How to diagnose threatened abortion clinically

Many women are more concerned about how to diagnose threatened abortion, so diagnosis before treatment is particularly important. Only by doing a good job of examination can abortion be better treated. It is recommended that women follow the doctor's advice for examination and treatment, and do not blindly have an abortion on their own. There are many methods for clinical examination and diagnosing threatened abortion. The specific methods are as follows.

The main auxiliary diagnostic methods for early pregnancy are B-ultrasound and blood hCG level detection. In normal early pregnancy, the blood hCG level has a doubling time, and blood hCG can be measured continuously to understand the fetal condition. If the blood hCG level increases by less than 65% every 48 hours, it may indicate a poor prognosis for pregnancy. At the same time, continuous monitoring by B-ultrasound is also of great significance. If only the fetal sac is seen but the fetus is not seen for a long time, or the fetus is present but the fetal heart rate is not seen for a long time, it may indicate a poor prognosis.

The diagnosis can be made based on medical history and clinical manifestations. Sometimes, physical examinations or auxiliary examinations such as gynecological examination, B-ultrasound, and blood hCG are needed to make a clear diagnosis and classify the type of abortion.

The most important contribution of HCG is to stimulate the development of the corpus luteum. In the early stages of pregnancy, it allows the menstrual corpus luteum to quickly mature into the corpus luteum of pregnancy, and then continues to maintain the function of the corpus luteum. HCG is secreted by trophoblast cells, so the doubling of HCG can reflect the functional status of trophoblast cells. The functional status of trophoblast cells directly reflects the quality of pregnancy. If trophoblast cells cannot develop in high quality, pregnancy will naturally not be guaranteed.

It can be seen from this that pregnancy is a foreign body to the uterus. The uterine smooth muscle has the ability to instinctively squeeze out foreign bodies in the uterine cavity through contraction. Progesterone plays an important role here, which is to prevent the foreign body from being squeezed out. As the pregnancy time increases, the "foreign body" becomes larger and larger, and more progesterone is needed, so progesterone continues to rise during pregnancy.