How to differentiate miscarriage

No one wants to see an unexpected miscarriage after pregnancy. If there are signs of miscarriage, will you notice it immediately? I think many people are not very clear about the differential diagnosis of miscarriage. In order to give everyone a deeper understanding of miscarriage, the following introduces how to differentially diagnose miscarriage.

Clinically, differential diagnosis of miscarriage can generally be made through the following points:

1. Medical history: whether the patient has a history of amenorrhea and recurrent miscarriage, whether there is early pregnancy reaction, vaginal bleeding, the amount of vaginal bleeding and its duration, whether there is abdominal pain, the location, nature and degree of abdominal pain should be asked. It is also necessary to understand whether there is watery vaginal discharge, the color, amount and odor of the vaginal discharge, and whether there is any discharge of pregnancy products.

2. Physical examination: Observe the patient's general condition, whether there is anemia, and measure body temperature, blood pressure and pulse. 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 during the examination, especially for those suspected of threatened abortion.

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

(1) Type B 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 morphology of the gestational sac, the presence or absence of fetal heart reflexes and fetal movements can be used to determine whether the embryo or fetus is alive, so as to guide the correct treatment method. Incomplete abortion and missed abortion can be confirmed with the help of Type B 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.

In short, through the above introduction, I believe that most female friends have a general understanding of the methods for diagnosing miscarriage. In fact, miscarriage can be prevented for women, mainly by changing their lifestyle after pregnancy, and of course, it is also necessary to do a good prenatal check-up, which is very helpful for early detection of miscarriage.