What should be done if there is a threatened miscarriage in the early stages of pregnancy?

Patient's question:

Female, 58. Recently, there have always been uncomfortable symptoms, and gradually, they became more and more uncomfortable. Question: What should I do if I have early signs of miscarriage during pregnancy?

Doctor's answer:

The entire process of early miscarriage is accompanied by vaginal bleeding; in late miscarriage, the placenta has already formed, and the miscarriage process resembles preterm labor. The placenta is expelled after the fetus is delivered, and bleeding is generally not significant. The characteristic is often abdominal pain first, followed by vaginal bleeding. During miscarriage, abdominal pain is similar to contractions, and after vaginal bleeding reappears in early miscarriage, the embryo attachment and blood clots remaining in the uterine cavity stimulate uterine contractions, leading to recurrent lower abdominal pain. The characteristic is that vaginal bleeding often reappears before abdominal pain.

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