Spinal pain after miscarriage for more than a month

Whether it is an artificial abortion or an accidental abortion, the physical harm to pregnant mothers is still great. In fact, abortion also requires confinement period, but many women ignore this issue. Therefore, it is easy to have menstrual disorders and back pain. If you experience spinal pain more than a month after a miscarriage, it is not necessarily caused by the miscarriage. It is recommended that you go to the hospital for a check-up.

Termination of pregnancy before 28 weeks of gestation and with a fetal weight of less than 1000g is called abortion. Abortion that occurs before 12 weeks of pregnancy is called early abortion, and abortion that occurs between 12 weeks and less than 28 weeks of pregnancy is called late abortion. Abortion is divided into spontaneous abortion and induced abortion. The incidence of spontaneous abortion accounts for about 15% of all pregnancies, and most of them are early abortions. There are also two specific types of miscarriage: missed miscarriage and habitual miscarriage.

Diagnosing miscarriage is generally not difficult. Most cases can be diagnosed based on medical history and clinical manifestations, and only a few require auxiliary examinations. After confirming the miscarriage, the clinical type of miscarriage should be determined and the treatment method should be decided.

1. Medical history

The patient should be asked whether she has a history of amenorrhea and recurrent miscarriage, whether she has early pregnancy reactions or vaginal bleeding. The amount of vaginal bleeding and its duration, whether she has abdominal pain, and the location, nature and degree of the pain should be asked. You should also know whether there is watery vaginal discharge, the color, amount and odor of the vaginal discharge, and whether there is any product of pregnancy discharged.

2. Physical examination

Observe the patient's general condition, check for anemia, and measure body temperature, blood pressure, pulse, etc. Perform a gynecological examination under sterile conditions, paying attention to whether the cervical opening is dilated, whether the amniotic sac is bulging, whether there are any products of pregnancy blocking the cervical opening; whether the size of the uterus is consistent with the number of weeks of amenorrhea, and whether there is any tenderness. The bilateral adnexa should also be examined for masses, thickening, and tenderness. The examination should be performed gently, especially for suspected threatened miscarriage.

3. Auxiliary examination

For those who have difficulty in diagnosis, necessary auxiliary examinations can be used.

(1) Type B ultrasound imaging is currently widely used. It has practical value in differential diagnosis and determination of abortion type. For those suspected of threatened abortion, the survival of the embryo or fetus can be determined based on the morphology of the gestational sac, the presence or absence of fetal heart reflexes and fetal movements, in order to guide the correct treatment method. Incomplete abortion and missed abortion can be confirmed with the help of B-type ultrasound examination.

(2) Pregnancy tests use immunological methods. In recent years, the test strip method has been used more frequently in clinical practice and is meaningful for diagnosing pregnancy. In order to further understand the prognosis of miscarriage, radioimmunoassay or enzyme-linked immunosorbent assay is often used to perform quantitative determination of HCG.