Expertise in miscarriage diagnosis

With the quickening pace of life, women's physical health can no longer be ignored. Every woman will move from being a woman to a mother. We still need to understand some common problems among women, such as miscarriage. Today we will learn about the relevant professional knowledge of miscarriage diagnosis.

Diagnosis of miscarriage is generally not difficult. Most cases can be diagnosed based on medical history and clinical manifestations, and only a few require auxiliary examinations. After confirming miscarriage, the clinical type of miscarriage should also be determined to decide on the treatment method. Diagnosis of miscarriage:

(I) The medical history must inquire whether the patient has a history of amenorrhea and recurrent miscarriage, whether there is any early pregnancy reaction, vaginal bleeding. If there is vaginal bleeding, the amount of bleeding and its duration should be asked, whether there is abdominal pain, the location, nature and degree of abdominal pain, whether there is watery vaginal discharge, the color, amount and taste of vaginal discharge, whether there is tissue discharge, etc.

(II) Physical examination: observe the patient's general condition, check for anemia, and measure blood pressure, pulse, body temperature, etc. Gynecological examination should be performed under sterile conditions. Be gentle during the examination to avoid aggravating the symptoms; pay attention to whether the cervical opening is dilated, whether there is tissue blockage, whether the amniotic sac is bulging; whether the position and size of the uterus are consistent with the month of menopause, whether there is tenderness, etc.; whether there are masses in the bilateral adnexa.

(III) Auxiliary examination 1. hCG, hRL, progesterone, and estradiol can be measured. If they are significantly lower than normal levels, it indicates insufficient trophoblast and placental function, and possible miscarriage. hCG measurement is often used clinically to determine the prognosis of the embryo and fetus. 2. B-ultrasound examination of miscarriage can be used to observe the presence of embryonic sac and fetal heart rate and fetal movement, determine whether the embryo is alive, identify the type of miscarriage and some causes of miscarriage, and choose the appropriate treatment method.