Is vaginal bleeding a sign of miscarriage?

Patient's question:

I am about 40 days pregnant. The day before yesterday, after arguing with my husband, I had slight vaginal tearing, and my abdomen is in severe pain. Is this a sign of miscarriage? What kind of medicine should I take now? Do I need to rest in bed?

Doctor's answer:

Around 40 days of pregnancy, there is slight peeling in the vagina, which is considered a sign of threatened miscarriage. It is recommended to visit the hospital promptly for an ultrasound to check the condition of the fetus inside the uterus. If signs of miscarriage are present, oral medication or injections to support fetal development can be taken under the guidance of a doctor. It is important to rest in bed as much as possible in the near future and minimize getting up from the bed to walk. During the early stages of pregnancy, folic acid tablets should be taken under the guidance of a doctor, and it is advisable to eat small, frequent meals while consuming fresh fruits and vegetables.

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