pregnant women to eat bananas. Bananas contain a good amount of nutrients and are low in sodium. They are a very suitable fruit to eat during pregnancy as they help in preventing mental fatigue, moisturizing the lungs to stop coughing, and preventing constipation during pregnancy. Bananas are also easy to digest and absorb, providing many benefits when consumed during threatened miscarriage.

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Written by Wang Xiu Mei
Obstetrics
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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 Zhang Lu
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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.