Symptoms of threatened miscarriage
Release time : 01/18/2025 18:13:27
Threatened miscarriage refers to the occurrence of a small amount of vaginal bleeding before 28 weeks of pregnancy, followed by symptoms such as paroxysmal lower abdominal pain or back pain, which are indicative of a threatened miscarriage.
Upon examination, it will be found that the cervix has not been dilated, the amniotic sac is intact, there is no pregnancy tissue expelled, and the size of the uterus corresponds to the gestational age.
Should the symptoms worsen, it may progress to inevitable miscarriage.
Amenorrhea is a condition characterized by vaginal bleeding accompanied by abdominal pain and lower back soreness during the early stages of pregnancy.
Pre-eclamsia can lead to miscarriage, but with proper treatment, it is generally possible to continue normal pregnancy.
What are the clinical manifestations of a threatened miscarriage? 1. Absence of menstruation: Most patients with threatened miscarriage have a significant history of missed periods.
2. The most common initial symptom of vaginal bleeding is vaginal bleeding. In cases of miscarriage within the first 3 months of pregnancy, the separation of chorionic villi from the decidua begins and blood vessels are dilated, leading to bleeding.
Generally, the bleeding is small, often dark red, or bloody vaginal discharge.
When the embryo is completely detached and expelled, bleeding stops.
Lasts for 4 to 5 days or more than a week.
3. Abdominal pain occurs several hours to weeks after the bleeding begins, as the presence of blood in the uterine cavity stimulates uterine contractions.
The patient may also experience mild lower abdominal or back pain, and in the 12th week of pregnancy, the patient may occasionally feel paroxysmal abdominal pain.
4. Severe vomiting is a symptom of threatened miscarriage, characterized by severe nausea and vomiting that prevents food intake. Early signs of threatened miscarriage should also prompt a visit to the hospital, as severe pregnancy-induced vomiting can lead to dehydration and electrolyte imbalances, with severe cases potentially endangering the pregnant woman's life.
1. Predictable Abortion Symptoms and Etiology Chromosome abnormalities are the principal cause of abortion.
Research has shown that 50% to 60% of pregnancies in early spontaneous miscarriages have abnormal chromosomes.
In a couple, if one member has chromosomal abnormalities, they can be passed to their offspring and result in miscarriage or recurrent miscarriage.
2. Maternal factors (1) Disease factors: High fever due to systemic infection can induce uterine contraction and cause miscarriage.
Certain known pathogens, such as Toxoplasma gondii, Herpes simplex virus, Mycoplasma hominis and Cytomegalovirus are associated with miscarriage.
Pregnant women with heart failure, severe anemia, hypertension, chronic nephritis, and severe malnutrition, as well as other ischemic hypoxic diseases, may also experience miscarriage.
(2) Endocrine abnormalities include, for example, amenorrhea due to insufficient luteal function, hypothyroidism, and uncontrolled diabetes.
(3) Severe malnutrition, abnormal immune function.
(4) During gynecological examinations, if the technique is rough, it can also be a cause of miscarriage. This is particularly important for pregnant women with weak constitutions.
(5) Smoking, excessive drinking of alcohol, excessive consumption of coffee or taking drugs.
(6) Some chemical substances, such as curare, carbon monoxide, aluminum, phosphorus, mercury and benzene poisoning also cause the embryo to be difficult to protect.
(7) Uterine anomalies such as congenital uterine deformities, submucosal fibroids of the uterus, and uterine adhesions.
(8) During pregnancy, sexual activity should be approached with caution.
Improper sexual activity can lead to miscarriage.
(9) Emotional trauma, such as excessive fear, sorrow, anger, etc.
Treatment of symptoms in threatened miscarriage includes bed rest, abstinence from sexual intercourse, and the creation of a relaxed atmosphere. For patients with a history of miscarriage, more emotional support is recommended.
In cases of pregnant women with low progesterone levels, progesterone support therapy can be used.
Details of treatment for symptoms of threatened miscarriage as follows: 1. General treatment: If a threatened miscarriage occurs, it is advisable for the pregnant woman to rest, reduce activity, abstain from sexual intercourse, avoid unnecessary vaginal examinations, and reduce stimulation to the uterus. At the same time, it is important to avoid excessive mental tension, which could lead to miscarriage.
2. Medication Therapy: Progesterone has the functions of ensuring embryonic development, maintaining pregnancy, inhibiting uterine smooth muscle contraction, and reducing uterine tension.
The treatment of the early pregnancy with a pre-term miscarriage is possible by using progesterone for uterine protection, and chorionic gonadotropin for treatment. In the late pregnancy, tranquilizers and beta-blockers can be used to reduce mental stimulation and suppress contractions. Additionally, taking oral vitamin E is also beneficial for maintaining embryo development.
3. Traditional Chinese Medicine Treatment: Traditional Chinese Medicine diagnosis and treatment are divided into four types: kidney deficiency, qi and blood deficiency, blood heat, and trauma to the fetus.
1. Kidney Deficiency Type: The main symptoms include minor vaginal bleeding during pregnancy, a pale and dark color, lower back soreness, pelvic pressure pain, or accompanying symptoms such as dizziness and tinnitus, frequent urination, nocturia, or history of spontaneous miscarriage. The tongue is pale with a white coating, the pulse is deep and slippery, and the weak pulse is observed at the second and third cun on both sides.
The treatment should focus on nourishing the kidneys and ensuring fetal safety.
(2) Qi and blood deficiency type: The primary symptoms are vaginal bleeding in pregnancy, characterized by light red color, thin consistency, or lower abdominal heaviness and pain accompanied by fatigue, pallor, chest tightness, palpitations, sleep disturbances, a pale tongue with a thin white coating, and a fine slippery pulse.
The treatment should focus on nourishing Qi and blood, consolidating the kidneys, and ensuring fetal stability.
(3) Blood-Heat Type: The primary symptoms include vaginal bleeding during pregnancy, characterized by a bright red, sticky blood, or lower abdominal pain with heaviness. This is accompanied by irritability, palms and soles feeling hot, dry mouth and throat, short urine, constipation, or fever in the afternoon. The tongue is red with a yellow and dry coating, and the pulse is slippery and rapid.
Treatment should focus on nourishing yin and clearing heat, as well as nourishing the blood to stabilize the fetus.
(4) Falling and Injuring the Fetus Type: Main symptoms include pregnancy trauma, lower back soreness, pelvic heaviness, or vaginal spotting of minimal amount of blood, with normal blood flow.
The treatment should focus on tonifying qi and blood, as well as stabilizing the fetus.
Prevention of symptoms associated with threatened miscarriage in expectant mothers is crucial. Many women who have successfully conceived may experience symptoms of threatened miscarriage, which can cause them considerable distress and anxiety, potentially leading to a miscarriage if not addressed appropriately.
Premature labor can be prevented. How should pregnant women prevent it? The prevention measures for symptoms of premature labor include: 1. Pregnant women should maintain a cheerful mood in the early stages of pregnancy and avoid frequently experiencing anxiety, fear, or tension.
2. Take care of yourself by getting plenty of restful sleep.
3. Reduce Stimulation: Abstain from sexual intercourse and avoid unnecessary gynecological examinations.
4. Maintain bowel regularity: Prevent constipation to reduce abdominal pressure.
5. Strengthen nutrition: The food should be easy to digest, and avoid spicy foods that exacerbate heat.
Pay attention to dietary hygiene to prevent intestinal infections and avoid miscarriage due to diarrhea.
6. Prevent cold and keep warm, prevent cold: Do not use medication that is contra-indication in pregnancy.
Do not lift heavy objects in the first three months of pregnancy, do not climb high or go far on a trip, avoid fatigue to prevent harm to the fetus.
7. Avoidance of exposure to toxic and harmful physical and chemical substances is essential. If symptoms of threatened miscarriage occur during the early stages of pregnancy, and if vaginal bleeding stops and abdominal pain disappears, and an ultrasound confirms that the embryo is viable, the pregnancy can continue.
If the clinical symptoms worsen, and an ultrasound examination reveals embryonic development abnormalities, while serum hCG continues to rise or decrease inconsistency, it indicates that miscarriage is inevitable, and termination of pregnancy should be considered.
How to Prevent Miscarriage in Cases of Threatened Miscarriage When faced with a threatened miscarriage, the first thing expectant mothers think about is how to prevent it! So, how can one prevent miscarriage in cases of threatened miscarriage? Threatened miscarriage often presents with symptoms such as slight vaginal bleeding, mild lower abdominal pain, and backache.
Therefore, during the pre-stimulus abortion prophylaxis period, observing the amount of vaginal bleeding and one's own abdominal pain can also reveal whether the symptoms of a threatened abortion are lessening or worsening. This ensures that the prophylactic actions for threatened abortion proceed smoothly.
1. In the case of threatened miscarriage, it is important to pay attention to abdominal pain. If expectant mothers experience a sensation of soreness in the lower back or a feeling of pelvic heaviness that does not subside after rest and even worsens, they should be on high alert.
If there is an increase in lower abdominal pain, accompanied by vaginal bleeding and the discharge of tissue-like material, it should be promptly sought medical attention.
2. In cases of threatened miscarriage, it is crucial to pay attention to the amount and nature of bleeding. If there are symptoms of vaginal bleeding during early pregnancy, one should constantly observe for any tissue extruded from the vaginal discharge.
The excreta can be retained for later examination by a doctor at the hospital.
If there is an increase in bleeding, one should seek medical attention promptly.
3. To prevent a threatened miscarriage, rest is crucial for pregnant women. It is important to rest more and minimize physical activity, but this does not mean that one should remain in bed for 24 hours at a time. Moderate physical activities should be undertaken as appropriate.
Sexual activity must be strictly forbidden, and unnecessary vaginal examinations should be minimized to reduce the stimulation of the uterus.
Additionally, it is important to avoid stimulating the breasts as this can also cause contractions of the uterus and lead to the onset of premature labor.
The medical content mentioned in this text is for reference only and should not be used as a substitute for professional medical advice.
In the event of discomfort, it is recommended to seek immediate medical attention for a definitive diagnosis and treatment.