Will I miscarry if I don't get admitted to the hospital with bleeding at 23 weeks of pregnancy?

Patient's question:

I am 30 years old this year. I have some bleeding when urinating during the 23rd week of pregnancy, and my underwear has a little brown viscous discharge. The ultrasound shows that the fetus is normal. Will I have a miscarriage if I don't stay in the hospital for fetal preservation?

Doctor's answer:

It is still recommended that you be hospitalized for fetal preservation treatment and rest as much as possible. There is no need to worry about the likelihood of another miscarriage, but it is advised to undergo fetal preservation treatment. You are currently 23 weeks pregnant and noticed a very small amount of bleeding while urinating, which is more likely to be coming from the vagina. This is a symptom of threatened miscarriage. It is recommended that you rest, avoid sexual activity in the near future, and closely monitor for any contractions. If the bleeding continues to increase or if you experience contractions, you should be hospitalized for treatment to stop contractions and preserve the pregnancy.

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