Patient's question:
My wife had a natural miscarriage with her first child. This time, she finally got pregnant again. Now she is over a month pregnant, but she doesn't know why she has spotting and sometimes feels abdominal pain. She is always worried about the baby and is currently in the hospital for a miscarriage prevention treatment.What kind of help is she looking for: What is the success rate of preventing miscarriage in cases of threatened miscarriage?
Doctor's answer:
General threatened abortion refers to the occurrence of slight vaginal bleeding and/or lower abdominal pain before 28 weeks of pregnancy, with an open cervix, intact membranes, and the pregnancy products not yet expelled, where the size of the uterus is consistent with the gestational age. Early threatened abortion is often characterized by symptoms such as early pregnancy reactions after a missed period, followed by slight vaginal bleeding that may be intermittent or continuous, bright red in color, lasting for several days or weeks, without abdominal pain or with mild lower abdominal discomfort, lower back pain, and a sense of heaviness or pressure in the lower abdomen. It is crucial to maintain pregnancy through symptomatic treatment. For example, late threatened abortion (pregnancy between 3 and 28 weeks) is often caused by cervical insufficiency. If pregnancy preservation is desired, in addition to using pregnancy-preserving medications, it may also be necessary to use drugs to inhibit uterine contractions and other supportive treatments.Additionally, during pregnancy preservation, patients should avoid sexual activity and stay in bed (except for the need to use the restroom) as much as possible. They should also maintain emotional stability, avoid stressful environments, ensure adequate nutrition, and take vitamin E supplements. If the embryo is normal and the cause of the threatened abortion is resolved after rest and treatment, bleeding will stop, and the pregnancy can continue.