Patient's question:
Medical Description: I am 45 days pregnant. A few days ago, an ultrasound confirmed intrauterine pregnancy. Today, I suddenly experienced persistent upper abdominal pain. Is it possible I might be having a miscarriage? Currently, there is no bleeding, and I have no other symptoms. This afternoon, I had a sudden persistent pain for over half an hour, which has now subsided.History of Treatment and Effect: I have had a history of miscarriage due to fetal demise.
Help Needed: Could you please advise if this is a sign of threatened miscarriage or fetal demise?
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, receive intramuscular progesterone for pregnancy preservation treatment. During the pregnancy preservation period, the patient should rest in bed (except for urination and defecation. Try not to move around excessively). Sexual activity is strictly prohibited. Additionally, maintain emotional stability, avoid stressful environments, and ensure adequate nutrition. Take some vitamin E orally. If the embryo is normal, after rest and treatment, if the cause of the miscarriage is eliminated, bleeding will stop, and the pregnancy can continue. Please visit the hospital actively if there is bleeding. Generally, it is better to receive intramuscular progesterone for active pregnancy preservation treatment.