Patient's question:
I've noticed that I've been experiencing lower abdominal pain these past two days, and I feel that there's blood in my discharge. I'm about four weeks pregnant now, and I'd like to consult with an expert on how to confirm a threatened miscarriage. I'm quite worried, as I'm afraid of having a miscarriage because I had an induced miscarriage on my own before. Please, doctor, could you take a look at me? Thank you.Doctor's answer:
Early signs of miscarriage may include abdominal pain and bleeding. If you don't have any tearing right now, carefully check your progesterone and hCG levels—both are good and doubling well. This generally won't be a major issue. Since you've just become pregnant, it's important to rest, avoid spicy or irritating foods, refrain from sexual activity, and avoid strenuous physical labor to prevent a miscarriage. You can visit the hospital around week seven for an ultrasound to closely monitor the development. As long as the fetal heartbeat and gestational sac are growing normally, you can feel at ease.