How to Handle Pregnancy and Threatened Miscarriage Properly

Patient's question:

Now 13~14 weeks pregnant, twins, confirmed not to be conjoined twins. At 12 weeks, there was a leak, and signs of threatened miscarriage. The doctor conducted a thorough examination and found contractions and the pain associated with them. I was admitted to a large hospital for bed rest and close observation for 8 days (during which time I received intravenous drips of magnesium sulfate and were given labor-inducing injections, which helped stop the contractions). On the 7th day of admission, an ultrasound was performed, and the doctor said the placenta was pressing on the cervix, causing the leak. However, the doctor explained that based on the ultrasound, the fetus was stable. On the 8th day, I was discharged to rest at home. When discharged, I had intermittent dark brown bleeding. I was discharged on November 26, and since then, I have been experiencing daily dark brown bleeding, sometimes more and sometimes less. The doctor said there's no need to worry about "old blood," but since the bleeding isn't continuous, how can I confirm whether it's more or less? After urinating, I use tissues to wipe.

Doctor's answer:

Your condition is the symptom of placenta previa. Recommendations: The manifestation of placenta previa is vaginal bleeding without any trigger, as the placenta is located in the lower segment of the uterus, which can affect the baby's descent into the pelvic cavity. Repeated bleeding may lead to premature birth, while severe tearing can cause fetal distress. Currently, you are undergoing expectant therapy, which requires complete bed rest, enhanced nutrition, and correction of anemia. Maintain good hygiene of the external genitalia to prevent various stimuli. For the treatment of the disease, it is essential to follow the doctor's advice. Whether choosing a treatment method or medication, do not proceed blindly to avoid potential risks that could endanger your life safety.

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