Patient's question:
I am 2.5 months pregnant. Yesterday, I suddenly had a little bleeding. I went to the hospital for a check-up, and the doctor said it was intrauterine bleeding. They prescribed me injectable human chorionic gonadotropin (hCG) to be administered for 5 days. Is that okay? I'm still a bit worried because I didn't mention that I had a cesarean section 3 years ago. Could it be uterine rupture? Is it serious? Will it affect the fetus? I am very, very worried. Thank you very much to the kind person who answers my question.Doctor's answer:
The time period is relatively short, and bleeding is commonly seen in threatened miscarriage or embryonic arrest bleeding. In cases of threatened miscarriage with minor bleeding, active management to prevent miscarriage is often successful in saving the pregnancy. However, if the embryo has arrested development or is already abnormal, it cannot be saved. If it is confirmed to be an intrauterine pregnancy, and there is currently minor bleeding, it is considered a threatened miscarriage. Recommendations: It is important to promptly undergo progesterone and blood HCG tests to assess whether the hormones are normal, and then proceed with targeted management to prevent miscarriage. These two hormones, if too low in the early stages of pregnancy, can lead to threatened miscarriage.