Diagnosis of spontaneous abortion

There are many clinical reasons for spontaneous abortion. No matter what the cause is, female friends should pay great attention to it and seek medical attention in time to protect the fetus. In order to allow more friends to have a better understanding of the judgment of spontaneous abortion, the following introduces the diagnostic basis for spontaneous abortion.

Spontaneous miscarriage is possible throughout the entire pregnancy, and the first trimester is the period when the probability of spontaneous miscarriage is the highest. Therefore, pregnant women during this period must pay attention to the conditioning of diet and lifestyle habits. If you find symptoms of abdominal pain and vaginal bleeding, you should seek medical attention in time.

The main symptoms of spontaneous abortion are: vaginal bleeding and abdominal pain after menopause. Spontaneous abortion goes through the following process: detachment of chorionic villi and decidua - opening of blood sinus - vaginal bleeding - vitreous embryo and blood stimulate uterine contraction - expulsion of embryo - lower abdominal pain

1. Amenorrhea: Most pregnant women with spontaneous abortion have a clear history of amenorrhea. Pregnancy can be confirmed by combining early pregnancy reactions, uterine enlargement, and the presence of an embryo sac on B-type ultrasound. However, vaginal bleeding caused by early pregnancy abortion is difficult to distinguish from menstrual abnormalities, and there is often no clear history of amenorrhea.

2. Vaginal bleeding and abdominal pain: Early miscarriage often first causes vaginal bleeding and then abdominal pain. Due to the death of the embryo or fetus, the chorionic villi and decidua are separated, the blood sinuses are opened, and vaginal bleeding occurs; the separated embryo or fetus and the blood stimulate the uterus to contract, expel the embryo or fetus, and produce paroxysmal lower abdominal pain; when the embryo or fetus is completely expelled, the uterus contracts, the blood sinuses are closed, and the bleeding stops.

The clinical course of late miscarriage is similar to that of premature and full-term labor: after paroxysmal uterine contractions, the fetus and placenta are expelled, and vaginal bleeding occurs. In late miscarriage, the placenta is firmly attached to the uterine wall. If the placenta is only partially detached, the residual tissue affects uterine contractions, blood sinuses open, and can cause massive bleeding, shock, and even death. If the placenta remains for too long, placental polyps may form, causing repeated bleeding, anemia, and secondary infection.

The above is the basis for diagnosing whether a pregnant woman has a spontaneous abortion. If a female friend has the above symptoms, she should go to the hospital for examination in time. If a spontaneous abortion occurs, the pregnant woman must pay attention to her own care, so as to reduce the harm of spontaneous abortion to the body.