Around 40 days of pregnancy, there is some bleeding and the gestational sac has descended. How should it be handled?

Patient's question:

I am very scared when this happens. I often have lower abdominal pain and don't know how to solve it, so I came here to consult. Please ask, if there is a little bleeding around 40 weeks of pregnancy and the gestational sac descends, how should it be handled?

Doctor's answer:

Hello, there is a possibility of threatened miscarriage. It is recommended to go to the hospital for an ultrasound examination. Under the guidance of a doctor, intramuscular injection of progesterone for fetal preservation treatment should be administered. During the fetal preservation period, in addition to bed rest, patients should avoid unnecessary movement and sexual activity is strictly prohibited. They should also maintain emotional stability, avoid stressful environments, and ensure adequate nutrition. Generally, doctors will advise patients with signs of genetic risk to maintain personal hygiene and avoid sexual activity. Additionally, patients should pay attention to having a comfortable environment, which is also beneficial for rest. Wishing the patient a healthy delivery.

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