What causes abdominal pain after miscarriage? Here are four points to tell you

For pregnant women, abdominal pain after miscarriage is sometimes normal and sometimes abnormal. For some women, this phenomenon will disappear after a period of time, while for others it will not. Those who don’t should pay attention. So, what is the reason?

1. Abdominal pain: After the bleeding starts in early miscarriage, there is blood, especially blood clots, in the uterine cavity, which stimulates uterine contraction and causes persistent lower abdominal pain. In late miscarriage, there are paroxysmal uterine contractions first, followed by placental detachment, so there is abdominal pain before vaginal bleeding. Abdominal pain and bleeding are mostly progressive and are related to their clinical course and progress.

2. Vaginal bleeding: In cases of miscarriage within 3 months of pregnancy, the chorion and decidua separate at the beginning, the blood sinuses open, and bleeding begins. When all the embryos are detached and expelled, the uterus contracts strongly, the blood sinuses close, and the bleeding stops. Therefore, the whole process of early abortion is accompanied by vaginal bleeding. In late miscarriage, the placenta has already formed, and miscarriage is similar to premature and full-term births, and there is generally not much bleeding.

3. Laparoscopic partial uterine nerve resection: For patients who are refractory to drug treatment, presacral ganglionectomy can be used.

4. Treatment with traditional Chinese medicine and acupuncture: Medical treatment of primary dysmenorrhea based on syndrome differentiation: for those with qi stagnation and blood stasis, give blood circulation and blood stasis removal, soothing the liver and regulating qi; for those with cold stagnation and blood stasis, give warming meridians and dispelling cold, regulating qi and removing blood stasis; for those with insufficient qi and blood, give Shiquan Dabu Decoction to invigorate qi and nourish blood, and nourish the liver and spleen.