Patient's question:
The doctor told me at 13 weeks that the placenta had marginal low bleeding, and I was advised to rest at home with traditional Chinese medicine for fetal preservation. It has always been marginal, and every ultrasound showed the baby was slightly larger with normal growth. I stayed in bed at home for 20 days. At 17 weeks, I was admitted to the hospital for 5 days of fetal preservation, and the ultrasound showed that the placenta partially covered the baby. After staying in the hospital for 10 days, I returned home for 2 days. While taking a nap in the afternoon, I woke up in the morning and experienced bleeding with the passage of the placenta and the baby. On the third day of rehospitalization, in the morning, the medication caused the placenta and the baby to be expelled. I want to ask if the effectiveness of intravenous fetal preservation is getting worse. Besides medication abortion, everything has been expelled. Is it likely that a D&C (dilation and curettage) will be necessary?Doctor's answer:
Your miscarriage and the position of the placenta are not related. It is not ruled out that there may be cervical insufficiency. In this case, intravenous infusion to prevent miscarriage can only be done to the best of our ability. It does not mean that medication can prevent a recurrence of miscarriage. At this gestational age, the probability of complete placental abruption is high. If there is not much bleeding after the miscarriage, a D&C may not be necessary. In this situation, it is best to consider getting pregnant again after a year, and check the condition of the cervix before pregnancy.