Key differential diagnoses for threatened abortion

What are the main differential diagnoses for threatened abortion? As an obstetric disease, threatened abortion is very harmful to pregnant women. We must always pay attention to prevent it from happening. Let's learn about the main differential diagnoses for threatened abortion with the editor below.

Differential diagnosis

Fetal leakage and fetal movement disorder are based on the premise of embryo survival. The first step is to determine whether the embryo is alive or not, and to distinguish it from diseases that cause vaginal bleeding or abdominal pain during pregnancy.

In addition, vaginal bleeding caused by this disease must be differentiated from cervical bleeding caused by various reasons, and the cervix can be examined under strict disinfection.

1. Western medicine diagnostic criteria:

(1) Medical history: history of amenorrhea and early pregnancy reactions.

(2) Symptoms: Vaginal bleeding, accompanied by lower abdominal pain or back pain

(3) Gynecological examination: The cervix is ​​not dilated and the enlargement of the uterus is consistent with the gestational age.

(4) Auxiliary examinations: positive urine pregnancy test or elevated blood HCG value, or B-ultrasound indicating intrauterine pregnancy.

(5) Health guidance

2. TCM diagnostic criteria:

(1) Fetal leakage: A small amount of vaginal bleeding during pregnancy that comes and goes, or continues without backache, abdominal pain, or lower abdominal distention is called "fetal leakage", also known as "uterine leakage" or "fetal leakage". Fetal leakage often occurs in the early stages of pregnancy.

(2) Fetal movement disorder: If a woman experiences lower back pain, abdominal pain, fetal movement or a small amount of vaginal bleeding during pregnancy, it is called "fetal movement disorder", also known as "fetal gas disorder".

The above are the main differential diagnosis methods for threatened abortion that the editor brought to you this time.