What to do if there are signs of miscarriage

If you feel that you are showing signs of miscarriage during pregnancy, you should go to the hospital immediately. This is very important. Only after a comprehensive examination at the hospital can you know whether you have had a miscarriage. If it is a threatened miscarriage, you should stay in bed and rest more. You must keep yourself relaxed and not let yourself be in an overly nervous state.

1. Threatened abortion: You should get enough rest, stay in bed, strictly avoid sexual intercourse, relax mentally and enhance your confidence. Drugs can include progesterone supplemented with vitamin E and a small amount of thyroxine (suitable for patients with hypothyroidism) for supportive treatment, and phenobarbital for sedation.

2. Miscarriage is inevitable: the contents of the uterine cavity should be cleaned out as soon as possible after diagnosis.

3. Incomplete abortion: After the diagnosis is confirmed, curettage or forceps should be performed as soon as possible, and fluid replacement or blood transfusion should be given at the same time. If there is an infection, the infection should be controlled first.

4. Complete miscarriage: Generally no treatment is required.

5. Recurrent spontaneous abortion: necessary examinations and symptomatic treatment should be carried out before pregnancy. Pregnant women who experience recurrent spontaneous abortion should be treated as threatened abortion.

6. Missed abortion: Because the placental tissue is ossified and closely connected to the uterus, it is difficult to treat. Generally, curettage or drugs are used to expel the fetus and placenta according to the gestational age to prevent coagulation dysfunction.

The main clinical manifestations of miscarriage are postmenopausal abdominal pain and vaginal bleeding.

1. Early miscarriage: often bleeding first and then abdominal pain. Before 8 weeks of pregnancy, the villi are immature and not firmly connected to the maternal decidua. If a miscarriage occurs, the bleeding will not be much. From 8 to 12 weeks of pregnancy, as the connection between the villi and the maternal decidua gradually becomes stronger, heavy bleeding will occur if the separation is incomplete. At the beginning of miscarriage, the chorion and decidua are separated, the blood sinuses open, vaginal bleeding occurs, the uterus contracts, the embryo and other products of conception are expelled, and paroxysmal lower abdominal pain occurs. Afterwards, the uterus contracts, the blood sinuses close, and the bleeding stops. Recurrent miscarriage is mostly early miscarriage.

2. Late abortion: Similar to the process of early abortion, there is often abdominal pain first and then bleeding. The fetus and placenta are expelled in turn, and the bleeding is not much. If the decidua basalis bleeds repeatedly, the fetal mass will be surrounded by blood clots, and the bleeding will often not stop, and even a bloody fetal mass may be retained in the uterine cavity.

3. Missed abortion: also known as missed abortion. The main symptoms are that the uterus no longer enlarges, fetal movement disappears, with or without symptoms of threatened abortion.