What should I do if the threatened miscarriage is not completely miscarried?

Written by Du Rui Xia
Obstetrics
Updated on October 21, 2024
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When there is a threatened miscarriage and the miscarriage is not complete, the treatment method needs to be determined based on the size of the residual tissue. It is recommended to first go to the hospital for an ultrasound to evaluate the amount of residual tissue in the uterus. If the residual tissue is relatively small, it can generally be treated with oral medications that promote blood circulation and remove blood stasis, which helps the uterus contract and aids in the expulsion of the remaining tissue. However, if the residual tissue is large and medication is ineffective, a repeat uterine curettage may be necessary. Therefore, when there is residual tissue in the uterine cavity, it must be dealt with promptly, otherwise it can lead to repeated vaginal bleeding, decrease the body's resistance, and increase the risk of anemia and infections.

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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 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 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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Can you eat chestnuts with a threatened miscarriage?

When experiencing signs of threatened miscarriage, pregnant women can eat chestnuts in moderation. Chestnuts are very nutritious, containing protein, amino acids, trace elements, and vitamins. These nutrients can enhance a woman's physical resistance and are beneficial for pregnancy maintenance, hence chestnuts can be consumed during a miscarriage. Additionally, it is crucial to rest in bed during a miscarriage and maintain emotional stability without being overly anxious. During this period, sexual activity is strictly forbidden. Attention should be paid to genital hygiene. Dietarily, it is advised to consume foods rich in protein and to avoid raw, spicy, and irritating foods.

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Written by Zhang Lu
Obstetrics
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Threatened miscarriage how many days naturally miscarry

Threatened miscarriage refers to the occurrence of symptoms suggesting a possible miscarriage, such as severe abdominal pain or vaginal bleeding. However, a threatened miscarriage does not always progress to an actual miscarriage. With appropriate treatment and oral medication, the majority of embryos can be saved during a threatened miscarriage. If the quality of the embryo is poor and the symptoms of threatened miscarriage continue to worsen, it may develop into a natural miscarriage. However, there is no specific clinical guideline on how many days it may take for a natural miscarriage to occur following a threatened miscarriage. If the symptoms of threatened miscarriage are mild, with only slight abdominal pain or vaginal bleeding, it may not lead to a natural miscarriage, or it might take up to a week to occur naturally. If the symptoms of threatened miscarriage are severe, featuring intense abdominal pain or heavy vaginal bleeding, it generally may result in a natural miscarriage within one to two days.