What are the symptoms of threatened miscarriage Symptoms of threatened miscarriage and treatment

Threatened miscarriage generally refers to a condition in which vaginal bleeding occurs during the first trimester of pregnancy accompanied by abdominal pain and backache. Threatened miscarriage may lead to miscarriage, but with proper treatment, a normal pregnancy can usually continue. What are the symptoms of threatened miscarriage? Let's take a look!

Symptoms of threatened miscarriage

1. Menopause

Most patients with spontaneous abortion have a significant history of menopause.

2. Vaginal bleeding

The first symptom is often vaginal bleeding, and in patients who miscarry within 3 months of pregnancy, the villi and decidua begin to separate and the sinuses open, that is, bleeding begins. Bleeding is usually small and often dark red, or bloody leucorrhoea. When the embryo is completely peeled off and discharged, the bleeding stops. It lasts from 4~5 days to more than a week.

3. Abdominal pain

Hours to weeks after bleeding appears, blood in the uterine cavity stimulates uterine contractions. It is accompanied by mild lower abdominal or low back pain, and sometimes paroxysmal abdominal pain after 12 weeks of gestation.

4. Severe vomiting

Threatened miscarriage will have early symptoms of threatened miscarriage such as severe vomiting and inability to eat, and you should also go to the hospital because hyperemesis gravidarum can lead to dehydration, electrolyte imbalances, and in severe cases, it is life-threatening.

Treatment for threatened miscarriage

1. General treatment: In case of threatened miscarriage, pregnant women should pay attention to rest, reduce activities, prohibit sexual life, avoid unnecessary vaginal examinations, reduce stimulation of the uterus, and avoid excessive mental stress, otherwise it will cause miscarriage.

2. Drug treatment: progesterone has the effect of ensuring embryonic development, maintaining pregnancy, inhibiting uterine smooth muscle contraction, and reducing uterine tension. Pharmacological treatment of threatened abortion can be used to protect the fetus in the first trimester, or intramuscular injection of chorionic gonadotropin therapy, sedatives and β-blockers can be used in the second and third trimesters to reduce mental stimulation and inhibit contractions, in addition, oral vitamin E is also beneficial to maintain embryonic development.

3. Traditional Chinese medicine treatment: traditional Chinese medicine syndrome differentiation treatment, which is mostly divided intoKidney deficiency, qi and blood weakness, blood fever, fall and injury to the fetus type four. They are as follows:

(1) Kidney deficiency type: the main symptoms are a small amount of vaginal bleeding during pregnancy, pale color, backache, lower abdominal pain, or accompanied by dizziness and tinnitus, frequent urination, nocturia, or a history of spontaneous abortion, pale tongue, slippery pulse, and weak two-foot pulse. It is advisable to nourish the kidneys and stabilize the fetus.

(2) Qi and blood weakness type: the main symptoms are a small amount of vaginal bleeding during pregnancy, light red color, thin texture, or waist and abdominal distension and pain, accompanied by fatigue and shortness of breath, paleness, palpitation and insomnia, pale tongue, thin and white moss, and smooth pulse. It is advisable to replenish qi and nourish blood, strengthen the kidneys and stabilize the fetus.

(3) Blood fever type: the main symptoms are vaginal blood during pregnancy, bright red and viscous color, or waist and abdominal distension and pain, accompanied by upset, hot hands and feet, dry mouth and throat, short and yellow urine, constipation, or fever in the afternoon, red and yellow tongue, and slippery pulse. It is advisable to nourish yin and clear heat, nourish blood and stabilize the fetus.

(4) Fall injury fetal type: the main symptoms are pregnancy trauma, backache, less abdominal distention, or a small amount of blood in the vagina, and normal blood veins. It is advisable to replenish qi and blood and stabilize the fetus.

Prevention of threatened miscarriage symptoms

1. Pregnant womenpregnantIn the initial stage, you should maintain a good mood and avoid frequent anxiety, fear, nervousness and other emotions.

2. Pay attention to rest and have enough sleep time.

3. Reduce irritation: prohibit sexual intercourse and avoid unnecessary gynecological examinations.

4. Keep the stool smooth: prevent constipation to reduce abdominal pressure.

5. Strengthen nutrition: food should be easy to digest, avoid spicy and heat-boosting products. Pay attention to food hygiene to prevent intestinal infections to avoid miscarriage due to diarrhea.

6. Prevent cold and warmth, prevent colds: contraindicated drugs for pregnancy. Do not lift heavy objects, do not climb high, travel far within 3 months of pregnancy, avoid fatigue, so as not to hurt the fetus.

7. Try to avoid contact with toxic and harmful physical and chemical substances

If symptoms of threatened miscarriage occur during the first trimester, the pregnancy can be continued if the vaginal bleeding stops, the abdominal pain disappears, and the embryo is viable as confirmed by ultrasound. If the clinical symptoms worsen, the embryo is not developed by ultrasound, and the blood hcg does not rise or fall, it indicates that miscarriage is inevitable and the pregnancy should be terminated.