Patient's question:
24 years old, with 2 children, took Yuting on the end of September, and had a "menstrual" with less blood flow and dark red in early October. In early November, a pregnancy test was positive, and on the evening of the 13th, sudden bleeding occurred, leading to a hospital visit where the pregnancy was confirmed at 9 weeks with a smaller-than-normal fetus, normal progesterone levels, minimal bleeding without abdominal pain, but with lower back pain. Ectopic pregnancy was ruled out, and the bleeding almost stopped the next day. During pregnancy, she took erythromycin, Zhuoma, and, and used traditional Chinese medicine vaginal suppositories. She also had light alcohol consumption, which she had never done before. In March, she tested positive for chlamydia and has already been treated. Can this child still be kept?Doctor's answer:
Hello, from the symptoms, it is necessary to consider threatened miscarriage. Generally, the main manifestations of threatened miscarriage include a small amount of vaginal bleeding after pregnancy. Depending on the amount of bleeding and the time it accumulates in the vagina, the color may be bright red, pink, or dark brown. Sometimes it is accompanied by mild lower abdominal pain, a sensation of pelvic heaviness, lower back pain, and abdominal distension. If we talk about traditional folk beliefs, the main basis for threatened miscarriage is vaginal bleeding. There are many causes of threatened miscarriage, such as abnormal fertilized eggs, endocrine disorders, placental dysfunction, blood type incompatibility, maternal systemic diseases, excessive mental stress, genital malformations and inflammation, trauma, and more, all of which can lead to threatened miscarriage. Whether threatened miscarriage leads to a miscarriage often depends on whether the embryo is abnormal. If the embryo is normal, after rest and treatment, if the cause of the miscarriage is eliminated, the bleeding will stop, and the pregnancy can continue. However, most miscarriages are caused by abnormal embryos, so it is ultimately still necessary to miscarry. If a pregnant woman finds signs of threatened miscarriage, she should go to the hospital for examination to determine the cause and the condition of the fetus. However, unnecessary vaginal examinations should be minimized to reduce stimulation to the uterus. If the pregnancy test is positive and, combined with body temperature and ultrasound findings, it is deemed suitable for preservation, treatment should be carried out under the guidance of a doctor. If the vaginal bleeding is more than the amount of a menstrual period, or other diagnoses confirm that the fetus has died or an inevitable miscarriage is unavoidable, pregnancy should be terminated as soon as possible to prevent bleeding and infection.