What are the steps in diagnosing miscarriage?

Abortion is divided into early abortion and late abortion. Those that occur before 12 weeks of pregnancy are called early abortions, and those that occur after 12 weeks are called late abortions. Whether it is an early abortion or a late abortion, the corresponding abortion diagnosis steps must be followed. Today, the editor will learn the diagnostic steps of abortion with everyone.

First, determine whether a miscarriage has occurred.

(1) Inquire about the patient's medical history in detail: whether there is a history of amenorrhea, whether there is vaginal bleeding, the amount and nature of the bleeding, whether there is abdominal pain or other discharge, etc.

(2) Bimanual examination: Pay attention to the position, size, shape, and hardness of the uterus; whether the isthmus is particularly soft, as if the uterine body and cervix have lost continuity; whether there are lumps, tenderness, or resistance in the appendages on both sides; whether there is erosion, bleeding, or cervical polyps at the cervical opening; and whether the bleeding is coming from the uterus. If it is a miscarriage, the bleeding must be coming from the uterus.

(3) Auxiliary examination

2. Determine what type of abortion it is

Different types of miscarriage have different labor processes and different treatment principles, so it is necessary to determine what type of miscarriage it is.

(1) Inquire in detail about past pregnancy history, past medical history, and family genetic history. If there is a suspected history of genetic disease, a family tree should be drawn.

(2) Perform a full body system examination and a gynecological examination.

(3) Conduct necessary tests and auxiliary examinations: for males: routine semen analysis, blood type, chromosomes, etc.; for females: vaginal cell smear, cervical score, basal body temperature, blood type, chromosomes, B-ultrasound examination of uterine development for abnormalities, etc.

3. Whether there are complications of abortion

Abortion must be differentiated from functional uterine bleeding, tubal pregnancy, hydatidiform mole, uterine fibroids, choriocarcinoma, etc. In addition, various types of abortion should be differentiated in order to make a clear diagnosis and choose different treatments according to different types.