What symptoms are there for miscarriage? Will there be bleeding?

Patient's question:

At week ten of pregnancy, the morning sickness has become less noticeable since week nine, and it has become even less apparent after week ten. At day forty-three of pregnancy, an ultrasound was performed, and at that time, both the fetal heartbeat and the fetal bud were already visible. Since ultrasounds can't be done every week, I don't want to do them too frequently. However, I am also worried about a potential miscarriage without knowing it. What should I do? From the time of pregnancy until now, there has been no spotting, and I haven't felt any discomfort, except for occasional stomach discomfort. People say that it's just the uterus growing. How can I ensure that I notice a miscarriage in a timely manner?

Doctor's answer:

Analysis of the condition: Miscarriage may cause bleeding or abdominal pain, etc. There are generally four reasons that can lead to miscarriage. First is the issue of reproductive endocrinology. Second is the problem of reproductive immunity. Third is the issue of the uterus. Fourth is the problem of chromosomes. If you undergo tests, it is recommended that detailed examinations be conducted on all four aspects, and both partners should be involved. Additionally, external factors such as pollution and radiation should also be considered.

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