Just like a ship encountering rocks when sailing, women will also encounter rocks after pregnancy, which is a premature miscarriage!
◎ Causes of threatened abortion
Vaginal bleeding is the most direct symptom of threatened abortion. The cause of vaginal bleeding is the villi of the embryo. Separated from the mother\’s uterine muscle wall. If the area where the embryonic villi are stripped is small, the amount of vaginal bleeding will be small, the survival of the embryowill not be serious, and there is hope of preserving the fetus, which is called in medicine It is called \”threatened abortion\”. If the peeling area is large, the amount of vaginal bleeding will be large, and the nutrient supply of the embryo will be seriously affected. At this time, the fetus preservationThe hope is very small.
Before 8 weeks of pregnancy, because the villi of the embryo are immature and the connection with the mother is not strong, the sparse villi are easily removed from the mother\’s body. Strip. During this period, if you have intense sex life, or are overworked,bearing heavy weights, carrying heavy objects, hitting the abdomen, bumpy long-distance travel, etc., you will suddenly experience symptoms. Cause peeling.
Due to the suddenness of the peeling, there is no development process, so vaginal bleeding in threatened abortionis always bright red at first, and then gradually Turns dark red. The color of blood is different from normal menstruation. Menstruation is the result of the gradual atrophy of the endometrium and oxidation over a long period of time, so the color of bleeding is generally darker. .
◎ Countermeasures for threatened miscarriage
Once you find bright red blood flowing out of the vagina, you should immediately realize that there is a threatened miscarriage. Go to the hospital for examination immediately.
Here I would like to tell you a medical statistic: the incidence of vaginal bleeding in the first 3 months of pregnancyIt is 20%, which means that one out of every five pregnant women will have bleeding; in addition, when threatened abortion occursAmong women who give birth, about 50% have successful pregnancy preservation.
Among pregnant women with vaginal bleeding, the first differential diagnosis to be made is to rule out ectopic pregnancy and rule out ectopic pregnancy. Only during pregnancy can fetal preservation measures be taken. And half of the pregnant women who take fetal preservation measures will succeed, so everyone must act early, and must not hesitate and give up the opportunity!
Threatened abortion is actually the first stage in the various stages of abortion development. When A small amount of vaginal dischargeblood and lower abdominal pain occur. At this time, if the cervix is not dilated, the fetal membranes are not ruptured, and the products of pregnancy have not been discharged, youTake measures to protect the fetus in a timely manner, and the measures are very appropriate, and the rest is sufficient. After a period of time, if the bleedingstops, Abdominal pain disappears, indicating that miscarriage is almost successful! On the contrary, if you ignore the signs of threatened abortion, delay the time to take measures, let it go, and do not take appropriate rest , it will inevitably fail if it continues to developProduction!
I will now provide some methods and data. These methods and data It may be useful to everyone. Vaginal bleeding indicates that there is something wrong with the embryo, but how serious is the problem? Is itShould miscarriage measures be taken? A judgment must be made.
The first thing the doctor has to do is to exclude the patient from ectopic pregnancy.
As long as there is abdominal cramps or Abdominal pain and vaginal bleeding may indicate the possibility of ectopic pregnancy. At this time, an ultrasound examination should be performed as soon as possible to confirm pregnancy.pregnancy position. If the blood HCG level is greater than 2000mIU/ml, intrauterine pregnancy can be seen through vaginal ultrasound; if the blood HCG level is greater than 6000mIU/ml, then intrauterine pregnancy can be seen through vaginal ultrasound examination; Intrauterine pregnancy can be seen through abdominal ultrasound. In addition, progesterone levels can also be used to determine whether it is an ectopic pregnancy. The progesterone level in ectopic pregnancy is relatively low. If the progesterone is less than 5ng/ml, the embryo must be an abnormal embryo; if the progesterone is greater than 15ng/ml, the embryo must be abnormal. It can be determined to be a normal pregnancy.
After ruling out ectopic pregnancy, you can use the following methods to judge whether the fetus should be preserved. It is estimatedCalculate the success rate of fetal protection and predict later embryonic development. You don’t necessarily need to understand these methods thoroughly, but you should understand the basic principles.
◎ Cervical mucus crystal examination;
◎ Vaginal cell smear examination;
◎ Nuclear pyknosis index determination;
◎ Endocrine measurement;
◎ B-ultrasound examination;
◎ Basal body temperature measurement.
Among the several examination methods mentioned above, we are more familiar with endocrine testing and B-ultrasound examinationEndocrine testing: Pregnant women with luteal insufficiency, secretion Low progesterone can cause threatened abortion or habitual abortion. When doing endocrine measurement, focus on measuring the metabolite of progesterone – the second trimester span>Alcohol, if the value of pregnadiol is low, it indicates luteal insufficiency.
B-ultrasound examination: B-ultrasound examination can observe the intrauterine fetal development. If it is found through dynamic observation thatthe fetus develops according to normal rules. , it means there is great hope to continue to protect the fetus; if it is found that the fetal development is blocked,Fetuses that barely survive after tocolysis treatment are often weak and low-energy; if the embryo is found to be withered, or the placentathe dark area (postplacental hemorrhage) gradually expands, Then you can only give up the miscarriage.
The first 5 of the above methods can only be checked in the hospital, but the 6th one can be done by ourselves , so everyone should continue to develop a good habit during the uncertainty stage – measuring basal body temperature!
After all, under the influence of progesterone, the body temperature remains high for 16 weeks. Even if the vagina is red and there are signs of threatened miscarriage, as long as your body temperature does not drop, there is great hope of preserving the pregnancy. If the body temperature has dropped, and the degree of danger has increased a lot. Therefore, after pregnancy, everyone should still pay close attention to theirbasal body temperature.
The treatment principle of threatened abortion is of course to preserve the fetus. The most important method is to rest in bed, avoid stimulationand prohibit sexual life.
Next, let’s take a look at the typical prescriptions prescribed by doctors:
◎ Prescription 1: For those with insufficient luteal function, progesterone 20mg im qd;
◎ Prescription 2: For general pregnant women with threatened abortion, vitamin E 100mg qd or bid;
◎ Prescription 3: For pregnant women who are more nervous, diazepam (valium) 2.5 mg qd;
◎ Prescription 4: Traditional Chinese medicine for strengthening the kidney and anti-fetus, Antai Yin.
In the above prescription: mg means milligrams, \”im\” means intramuscular injection, \”qd\” means once a day and \”bid\” means twice a day .
◎ When it comes to miscarriage, prevention is better than cure
Here, I need to emphasize a point: for miscarriage, it is also like As with other diseases, preventionis better than cure. When signs of threatened miscarriage appear, hurriedly take measures to protect the fetus and succeedHope is only half. If you take measures in advance, you can nip it in the bud and get twice the result with half the effort.
For pregnant women who have a tendency to have habitual abortions and sisters who have had a history of induced abortion in the past, during the planning pregnancy stage, they must insist on measuring their basal body temperature every day. Once found, If the basal body temperature rises, even if the menstrual period has not yet expired, treatment should be based on threatened abortion and miscarriage. Moreover, this miscarriage measure should be the same as last time. After the miscarriage date. Because the uterus has memory, another miscarriage or fetal termination will often occur on the uterusBefore and after the first miscarriage.
So, do we have to go to the hospital to take measures in advance?
That\’s not necessary. After analyzing the prescriptions usually prescribed by doctors, in fact, prescription 2 is to take vitamin E , we can do it ourselves. When you find that you have a high temperature after ovulation, and you have sex in a timely manner, and you have had a history of miscarriage in the past , then you should promptly supplement 2 100 mg of natural vitamin E every day. This is a reliable and labor-saving method.
This article is provided by Baidu Reading and is excerpted from \”Pregnancy Can Be Simple\” Author: Feifei Mom