How to diagnose miscarriage

Nowadays, it is quite common for young people to live together without getting married. If they accidentally get pregnant but don’t want it, they either don’t have the conditions or they don’t want it, so they go to the hospital for an abortion. They take advantage of their youth and good health, don’t take it seriously, and don’t know how to cherish life. So today, let’s learn how to diagnose miscarriage?

How should miscarriage be diagnosed? It is not difficult to diagnose miscarriage. It can be diagnosed based on the disease history and clinical symptoms, but a few patients need auxiliary examinations. After confirming miscarriage, you should also pay attention to the type of miscarriage and take treatment measures according to the type. Let's take a look at how to diagnose miscarriage:

1. The patient should be asked about the history of amenorrhea and recurrent miscarriage, early pregnancy reaction, vaginal bleeding, the amount of vaginal bleeding and its duration, abdominal pain, location, nature and degree of abdominal pain. The patient should also be asked about the presence of watery vaginal discharge, the color, amount and odor of vaginal discharge, and whether there is any discharge of pregnancy products.

2. Check the patient's general condition, check for anemia, and measure body temperature, blood pressure, pulse, etc. Perform gynecological examination under sterile conditions, pay attention to whether the cervical opening is dilated, whether the amniotic sac is bulging, whether there are products of pregnancy blocking the cervical opening; whether the size of the uterus is consistent with the number of weeks of amenorrhea, whether there is tenderness, etc. Check the bilateral adnexa for lumps, thickening, and tenderness. The operation should be gentle, especially for those suspected of threatened abortion.

3. Auxiliary examinations For those who have difficulty in diagnosis, necessary auxiliary examinations can be used.

(1) B-type ultrasound imaging: It is currently widely used. It has practical value in differential diagnosis and determination of the type of abortion. For suspected threatened abortion, the survival of the embryo or fetus can be determined based on the morphology of the gestational sac, the presence or absence of fetal heart reflexes and fetal movements, so as to guide the correct treatment method. Incomplete abortion and missed abortion can be confirmed with the help of B-type ultrasound examination.

(2) Pregnancy test: using immunological methods, the test strip method has been used more in clinical practice in recent years, which is meaningful for diagnosing pregnancy. In order to further understand the prognosis of miscarriage, radioimmunoassay or enzyme-linked immunosorbent assay is often used to perform quantitative determination of hCG.

(3) Other hormone measurements: Other hormones mainly include blood progesterone, which can help determine the prognosis of threatened abortion.