Patient's question:
I am pregnant. I went for a thorough check-up today, but no yolk sac embryo union or cardiac tube pulsation was observed internally. There were only a small amount of liquid dark areas near the gestational sac. No abnormalities were found in the bilateral adnexal regions. I am seeking the doctor's response to this result. The thorough check-up doctor mentioned the possibility of threatened miscarriage, and I don't know what to do. The help I need: What should I do if I have a threatened miscarriage in early pregnancy?Doctor's answer:
According to your description, poor corpus luteum function is the main reason for the threatened miscarriage. You currently have intrauterine fluid accumulation and may experience recurrent bleeding. However, there is no need to worry too much—it could be the accumulated blood in the uterine cavity dripping out, as long as the amount is not significant. Progesterone is generally discontinued after the 12th week of pregnancy. The subsequent heavy bleeding is likely related to the withdrawal of exogenous progesterone. Your MRI examination shows that the embryo is developing well, and the bleeding should not affect fetal development. It is recommended that you take progesterone anesthesia while also taking oral medication to support fetal health. Complete bed rest is essential, and traditional Chinese medicine for fetal support is also acceptable. Hospitalization may be necessary for magnesium sulfate treatment if needed.