When a woman finds out she is pregnant, her menstruation will stop. At the 50th day of pregnancy, the bleeding will be like menstruation. At this time, she should go to the hospital to check whether she has had a miscarriage. After the miscarriage, there will be vaginal bleeding and pain. At this time, the fetus is basically formed. If it is confirmed to be a miscarriage, you must pay attention to maintenance in your life, avoid catching a cold, and eat more foods that replenish qi and blood to restore your health. Termination of pregnancy before 28 weeks of gestation and with a fetal weight of less than 1000g is called abortion. Abortion that occurs before 12 weeks of pregnancy is called early abortion, and abortion that occurs between 12 weeks and less than 28 weeks of pregnancy is called late abortion. Abortion is divided into spontaneous abortion and induced abortion. The incidence of spontaneous abortion accounts for about 15% of all pregnancies, and most of them are early abortions. There are also two specific types of miscarriage: missed miscarriage and habitual miscarriage. 1. Systemic diseases: Pregnant women suffering from severe infection, anemia, high fever, heart failure, chronic liver and kidney diseases, hypertension, etc. may cause miscarriage. 2. Endocrine disorders: Luteal insufficiency, hyperprolactinemia, hypothyroidism, severe diabetes and poor blood sugar control in pregnant women may cause miscarriage. 3. Reproductive organ diseases: Uterine malformation, uterine fibroids, cervical adhesions, severe cervical lacerations and internal os relaxation in pregnant women may cause miscarriage. 4. Immune factors: Pregnant women who are positive for antiphospholipid antibodies, anti-β2 glycoprotein antibodies, lupus anticoagulant factor, antinuclear antibodies, and antisperm antibodies may experience miscarriage. Immune incompatibility between mother and baby may also lead to miscarriage. 5. Intense stress and bad habits, physical or psychological stimulation, smoking, alcoholism, excessive coffee consumption, etc. can all cause miscarriage. 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. |
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