What are the clinical manifestations of miscarriage?

The newlyweds' expectation for the little life is a surprise. When they were 8 weeks pregnant, they suddenly had vaginal bleeding. They went to the doctor in time and learned that they probably couldn't keep the baby. Abortion was a helpless choice. Let's take a look at the clinical manifestations of abortion.

Before 8 weeks of pregnancy, it is often manifested by a small amount of vaginal bleeding, followed by paroxysmal lower abdominal pain or back pain. Gynecological examination shows that the cervix is ​​not open, the fetal membranes are not ruptured, the products of pregnancy are not expelled, and the size of the uterus is consistent with the number of weeks of amenorrhea. After rest and treatment, some patients get better. If the amount of vaginal bleeding increases or the lower abdominal pain worsens, it may develop into inevitable miscarriage.

Inevitable miscarriage means that miscarriage is inevitable. It develops from threatened miscarriage. At this time, the amount of vaginal bleeding increases, the paroxysmal lower abdominal pain worsens, or vaginal discharge (rupture of membranes) occurs. Gynecological examination shows that the cervix has dilated, and sometimes embryonic tissue or fetal sac can be seen blocking the cervix. The size of the uterus is consistent with the number of weeks of amenorrhea or slightly smaller. At this time, uterine contractions gradually intensify, and if they continue to progress, the pregnancy tissue may be partially or completely discharged, developing into incomplete or complete miscarriage.

Incomplete abortion refers to the development of inevitable abortion when the products of pregnancy have been partially discharged from the body and some remain in the uterine cavity. The residual products of pregnancy in the uterine cavity affect the contraction of the uterus, causing continuous uterine bleeding and even hemorrhagic shock due to excessive bleeding. Gynecological examination shows that the cervix has been dilated and blood is constantly flowing out of the cervix. Sometimes placental tissue can be seen blocking the cervix or some products of pregnancy have been discharged into the vagina, while some remain in the uterine cavity. Generally, the uterus is smaller than the number of weeks of amenorrhea.

Complete abortion means that all the products of pregnancy have been expelled, vaginal bleeding has gradually stopped, and abdominal pain has gradually disappeared. Gynecological examination shows that the cervix has closed and the uterus is close to normal size.

Missed abortion refers to a situation where the embryo or fetus has died and remains in the uterine cavity and has not been expelled naturally. It is also called embryonic arrest when it occurs in early pregnancy. After the embryo or fetus dies, the uterus no longer grows but shrinks, and the early pregnancy reaction disappears. If it is mid-term pregnancy, the pregnant woman's abdomen does not grow and the fetal movement disappears. Gynecological examination shows that the cervix is ​​not dilated, the uterus is smaller than the number of weeks after the menstrual period, and the texture is not soft. The fetal heartbeat is not heard.

Women should be kind to themselves and love their bodies. After all, the body is the capital of the revolution.