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

Written by Du Rui Xia
Obstetrics
Updated on January 23, 2025
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Improper management of an impending miscarriage could potentially lead to an inevitable miscarriage. Therefore, it is crucial to rest during this period, preferably staying in bed. However, the specific duration of bed rest depends on the patient's clinical symptoms; for instance, if the woman experiences only minor vaginal bleeding and mild abdominal pain.

Typically, through timely conservative treatment for maintaining pregnancy, taking progesterone orally or receiving progesterone injections can quickly stop the bleeding and alleviate lower abdominal pain. Generally, the patient can get out of bed three days after the symptoms disappear, but if there is still significant bleeding, continued bed rest is necessary until the bleeding stops for one week.

(The use of medications should be conducted under the guidance of a doctor.)

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Written by Du Rui Xia
Obstetrics
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How long should one stay in bed for a threatened miscarriage?

Improper management of an impending miscarriage could potentially lead to an inevitable miscarriage. Therefore, it is crucial to rest during this period, preferably staying in bed. However, the specific duration of bed rest depends on the patient's clinical symptoms; for instance, if the woman experiences only minor vaginal bleeding and mild abdominal pain. Typically, through timely conservative treatment for maintaining pregnancy, taking progesterone orally or receiving progesterone injections can quickly stop the bleeding and alleviate lower abdominal pain. Generally, the patient can get out of bed three days after the symptoms disappear, but if there is still significant bleeding, continued bed rest is necessary until the bleeding stops for one week. (The use of medications should be conducted under the guidance of a doctor.)

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Written by Zhang Yin Xing
Obstetrics
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What are the symptoms of a threatened miscarriage?

The symptoms of threatened miscarriage primarily include a small amount of vaginal bleeding and mild lower abdominal pain or sacral pain. Threatened miscarriage refers to the occurrence of a small amount of vaginal bleeding before 28 weeks of pregnancy, often dark red in color, with no pregnancy tissue expelled. This may be accompanied by intermittent lower abdominal pain or back pain, or it may occur without any pain symptoms. During a gynecological examination, the cervix is closed, the membranes are intact, and the uterine size matches the gestational age. After rest and treatment, the symptoms may disappear and the pregnancy can continue. If the amount of vaginal bleeding increases or the lower abdominal pain worsens, accompanied by dilation of the cervix and expulsion or shedding of pregnancy tissue, it can progress to an inevitable miscarriage, which then requires prompt and active management to terminate the pregnancy.

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Written by Du Rui Xia
Obstetrics
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How long does the abdominal pain last in threatened miscarriage?

When a threatened miscarriage occurs, the pregnant woman often experiences abdominal pain and vaginal bleeding. The specific timing of the abdominal pain can vary, as each individual's situation is different. Some may experience longer periods of pain, while others may have shorter ones. During a threatened miscarriage, it is essential to go to the hospital promptly for treatment to preserve the pregnancy. If the bleeding stops after active treatment, then it is possible to continue the pregnancy. However, if the symptoms do not relieve and the pain intensifies after treatment, then it is no longer feasible to continue preserving the pregnancy, and an abortion surgery will be necessary.

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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 Du Rui Xia
Obstetrics
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What should be noted for threatened miscarriage?

After the occurrence of threatened miscarriage, it is crucial to rest, and if possible, bed rest is recommended to reduce activity. Additionally, local hygiene must be maintained, frequently changing underwear to keep the area dry and fresh, preventing bacterial infection. Intercourse should be strictly avoided during a threatened miscarriage. It is important to observe vaginal bleeding and discharge. If any tissue-like materials are expelled, they should be preserved and brought to the hospital for examination to determine the nature of the expelled material. Nutrition should be enhanced by consuming light, easily digestible foods, including fresh fruits and vegetables.