Can I keep the child after threatened miscarriage?

Threatened abortion is actually the most common abnormal manifestation in our early pregnancy. Generally speaking, when threatened abortion occurs, you don’t need to be overly nervous, but you still need to seek medical attention in time. If the threatened abortion is treated in time, the baby can still be saved. Whether to treat it depends on the cause of the threatened abortion. So what are the causes of threatened abortion?

Causes

1. Chromosomal abnormalities

Chromosomal abnormalities are the main cause of miscarriage. Chromosome abnormalities include two categories: quantitative abnormalities and structural abnormalities. Studies have shown that 50% to 60% of pregnancies in early spontaneous abortions have chromosomal abnormalities. If one of the couple has a chromosomal abnormality, it can be passed on to the offspring and may cause miscarriage or recurrent miscarriage.

2. Maternal factors

(1) Systemic diseases: High fever during systemic infection can induce uterine contraction and cause miscarriage. Infection with certain known pathogens such as Toxoplasma, herpes simplex, Mycoplasma hominis, Ureaplasma urealyticum, and cytomegalovirus are associated with miscarriage. Ischemic and hypoxic diseases such as heart failure, severe anemia, hypertension, chronic nephritis, and severe malnutrition in pregnant women can also lead to miscarriage.

(2) Endocrine abnormalities such as luteal insufficiency, hypothyroidism, uncontrolled diabetes, etc.

(3) Abnormal immune function.

(4) Severe nutritional deficiencies.

(5) Bad habits such as smoking, alcoholism, excessive coffee drinking, or use of drugs such as heroin.

(6) Adverse factors in the environment such as formaldehyde, benzene, lead and other harmful chemicals.

(7) Uterine defects such as congenital uterine malformation, submucous uterine fibroids, intrauterine adhesions, etc.

(8) Trauma such as abdominal compression or rapid impact, even surgery, excessive sexual intercourse, etc.

(9) Emotional trauma such as excessive fear, sadness, anger, etc.

Clinical manifestations

1. Menopause

Most patients with spontaneous abortion have a history of obvious amenorrhea.

2. Vaginal bleeding and abdominal pain

The first symptom is often vaginal bleeding, which is usually small in amount and often dark red, or bloody leucorrhea, but can sometimes last for 4 to 5 days or more than a week. A few hours to a few weeks after the bleeding occurs, it may be accompanied by mild lower abdominal pain or back pain. After 12 weeks of pregnancy, patients may sometimes feel paroxysmal abdominal pain.

Gynecological examination revealed that the cervix was not dilated, no products of pregnancy were discharged, and the size of the uterus was consistent with the time of amenorrhea.

diagnosis

The diagnosis can be made based on medical history and clinical manifestations. Sometimes, physical examinations or auxiliary examinations such as gynecological examination, B-ultrasound, and blood hCG are needed to make a clear diagnosis and classify the type of abortion.

For early pregnancy, especially threatened miscarriage shortly after menopause, the main focus is to observe the possibility of continuing the pregnancy. The main auxiliary diagnostic methods are B-ultrasound and blood hCG level testing. In normal early pregnancy, the blood hCG level has a doubling time, and blood hCG can be measured continuously to understand the condition of the fetus. If the blood hCG level increases by less than 65% every 48 hours, it may indicate a poor prognosis for the pregnancy. At the same time, continuous monitoring by B-ultrasound is also of great significance. For example, if only the gestational sac is seen but the fetus is not seen for a long time or if the fetus is present but the fetal heartbeat is not seen for a long time, it may indicate a poor prognosis.

treat

In addition to bed rest and strictly prohibiting sexual intercourse, the treatment of threatened abortion should create an environment that is conducive to stabilizing the patient's mood and relieving tension. For those with a history of miscarriage, more spiritual support should be given. If the pregnant woman's progesterone level is low, progesterone supportive therapy can be used.

Prognosis and prevention

If vaginal bleeding stops, abdominal pain disappears, and B-ultrasound confirms that the embryo is alive, the pregnancy can continue. If the clinical symptoms worsen, B-ultrasound reveals that the embryo is poorly developed, and blood hCG continues to remain unchanged or decreases, it indicates that miscarriage is inevitable and the pregnancy should be terminated. During the early stages of pregnancy, you should pay attention to rest and avoid excessive fatigue. You should avoid sexual intercourse during the first three months of pregnancy and try to avoid contact with toxic and harmful physical and chemical substances in order to avoid the occurrence of threatened abortion.