Patient's question:
If you just got pregnant, it's probably about a month. What are the symptoms of a miscarriage? Thank youDoctor's answer:
The main symptoms of miscarriage are vaginal bleeding and abdominal pain. Vaginal bleeding occurs in miscarriages within the first 12 weeks of pregnancy, starting when the villi separate from the decidua; blood sinuses open, and bleeding begins. Once the embryo is completely separated and expelled, bleeding stops due to uterine contractions. In early miscarriages, vaginal bleeding accompanies the entire process. In late miscarriages, the placenta has already formed, and the natural miscarriage process is similar to preterm labor. After the fetus is delivered, the placenta is expelled, usually with minimal bleeding. The characteristic is often abdominal pain before vaginal bleeding appears. During miscarriage, abdominal pain is cramp-like, occurring after vaginal bleeding in early miscarriages. The separation of the embryo and blood clots in the uterine cavity stimulate uterine contractions, resulting in cramping lower abdominal pain. The characteristic is that vaginal bleeding often appears before abdominal pain. In late miscarriages, uterine contractions occur first, followed by placental separation, so vaginal bleeding appears after abdominal pain. During miscarriage, the size of the uterus, cervical dilation, and whether the membrane has ruptured are examined. These vary depending on the gestational age and the nature of the miscarriage.