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, and I'm worried it might be a miscarriage. Currently, there is no bleeding, and I don't have any other symptoms. This afternoon, I had a sudden, persistent pain for over half an hour, but it 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 whether this could be 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, the bleeding will stop, and the pregnancy can continue. If there is bleeding, it is advisable to actively seek medical attention at the hospital. Generally, intramuscular progesterone injection is recommended for active pregnancy preservation treatment.