Can a threatened miscarriage still preserve the pregnancy?

Written by Zhang Lu
Obstetrics
Updated on June 07, 2025
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When threatened miscarriage occurs, attempts are generally made to carry out treatment to save the pregnancy. Whether the treatment can successfully save the pregnancy mainly depends on the severity of the symptoms, whether the treatment is timely, and the quality of the embryo itself.

Firstly, if it is a mild threatened miscarriage, such as mild lower abdominal pain or light vaginal bleeding, in most cases, the pregnancy can be saved; if the symptoms are very severe, with heavy vaginal bleeding and intense abdominal pain, sometimes the pregnancy may not be saved.

Secondly, when threatened miscarriage occurs, treatment should be selected based on the cause, including rest and medication. If the treatment is not timely, the pregnancy may not be saved.

Thirdly, if the quality of the gestational sac is good, then even if a mild threatened miscarriage occurs, the pregnancy can often be saved; however, if the quality of the gestational sac is poor, then even with medication treatment, the pregnancy often cannot be saved.

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Written by Zhang Lu
Obstetrics
1min 3sec home-news-image

What should be done for a threatened miscarriage?

Threatened miscarriage, as the name suggests, is a precursor to miscarriage, typically manifesting in several ways: first, a feeling of heaviness or pain in the lower abdomen; second, vaginal bleeding. The presence of these two symptoms often indicates signs of a miscarriage. Regarding the management of threatened miscarriage, whether to proceed with treatment to preserve the pregnancy primarily depends on the severity of the condition and the value of preserving the pregnancy. First, for minor cases of threatened miscarriage, if there is only slight bleeding and mild abdominal pain, medication can be used to inhibit uterine contractions and reduce bleeding. Second, if there is significant vaginal bleeding and severe abdominal pain, and if the embryo has already been confirmed to have ceased developing, preserving the pregnancy is generally not recommended. It is advised to terminate the pregnancy promptly or let it proceed naturally. (Medication should be used under the guidance of a doctor.)

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Written by Du Rui Xia
Obstetrics
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Can you take a bath with a threatened miscarriage?

When a threatened miscarriage occurs, it is not advisable to bathe, as the threatened miscarriage could lead to an inevitable miscarriage, so it is essential to undergo treatment to support the pregnancy. At this time, it's crucial to rest in bed as much as possible, only getting up for bathroom needs, and to stay as still as possible. Sexual activity should be prohibited, and it's important to maintain emotional stability and not be overly anxious. Nutritional intake should be adequate, with an emphasis on easily digestible foods and a moderate consumption of fresh vegetables and fruits. If necessary, progesterone can be used under the guidance of a doctor to support the pregnancy. Activities can be resumed once everything stabilizes, and bathing is permissible, but care must be taken to avoid intense physical activities and excessive time spent bathing.

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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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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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Is a threatened miscarriage considered a miscarriage?

Threatened miscarriage is not actually a miscarriage. If handled properly, it is possible to successfully preserve the pregnancy. However, if not treated in time, it could develop into an inevitable miscarriage. During a threatened miscarriage, the fetal heartbeat and embryonic tissue are generally normal, and there may be minor vaginal bleeding or slight lower abdominal pain. At this time, it is crucial to go to the hospital for an ultrasound and have blood tests for progesterone and human chorionic gonadotropin. If the fetal heartbeat and embryo are normal, then treatment to preserve the pregnancy is needed. At this time, it is important to rest, reduce activity, and avoid any vigorous exercise.