How long should one stay in bed for a threatened miscarriage?

Written by Zhang Lu
Obstetrics
Updated on October 25, 2024
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Threatened miscarriage, as the name implies, is the appearance of signs of miscarriage, such as lower abdominal pain, bleeding, and a feeling of heaviness. For threatened miscarriage, it is appropriate to choose bed rest for treatment, but absolute bed rest is not necessary during threatened miscarriage. Prolonged bed rest is not always beneficial for the recovery of a woman’s health. Being bedridden for a long time can cause constipation, prevent vaginal bleeding from being expelled, and lead to mental stress. It is generally recommended to get out of bed for light activities during the day, aside from normal sleeping hours. Simple, light activities will not worsen the miscarriage. Generally, after a threatened miscarriage, it is advised to rest in bed for 3-5 days at most, and during this period, it is necessary to get out of bed intermittently.

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Written by Zhang Lu
Obstetrics
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What are some medications for threatened miscarriage to stabilize the pregnancy?

When threatened miscarriage occurs, it is necessary to use medications to sustain the pregnancy. Commonly used medications include the following types: The first type is progesterone medications, which have the effects of stabilizing the uterus and suppressing the immune system; the second type is estrogen medications, which can promote the proliferation of the endometrium, providing a favorable environment for the implantation and growth of the gestational sac; third, traditional Chinese medicine formulations, which also have the effects of stabilizing the uterus, promoting the development of the gestational sac, and reducing bleeding. In addition, it is necessary to conduct examinations based on the symptoms of threatened miscarriage to determine if there are any abnormalities in coagulation indicators. If the threatened miscarriage is caused by abnormal coagulation indicators, anticoagulant medications can be used for treatment.

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Written by Zhang Lu
Obstetrics
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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 Du Rui Xia
Obstetrics
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Early symptoms of threatened miscarriage

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 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 red dates during a threatened miscarriage?

You can eat red dates during threatened miscarriage. Red dates are beneficial for replenishing qi and blood, and they also provide a large amount of vitamins. However, eating red dates alone cannot solve the problem when a threatened miscarriage occurs. It is crucial to visit a hospital for an examination timely. Treatment should be selected based on the examination results. Additionally, it is important to rest, reduce physical activity, maintain a cheerful spirit, avoid excessive mental stress, avoid getting cold, and abstain from sexual intercourse.