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 that 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 once.
Help Needed: Could you please tell me if this is a sign of threatened miscarriage or fetal demise?
Doctor's answer:
Hello. It is possible that this is a sign of miscarriage. It is recommended to go to the hospital for an ultrasound examination. Under the guidance of a doctor, receive intramuscular progesterone for fetal preservation treatment. During the fetal preservation period, the patient should rest in bed (except for urination and defecation. Try not to move around excessively). Sexual activity is strictly prohibited. The patient should also 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, the bleeding will stop, and the pregnancy can continue. If there is bleeding, it is recommended to actively seek medical attention. Generally, intramuscular progesterone injection is preferred for active fetal preservation treatment.