Threatened abortion, back pain, spotting for a few days

There are many causes of threatened abortion, such as chromosomal abnormalities, endocrine abnormalities, malnutrition, disease, excessive drinking or coffee, smoking, uterine defects, excessive sexual life, impact by external force, etc. may all lead to threatened abortion. Therefore, during pregnancy, you must be more careful not to bump into anything, control your sexual life, and do not live in a newly renovated house.

Causes

1. Chromosomal abnormalities

Chromosomal abnormalities are the main cause of miscarriage. Chromosome abnormalities include two categories: quantitative abnormalities and structural abnormalities. Studies have shown that 50% to 60% of pregnancies in early spontaneous abortions have chromosomal abnormalities. If one of the couple has a chromosomal abnormality, it can be passed on to the offspring and may cause miscarriage or recurrent miscarriage.

2. Maternal factors

(1) Systemic diseases: High fever during systemic infection can induce uterine contraction and cause miscarriage; infection with certain known pathogens such as Toxoplasma, herpes simplex, Mycoplasma hominis, Ureaplasma urealyticum, and cytomegalovirus are related to miscarriage; ischemic and hypoxic diseases such as heart failure, severe anemia, hypertension, chronic nephritis, and severe malnutrition in pregnant women can also lead to miscarriage.

(2) Endocrine abnormalities such as luteal insufficiency, hypothyroidism, uncontrolled diabetes, etc.

(3) Abnormal immune function.

(4) Severe nutritional deficiencies.

(5) Bad habits such as smoking, alcoholism, excessive coffee drinking, or use of drugs such as heroin.

(6) Adverse factors in the environment such as formaldehyde, benzene, lead and other harmful chemicals.

(7) Uterine defects such as congenital uterine malformation, submucous uterine fibroids, intrauterine adhesions, etc.

(8) Trauma such as abdominal compression or rapid impact, even surgery, excessive sexual intercourse, etc.

(9) Emotional trauma such as excessive fear, sadness, anger, etc.

Clinical manifestations

1. Menopause

Most patients with spontaneous abortion have a history of obvious amenorrhea.

2. Vaginal bleeding and abdominal pain

The first symptom is often vaginal bleeding, which is usually small in amount and often dark red, or bloody leucorrhea, but sometimes can last 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, patients may sometimes feel paroxysmal abdominal pain.

Gynecological examination revealed that the cervix was not dilated, no products of pregnancy were discharged, and the size of the uterus was consistent with the time of amenorrhea.

treat

In addition to bed rest and strictly prohibiting sexual intercourse, the treatment of threatened abortion should create an environment that is conducive to stabilizing the patient's mood and relieving tension. For those with a history of miscarriage, more spiritual support should be given. If the pregnant woman's progesterone level is low, progesterone supportive therapy can be used.

Prognosis and prevention

If vaginal bleeding stops, abdominal pain disappears, and B-ultrasound confirms that the embryo is alive, the pregnancy can continue. If the clinical symptoms worsen, B-ultrasound reveals that the embryo is poorly developed, and blood hCG continues to remain unchanged or decreases, it indicates that miscarriage is inevitable and the pregnancy should be terminated. During the early stages of pregnancy, you should pay attention to rest and avoid excessive fatigue. You should avoid sexual intercourse during the first three months of pregnancy and try to avoid contact with toxic and harmful physical and chemical substances in order to avoid the occurrence of threatened abortion.