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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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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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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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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What should you not eat during a threatened miscarriage?

When there are signs of a threatened miscarriage, pregnant women should avoid consuming raw, cold, spicy, and irritating food such as onions, ginger, garlic, chili peppers, and overly sour food, as these may stimulate the uterus, causing it to contract, and increase the risk of miscarriage. Additionally, do not consume cold-natured foods, especially chilled beverages straight from the refrigerator or melons and fruits. Also, some foods can cause uterine contractions, such as hawthorn, seafood products, and black fungus; these should be avoided during this period. Also, try not to be overly anxious.

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Written by Du Rui Xia
Obstetrics
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Can you eat chili peppers with a threatened miscarriage?

When a threatened miscarriage occurs, pregnant women should not eat chili peppers. This is because chili peppers are spicy and stimulating foods, and consuming them can easily lead to abdominal pain, diarrhea, and reflexively cause uterine contractions, which may result in miscarriage. After a threatened miscarriage occurs, it is essential to pay attention to diet. It is recommended to eat light, easy-to-digest foods, such as thin porridge, soft noodles, or soft bread. Additionally, it is important to increase the intake of fresh vegetables and fruits. These supplements of vitamins and proteins can enhance the immune capacity of pregnant women and strengthen their resistance, which is also helpful for successful pregnancy maintenance.