What should be paid attention to when there is recurrent fetal demise?

Patient's question:

What to pay attention to when there is a missed miscarriage

Doctor's answer:

Please note: 1. Rest in bed, avoid sexual activity. If necessary, administer sedatives, vitamin E, progesterone, etc. 2. To prevent miscarriage and incomplete miscarriage, the uterine cavity must be cleared promptly. For those who have gone into shock due to excessive blood loss, shock should be corrected first, while the uterine cavity is cleared, and uterine contractions should be given to stop bleeding. 3. Before the surgical curettage for a retained miscarriage, coagulation function tests must be checked. If abnormalities are found, appropriate treatment should be administered before proceeding with the uterine curettage. Adequate preparation for intravenous fluid and blood transfusion should be made before and during the surgery to prevent excessive blood loss when removing adhered and organized placenta, and to administer uterine contractions promptly.