Four months pregnant lower abdomen like menstrual cramps

The level of progesterone in pregnant women will increase due to pregnancy, and progesterone will cause lower abdominal distension and pain in pregnant women. However, lower abdominal distension and pain usually occur in the early stages of pregnancy and will get better after a period of time. The pain is not particularly severe and is within the tolerable range. Some women will still experience lower abdominal pain like dysmenorrhea when they are four months pregnant. What is going on?

There will be lower abdominal distension and pain in the early stages of pregnancy, but the pain should not be severe. If it hurts severely, it is best to go to the hospital. If there is bleeding, it may be a threatened abortion. Also, do not have sex in the first 3 months of pregnancy, as it can easily lead to miscarriage and have a great impact on the fetus. Correct use of pregnancy-preserving drugs. Habitual miscarriage is not uncommon among women of childbearing age, and how to preserve the fetus is of great concern to them. Most cases of habitual miscarriage occur within 12 weeks of pregnancy.

Therefore, doctors will prescribe pregnancy-preserving drugs in advance for women with a history of miscarriage based on the time of their past miscarriage. As long as the medication time is properly arranged, the expected effect can be achieved. Currently, the commonly used method is oral medroxyprogesterone (progesterone acetate), 4 mg each time, 1-2 times a day. The medication should be continued until 2 weeks after the last miscarriage, and cannot be stopped midway. In addition, progesterone can be injected intramuscularly, 10 mg each time, once a day, and vitamin E capsules can be taken, 20 mg each time, 3 times a day. If pregnant women are under heavy mental burden and are emotionally tense, they can be selectively given small doses of sedatives for a short period of time, such as chlordiazepoxide (Librium), diazepam (Valium), etc. The medication time should not be long. The use of progesterone during pregnancy can relax uterine smooth muscles and reduce the sensitivity of the uterus to vasopressin and oxytocin. Larger doses of progesterone can inhibit the activity of uterine smooth muscles and put the uterus in a relatively balanced state, thereby achieving the purpose of maintaining pregnancy. Progestins are more effective in preventing threatened miscarriage than habitual miscarriage.

Pregnant women with a history of habitual miscarriage should not get pregnant immediately after a miscarriage. It is best to wait for more than one year to allow the uterus to get better repair and rest. After becoming pregnant again, in addition to taking pregnancy-preserving drugs on time, you should also avoid physical labor, pay attention to bed rest, and suspend sexual life. These measures are necessary to prevent further miscarriage.

Traditional Chinese medicine believes that habitual abortion is caused by qi deficiency and kidney deficiency. Qi-tonifying and kidney-strengthening drugs are often used for treatment. There are many Chinese medicine prescriptions for preserving pregnancy, and the treatment is often based on the specific situation of the pregnant woman. One of the commonly used prescriptions is mainly composed of 15 grams of Cuscuta seeds, 30 grams of Viscum album, and 9 grams of Psoralea corylifolia. Take one dose daily, which can be divided into two doses, but the decoction is not very convenient for long-term use. The Chinese patent medicine Shoutai Pills are composed of Cuscuta australis, Viscum album, Dipsacus asper, donkey-hide gelatin, etc. The effect is good if taken consistently. There are many proven Chinese medicine recipes for preserving pregnancy, and many famous old Chinese medicine practitioners specializing in gynecology have their own "secret skills" that you can ask for diagnosis and treatment. It is not advisable and unreliable for pregnant women to choose Chinese medicine to preserve their pregnancy on their own, and they should not use other people's prescriptions.

Pregnant women should not abuse the use of pregnancy-preserving drugs. If they need to use pregnancy-preserving drugs due to medical conditions, they should pay attention to the indications for the drugs, use the drugs in a targeted manner, and pay attention to the methods of use. Only in this way can they use pregnancy-preserving drugs correctly. The indication for the common use of tocolytic drugs during pregnancy is "miscarriage". According to the clinical course, abortion can be divided into seven types: habitual abortion, threatened abortion, inevitable abortion, complete abortion, incomplete abortion, missed abortion, and infected abortion. The indications for using pregnancy-preserving drugs include threatened abortion and habitual abortion, because pregnancy preservation can no longer be used in other cases.

Threatened abortion: The characteristics are a small amount of vaginal bleeding after menopause, which is less than the menstrual amount, without blood clots, accompanied by slight distension and pain in the lower abdomen or no abdominal pain, and the early pregnancy reaction still exists. Gynecological examination showed that the cervix was not dilated, the membranes were not ruptured, the size of the uterus was equal to that of the month of amenorrhea, and the urine pregnancy test was positive. If the embryo is normal, the pregnancy can be continued by using pregnancy-preserving drugs. Commonly used drugs include "progesterone", 20 mg each time, injected deep into the muscle 1-2 times a day, and stop taking it about a week after the bleeding stops; "vitamin E", 10-20 mg each time, taken orally 3 times a day. You can also choose traditional Chinese medicine that has the effect of strengthening the kidney and stabilizing the fetus, such as "Shoutai Pills", one pill each time, twice a day.