How many days of bleeding is normal after miscarriage

In fact, when miscarriage occurs, the harm to women's bodies is quite great. If they are not well taken care of after miscarriage, many roots of diseases will be left behind, and bleeding will continue after miscarriage. As long as it is within a reasonable range, no treatment should be done. However, if it is accompanied by other symptoms, it is not normal and you must go to the hospital for examination as soon as possible.

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.

5. Pregnancy complicated by cervical erosion or polyps

Cervical erosion or polyps often cause small amounts of bleeding, which can easily be mistaken for miscarriage. The former does not cause abdominal pain. After local treatment to stop bleeding, there will be no more bleeding.

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.