How to have a spontaneous abortion when you are just pregnant

If you don't want the baby when you just get pregnant, you should have an abortion as soon as possible. This operation still has a certain time limit. If it is not done in time, the risk of the operation will become greater, and there is no way to have a natural abortion. The best thing is to have an artificial abortion, which will be relatively smaller for your body and prevent side effects.

It is relatively easy to diagnose spontaneous abortion based on medical history, clinical manifestations and auxiliary examinations. In addition, the type of spontaneous abortion needs to be diagnosed.

1. Threatened abortion: The amount of bleeding is less than usual, with or without lower abdominal pain or back pain; examination shows that the cervix is ​​not dilated, the uterus is enlarged, and it is consistent with the number of weeks of pregnancy.

2. Inevitable miscarriage: mostly developed from threatened miscarriage. When miscarriage is inevitable, vaginal bleeding is more frequent than in threatened abortion, paroxysmal abdominal pain gradually intensifies, or vaginal discharge (rupture of membranes) occurs; examination may show that the cervix is ​​dilated, blocked by tissue or bulging of the membranes, or water is flowing out, and the uterus is consistent with or smaller than the gestational age.

3. Incomplete abortion: It is inevitable that the abortion discharge is incomplete; examination shows that the uterine opening is often loose, and sometimes tissue can be seen blocking the uterine opening. The uterus is often smaller than the gestational weeks. Prolonged bleeding can cause abortion and infection.

4. Complete miscarriage: It is inevitable that the miscarriage material is completely expelled; examination shows that the cervix is ​​closed and the uterus is close to normal size.

In addition, spontaneous abortion should be differentiated from diseases such as ectopic pregnancy, functional uterine bleeding, dysmenorrhea, uterine fibroids, and hydatidiform mole.

1. Ectopic pregnancy

There are amenorrhea, vaginal bleeding and lower abdominal pain, positive pregnancy test, and clinical symptoms similar to miscarriage. However, the abdominal pain of ectopic pregnancy is often pain on one side of the lower abdomen, with obvious symptoms of internal bleeding, no or little external bleeding, and is often accompanied by a feeling of anal prolapse or syncope. The uterus is slightly larger but smaller than the gestational age. There is obvious tenderness in the posterior fornix, and a mass can be felt in the adnexal area on one side. Posterior fornix puncture produces uncoagulated blood. Ultrasound examination shows a gestational sac or heterogeneous mass outside the uterine cavity or accompanied by free fluid in the peritoneal cavity. Pathological examination of the curettage tissue shows no chorionic tissue, but may contain decidual tissue, which can be used for identification.

2. Hydatidiform mole

The symptoms and signs are similar to those of miscarriage, but the uterus is often larger than the gestational month, and the blood HCG is much higher than the level of the same pregnancy period; B-ultrasound can confirm the diagnosis, and there is no gestational sac, fetal bud, or amniotic fluid segment in the uterus, and a falling snow-like image can be seen. A curettage and dilatation can confirm the diagnosis.

3. Functional uterine bleeding

Anovulatory functional uterine bleeding may have a history of amenorrhea, and the history of bleeding can easily be misdiagnosed as miscarriage. However, the former has a normal or slightly larger uterus, a negative pregnancy test, no embryonic sac in the uterus by B-ultrasound, and no chorionic tissue by curettage.

4. Uterine fibroids

The uterus may enlarge and become soft as fibroids become hyalinized or cystic. When uterine fibroids appear red and degenerate, there will be lower abdominal pain and irregular vaginal bleeding, which can easily be confused with miscarriage. However, the former has no history of amenorrhea, the pregnancy test is negative, and B-ultrasound can clearly identify it.