Is my wife pregnant and bleeding downstairs, will it be a miscarriage?

Patient's question:

My wife is 75 days pregnant. Today, the skin below has broken, and after a thorough examination at the hospital with a color ultrasound, they said they couldn't see the baby. I'm asking if it's possible for my wife to have a miscarriage if she bleeds below while pregnant.

Doctor's answer:

If B previously detected a fetus with a yolk sac and fetal heartbeat, and there is bleeding today, if the bleeding amount is significant, and the fetus is not visible on B, it is likely that a miscarriage has occurred. Currently, the only option is to go to the hospital again tomorrow for a follow-up examination. In principle, at 75 days of pregnancy, the gestational sac should be very large, unless there is significant bleeding today that has caused it to be expelled, and the patient should have seen a white, meat-like gestational sac being expelled. Gynecological diseases are not easy to heal. Friends who are patients should maintain a positive mindset and face it with a proactive attitude. Only in this way can they reduce their confidence in combating gynecological diseases and believe that they can definitely recover.

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