How often should I check for threatened miscarriage?

In clinical practice, threatened abortion is characterized by spotting. Female friends with a history of threatened abortion or miscarriage need to undergo regular follow-up examinations when they become pregnant again. Through professional examinations and regular testing of the pregnancy, timely intervention can be made to preserve the fetus if abnormalities are found. So, how often is it appropriate to check for threatened abortion? Let's listen to the experts' introduction.

Generally speaking, pregnant women who have threatened miscarriage should follow the doctor's advice to go to the hospital for regular pregnancy checkups. If necessary, they can have a threatened miscarriage checkup once a week or two. Threatened miscarriage is not terrible. Experts say that as long as pregnant women actively carry out pregnancy preservation treatment after threatened miscarriage, the safety of the fetus can be fully ensured. Therefore, pregnant women do not need to feel anxious or uneasy about this.

HCG and progesterone are usually measured during the follow-up of threatened abortion:

hCG is the abbreviation of human chorionic gonadotropin, which is a glycoprotein hormone secreted by the fertilized egg trophoblast, which begins to be produced when the fertilized egg implants. By dynamically monitoring the concentration changes of hCG in the blood, early pregnancy, miscarriage, ectopic pregnancy and gestational trophoblastic disease can be judged. β-hCG is more commonly seen in the test results, because hCG is composed of glycoproteins of α and β dimers, and β-hCG is more specific. Although there are great individual differences in hCG, under normal circumstances, hCG will rise by 1 time every 1.7 to 2 days until it reaches a peak in 7 to 12 weeks and then declines. Therefore, whether the hCG test result doubles is more indicative than a single test value. For this reason, it is more meaningful to test hCG at least twice. When symptoms of threatened abortion appear, if hCG doubles normally, it means that the chorionic activity is normal; if hCG doubles poorly or gradually decreases, there is a possibility of miscarriage or embryo arrest.

Progesterone, also known as progesterone, is a natural, essential progestogen for maintaining pregnancy. It can help the embryo implant, prevent the uterus from contracting before delivery, and promote breast development. When threatened abortion occurs, if the progesterone value tends to decline, the possibility of abortion is very high. The value of progesterone varies from person to person, and the progesterone test values ​​between different women are not very comparable. Instead, the change in the progesterone value before and after the same person can better illustrate the problem. The reference value of most domestic hospitals is that the progesterone content ≥25ng/ml is normal. If the progesterone content is between 15~25ng/ml, it indicates that the corpus luteum function is deficient; if the progesterone content is ≤15ng/ml, not only is the risk of abortion high, but there may also be a risk of ectopic pregnancy. In foreign countries, progesterone ≥10ng/ml is the lower limit of normal, so it must be judged and treated by a doctor.

The above is an introduction to how often you should check for threatened abortion. I hope it will be helpful to everyone.