Conventional methods for the diagnosis of threatened abortion

Routine diagnosis of threatened abortion is very important in clinical practice, because doctors need to combine the results of examinations before formulating treatment plans. Some patients do not know which examinations to do, which leads to blind examinations and being deceived. This requires women to go to regular medical institutions for treatment to ensure their own safety. The diagnostic methods for threatened abortion are:

Threatened abortion refers to a small amount of vaginal bleeding before 28 weeks of pregnancy, followed by paroxysmal lower abdominal pain or back pain. Pelvic examination shows that the cervix is ​​not dilated, the fetal membranes are intact, no pregnancy products are expelled, and the size of the uterus is consistent with the gestational age. If the symptoms worsen, it may develop into inevitable abortion. The diagnosis can be made based on the medical history and clinical manifestations. Sometimes, it is necessary to combine gynecological examination, B-ultrasound, blood hCG and other physical examinations or auxiliary examinations to make a clear diagnosis and classify the type of abortion.

For early pregnancy, especially threatened abortion not long after menopause, the main thing is to observe the possibility of continuing pregnancy. The main auxiliary diagnostic methods 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 of B-ultrasound is also of great significance. If only the gestational 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.

If vaginal bleeding stops, abdominal pain disappears, and ultrasound confirms that the embryo is alive, the pregnancy can continue. If clinical symptoms worsen, ultrasound finds that the embryo is maldeveloped, and blood hCG continues to not rise or decreases, it indicates that miscarriage is inevitable and the pregnancy should be terminated. In the early stages of pregnancy, you should pay attention to rest and avoid excessive fatigue. You should avoid sexual intercourse in the first three months of pregnancy and try to avoid contact with toxic and harmful physical and chemical substances to avoid threatened miscarriage.