What does clinical diagnosis of threatened abortion mean?

We all know that there are many ways of miscarriage. After many people go to the hospital for examination, the doctor diagnoses them as threatened miscarriage. However, many people still ask what threatened miscarriage means. In order to let more people understand what threatened miscarriage is, the following will introduce everyone to the basic knowledge of threatened miscarriage.

Threatened abortion refers to vaginal bleeding that occurs in the early stages of pregnancy and stops immediately, accompanied by mild lower abdominal pain and back pain. It may cause miscarriage, or it may lead to pregnancy again after appropriate treatment. The main reason is that it is caused by the weak constitution of pregnant women, or fatigue, trauma (including improper female vaginal diagnosis and sexual life). It is equivalent to "fetal bleeding" in traditional Chinese medicine.

The specific manifestations of threatened abortion are generally as follows: 1. Amenorrhea during pregnancy. The vast majority of patients with spontaneous abortion have a significant history of amenorrhea. 2. Vaginal bleeding and abdominal pain The first symptom is usually vaginal bleeding, which is usually light and dark red, or bloody leucorrhea, but sometimes lasts for 4 to 5 days or more than a week. A few hours to a few weeks after the bleeding occurs, it may be accompanied by mild lower abdominal pain or back pain. After 12 weeks of pregnancy, the patient may sometimes feel intermittent abdominal pain. Gynecological examination showed that the cervix was not dilated, no pregnancy products were discharged, and the size of the uterus was consistent with the time of amenorrhea.

For threatened miscarriage in early pregnancy, especially shortly after menopause, the main focus is to observe the possibility of getting pregnant again. The main auxiliary diagnosis methods are B-ultrasound and blood hCG level testing. Normally in the early stages of pregnancy, the blood hCG level will increase over time, and blood hCG can be continuously measured to understand the condition of the fetus. If the blood hCG level does not rise by 65% ​​every 48 hours, it may indicate a poor prognosis for pregnancy. In addition, continuous monitoring by B-ultrasound is also of great significance. For example, if only the gestational sac is seen but the fetus is not seen for a long time, or if the fetus is present but the fetal heartbeat is not seen for a long time, it may indicate a poor prognosis.