What tests should patients with threatened abortion undergo when they go to the hospital?

When it comes to threatened abortion, female friends are not unfamiliar with it. There are many reasons for threatened abortion. Therefore, you must go to the hospital for regular check-ups during pregnancy. If you have any abnormalities in your body, you should go to the hospital for a check-up in time to confirm safety and health. So let's talk about what examinations patients with threatened abortion should do when they go to the hospital?

Threatened abortion refers to a small amount of vaginal bleeding that occurs in early pregnancy and stops and comes and goes, accompanied by mild lower abdominal pain and backache. It may lead to abortion, or it may continue pregnancy after proper treatment. It is mainly caused by the weak constitution of pregnant women, or fatigue, trauma (including improper vaginal examination and sexual intercourse). If you go to the hospital for threatened abortion, you should do the following examinations:

1. Ultrasound. If you have bleeding or cramping, you should get an ultrasound right away, even if your doctor only suspects an ectopic pregnancy. If you have no other problems but are still experiencing light bleeding, you should get another ultrasound around 7 weeks of pregnancy. If the doctor can see the baby's heartbeat during the ultrasound around 7 weeks, your chances of miscarriage are now very low[1], but if you are still bleeding after that, you should get another ultrasound. If the doctor can see the baby but not his heartbeat, that means the baby did not survive.

2. Cervical cerclage. If you are in the second trimester (4-6 months of pregnancy) and an ultrasound shows that your cervix is ​​shortened or dilated, your doctor will decide whether you need a procedure called cervical cerclage, in which she will sew up your cervix to prevent miscarriage or premature birth. (This is done if the baby appears normal on ultrasound and you have no intrauterine infection.) Cervical cerclage also has risks, and there is no consensus in the medical community as to whether your individual situation is the best candidate for this procedure.

3. Preserve the fetus. If you have symptoms that may indicate miscarriage, your doctor may ask you to stay in bed to reduce the chance of miscarriage, but there is no evidence that bed rest is helpful. Your doctor may also advise you not to have sex when you are bleeding or having cramps. Although sex will not cause miscarriage, it is best not to have sex when you have these symptoms of miscarriage.

4. Properly handle vaginal discharge. Mild bleeding or cramping may continue for several weeks. During this period, you can use sanitary napkins, but not tampons, and take acetaminophen (also called paracetamol) under the guidance of a doctor. If you have a miscarriage, bleeding and cramping will worsen before you pass the "products of conception", which refers to the placenta, embryonic or fetal tissue, which also looks light gray and may contain blood clots.