Symptoms of miscarriage in the first month of pregnancy

We all know that the most obvious sign of a woman's pregnancy is that her menstruation stops. However, some women may experience miscarriage due to some careless reasons. At this time, you will find that the woman's lower body is red or bleeding, which means that she has miscarried. Therefore, women must take good care of their bodies during pregnancy. So what are the symptoms of miscarriage in the first month of pregnancy?

The number of days from the day of your last menstrual period to the present is the pregnancy time determined by the hospital. Generally, abortion can be performed after 45 days, because before that the baby has not yet implanted or is too small to be easily aborted. If the pregnancy lasts too long and the fetus grows beyond the range of surgery, hospitalization for induced labor will be required after a period of time. Of course, the specific situation must be determined according to the doctor's advice after B-ultrasound.

Generally, if the pregnancy is within 49 days and the gestational sac is visible under B-ultrasound, medical abortion can be chosen. However, medical abortion has significant side effects and can easily lead to incomplete abortion. It also requires uterine curettage, which can cause significant damage to the uterus. For women who want to have children, it is recommended to choose painless abortion, which is safer. It has the advantages of being painless, minimally invasive, less bleeding, short operation time, no need for hospitalization, and the ability to go home after the operation without affecting work and life. There are many ways to have a painless abortion. You can go to the hospital for a check-up and follow the doctor's advice to choose the appropriate method of terminating pregnancy.

What are the symptoms of miscarriage?

(1) Vaginal bleeding: In cases of miscarriage within 3 months of pregnancy, the chorion and decidua separate at the beginning, the blood sinuses open, and bleeding begins. When all the embryos are detached and expelled, the uterus contracts strongly, the blood sinuses close, and the bleeding stops. Therefore, the whole process of early abortion is accompanied by vaginal bleeding. In late miscarriage, the placenta has already formed, and miscarriage is similar to premature and full-term births, and there is generally not much bleeding.

(2) Abdominal pain: After the bleeding starts in early miscarriage, there is blood, especially blood clots, in the uterine cavity, which stimulates uterine contraction and presents as persistent lower abdominal pain. In late miscarriage, there are paroxysmal uterine contractions first, followed by placental detachment, so there is abdominal pain before vaginal bleeding.

Abdominal pain and bleeding are mostly progressive and are related to their clinical course and progress.

Most miscarriages follow a certain development process, although some stages are not clinically obvious and they do not necessarily develop in sequence. But generally speaking, there are only a few types of processes listed below, namely clinical classification: threatened abortion, inevitable abortion, incomplete abortion and complete abortion. Missed miscarriage is another special case of miscarriage. Habitual miscarriage is named after its characteristic of repeated miscarriage. However, both still include the above clinical classifications in the process of abortion.

(1) Threatened abortion: There are signs of miscarriage, but after treatment to preserve the pregnancy, the pregnancy may continue to full term. It often occurs in early pregnancy, with only a small amount of vaginal bleeding and mild intermittent uterine contractions. During the examination, the cervix was not dilated, the amniotic sac was not ruptured, the size of the uterus was consistent with the month of amenorrhea, and the pregnancy test was positive.

(ii) Inevitable abortion: The above process occurs, but the embryo continues to separate from the uterine wall. The bleeding time is long, the amount of bleeding increases, exceeds the normal menstrual volume, and blood clots are discharged. The paroxysmal lower abdominal pain is aggravated and is spasmodic or feels heavy. Examination shows that the cervix gradually opens. In advanced months of pregnancy, some amniotic sacs have bulged or ruptured; some embryonic tissues are blocked in the cervical canal and even exposed at the external cervical os. Miscarriage is bound to occur and the pregnancy cannot continue.

(iii) Incomplete abortion: often occurs in late pregnancy (after 10 weeks), when the placenta is developing or has been formed. During abortion, the fetus and part of the placenta are expelled, and the whole placenta or part of the placenta is still attached to the uterine wall. The uterus cannot contract well, resulting in heavy vaginal bleeding. The retained placenta may form placental polyps over time, cause repeated bleeding, and easily induce infection.