Patient's question:
What is the difference between threatened miscarriage and habitual miscarriage? What are their symptoms? I just got pregnant for a month, and I have severe lower back pain and lower abdominal pain. Could this be a sign of miscarriage?Doctor's answer:
Hello:Threatened Miscarriage: A small amount of blood or bloody discharge in the vagina, with an unopened cervical os and a uterus size consistent with the gestational age. A positive pregnancy test, and fetal heartbeat visible on ultrasound. The clinical treatment principle is to preserve the pregnancy, and approximately 60% of threatened miscarriages respond effectively to proper treatment. For those whose embryos are confirmed to be viable via ultrasound, absolute bed rest is recommended until symptoms subside, followed by gradual resumption of activity. It is important to avoid any stimuli that can induce uterine contractions, such as vaginal examinations or sexual intercourse. Reducing unnecessary mental stress and anxiety for the patient is also crucial. From an eugenics perspective, most early miscarriages are due to abnormal embryos caused by various factors, making miscarriage a natural selection process that should not be mourned.
Habitual Miscarriage: Individuals with a history of habitual miscarriage should regularly monitor their basal body temperature. If the menstrual cycle is slightly delayed but the basal body temperature does not drop, treatment can begin if pregnancy is suspected. Avoid physical labor and mental stress, refrain from sexual intercourse, and start oral vitamin E supplementation at 100 mg/day, along with vitamin B and C. Early β-hCG and ultrasound examinations should be conducted to confirm the diagnosis.