Here is everything you want to know about threatened miscarriage!

"I had a miscarriage" is probably the most heartbreaking thing for every expectant mother. Women have gone through a long and meticulous preparation for pregnancy. Before they have time to fully digest the joy of pregnancy and becoming a mother, they are faced with the sudden departure of their children. This will not only cause harm to the expectant mother's body, but also seriously affect their mental health. In order to better help every expectant mother, today I will start with threatened miscarriage to explain the relevant knowledge, so that everyone can understand it as much as possible, overcome it, and have a healthy and lovely baby as soon as possible.

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1. What is threatened abortion?

Threatened abortion is a very common pregnancy complication. It is a sign of impending miscarriage and also a distress signal from the embryo to the mother. Based on the time of miscarriage, miscarriage can be roughly divided into the following two types clinically. One is early miscarriage, which occurs before 12 weeks of pregnancy. The other is late miscarriage, which occurs after 12 weeks of pregnancy but before 28 weeks. 80% of them are early miscarriages, which is why some pregnant women think that they are stable after 3 months. Based on the different stages of the development of spontaneous abortion, miscarriage is divided into threatened abortion, inevitable miscarriage, incomplete miscarriage, and late miscarriage. In addition, there are 3 special cases of miscarriage: missed abortion, recurrent miscarriage, and miscarriage with infection.

Many pregnant women have experienced threatened abortion. After treatment, the embryo continues to grow and develop in the uterus until the baby is born. However, some pregnant women have to endure the pain of "miscarriage". What is the probability of successful pregnancy preservation for threatened abortion? Some scholars have calculated that the actual abortion rate is 1% for a small amount of bleeding before 10 to 14 weeks of pregnancy; and the abortion rate is 2% for heavy bleeding (close to menstrual volume); other scholars have calculated that the abortion rate of patients with active bleeding is 9%. Everyone often hears about embryo arrest, which is what we usually call missed abortion. It often has no clinical manifestations and requires ultrasound and progesterone tests to be clear.

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Through a large number of clinical cases, it is found that expectant mothers with threatened abortion first have a small amount of bleeding, which is often dark red, but can also be bright red or bloody leucorrhea. The duration is not certain. It can be transient or recurring for more than 10 days. After the bleeding, there is lower abdominal pain or back pain, which can be dull pain, distending pain or mild paroxysmal pain. Gynecological examination shows that the cervix is ​​not open, the fetal membrane is intact, no embryonic tissue is discharged, and the size of the uterus is consistent with the gestational age. If the symptoms worsen, it may develop into abortion.

1. How do you determine whether you are at risk of miscarriage?

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Each type of miscarriage is different, and the clinical manifestations are different. Different clinical manifestations lead to different treatment methods. Therefore, in clinical practice, we must carefully identify the type of miscarriage and implement professional and targeted treatment. So how can expectant mothers judge whether they are at risk of miscarriage? Or what kind of signals will we receive when our body is prone to miscarriage?

The clinical manifestation of threatened abortion is first bleeding, which is the most common clinical symptom. At this time, the amount of bleeding is small, the bleeding is irregular, and the bleeding is often dark red or bloody leucorrhea. However, a small amount of bleeding in pregnant women in early pregnancy may also be caused by other reasons, such as bleeding from cervical polyps, bleeding from ectopic pregnancy, etc.; therefore, we need to make a good identification and not be careless. Secondly, there is lower abdominal pain or back pain. In this process, it is also necessary to judge the patient's abdominal pain. One is mild pain that can be relieved by itself, such as uterine contraction pain or abdominal distension discomfort without bleeding when the uterus enlarges; the other is severe pain that may cause spontaneous abortion. Behind the severe pain, not only may it cause abortion, but it may also be an ectopic pregnancy, so it is necessary to seek medical attention in time and use other professional means to distinguish. For pregnant women with clinical manifestations of low back pain. According to a large amount of data, low back pain is also one of the possibilities of abortion that needs to be vigilant. Therefore, for safety reasons, expectant mothers should seek medical attention in time if they experience discomfort such as low back pain, abdominal pain, and abdominal distension, so as not to delay the disease and cause abortion.

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3What is the better treatment for threatened abortion?

Threatened abortion is an early type of abortion, with a small amount of bleeding first, followed by paroxysmal lower abdominal pain and back pain. If the symptoms continue to worsen, it will eventually become an inevitable miscarriage. In case of threatened abortion, pregnant women should reduce their activities, rest in bed appropriately, avoid mental stress, refrain from sexual intercourse, reduce stimulation to the uterus, supplement folic acid and vitamin E appropriately, and seek medical attention in time.

Since more than half of threatened abortions are caused by chromosomal factors of the embryo itself, if the blood HCG does not increase after pregnancy preservation treatment, or ultrasound examination indicates that the embryo is 7 weeks pregnant but there is still no heart tube pulsation, it is not advisable to blindly take pregnancy preservation treatment, otherwise there is a risk of abnormal coagulation function in pregnant women if the time is too long. However, for threatened abortions with clear reasons (such as insufficient progesterone secretion, cervical incompetence, etc.), doctors will treat according to the cause. Pregnant women who have had one miscarriage do not need to be too anxious, they can relax, do routine pre-pregnancy examinations, and actively supplement folic acid to prepare for pregnancy; but for pregnant women who have had two consecutive spontaneous abortions, special attention should be paid and the couple should go to the hospital together to assess whether the couple themselves have chromosomal abnormalities, whether the pregnant woman has autoimmune abnormalities, corpus luteum insufficiency, hypothyroidism, prothrombotic state and other diseases without clinical manifestations.

4. Tips for preventing threatened abortion!

Pregnancy is difficult, and many mothers worry that a small accident will kill the baby. In fact, babies are not as fragile as you think, so it is especially important to remind you that blindly preventing miscarriage is not advisable.

What should expectant mothers pay special attention to in the early stages of pregnancy?

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(1) Pay attention to a healthy diet: Expectant mothers should pay attention to a balanced diet and take folic acid tablets or multivitamins containing folic acid in a timely and regular manner; eat less or no greasy and irritating food, such as barbecue, fried skewers, spicy duck necks, etc.; avoid eating ginseng, longan and other tonic foods.

(2) Lifestyle: Expectant mothers should rest on time and get enough sleep. Sleep is extremely important for pregnant women. After pregnancy, try to create a good environment for the fetus and ensure adequate sleep. Sleep at least eight to nine hours at night.

(3) Pregnant mothers should use showers whenever possible and avoid bathing in a tub, especially in the last two months of pregnancy. When bathing, avoid deliberately rinsing. The shower temperature should not be too high, the shower time should not be too long, and do not rinse the abdomen.

(4) Pregnancy is not a disease. Generally, there is no need to stay in bed unless there are special circumstances. Instead, you need to exercise appropriately, such as walking, swimming, and prenatal gymnastics.

Conclusion

Every little life is hard-won, and every mother is great. In addition to adapting to the various changes during pregnancy, expectant mothers must also learn how to monitor the fetus's intrauterine condition. After reading the above content, I believe everyone has a little understanding of threatened abortion. In order to avoid the occurrence of abortion, expectant mothers must not be careless. Once symptoms such as bleeding and lower abdominal pain occur, they must seek medical attention in time to avoid accidents.