How to conduct careful checks for early signs of miscarriage during pregnancy

Patient's question:

I am a 29-year-old woman and I am pregnant. Every time it's around a few months when I don't know how it starts bleeding, and soon after, I have a miscarriage. For this, my body and mind have been greatly hurt. I really don't want to continue like this. Please ask: How can I carefully check the signs of pregnancy loss?

Doctor's answer:

After getting pregnant, there was vaginal bleeding, abdominal pain, and a sensation of rectal fullness. This does not rule out the possibility of ectopic pregnancy. A transvaginal ultrasound can be performed to check for low-echo nodules near the uterus in real-time. Data can be monitored, and hCG levels can be tracked. Early ectopic pregnancy can be treated conservatively with medication like mifepristone. If it is not ectopic pregnancy, it should be considered as a miscarriage, as uterine contractions can also cause similar sensations.

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