Pregnancy is a time to rejoice for the family of the expectant mother, but for the mother, it is also a time when she has to take special care of herself. The first three months of pregnancy are especially the most important phase in a pregnant woman’s life because she is highly likely to miscarry.
Threatened miscarriage is when a woman experiences all the signs of miscarriage such as vaginal bleeding, spotting, discharge or blood stains and period pain or backaches, but does not necessarily have miscarriage. While a woman, upon spotting blood in the urine may panic thinking she is miscarrying, her doctor may upon examination clear that her baby is doing just fine.
Threatened miscarriage is one of the most common complications that a woman goes through when she is pregnant. The British Medical Journal states that a miscarriage is about 2.6 times likely and 17% of the total cases of pregnancy are expected to present some sort of complications later in the pregnancy. While gynecologists and general practitioners often have patients coming to them with the condition, because only little is known about treating it, the management of this type of miscarriage is rather empirical.
Vaginal bleeding and abdominal pain are the two prominent signs of threatened miscarriage. If a woman experiences these during pregnancy, she needs to get herself checked.
According to the book, Maternal and Child Health Nursing: Care of the Childbearing and Childrearing Family, the symptoms of threatened miscarriage:
An abnormal growth of the foetus is a major cause of miscarriages during the first trimester of pregnancy. Problems in the genes cause the foetus to grow abnormally and are found in more than half of the miscarried fetuses. The risk of a woman having defective genes increases with her age. Miscarriage that happens during the fourth through the sixth month of pregnancy is often found to be related to abnormality in the mother instead of the foetus.
Some of these complications in the mother that may cause threatened miscarriage include:
When a woman complains of spotting and visits a doctor, she may have to go through abdominal or vaginal ultrasound to check the development of the baby and the amount of bleeding. The doctor may further conduct a pelvic exam to check the cervix.
The doctor may also recommend the following blood tests if the cause for threatened miscarriage is not found yet:
In order to treat this condition, cervical os, i.e, mouth of the womb is closed. A pelvic exam is conducted to determine if cervical os is open. In this condition, womb and fallopian tubes may become tender. On the brink of miscarriage, bleeding becomes heavier, abdominal pain increases and body starts to cramp.
According to the book, Threatened Miscarriage, doctors may be able to diagnose it by:
After a woman has got herself checked by a doctor and the cause of threatened miscarriage is found to be normal, she may be asked to:
Care of the Childbearing and Childrearing Family states that once the woman has taken enough rest or reduced her activity levels, the vaginal bleeding is likely to stop within 24 to 48 hours. Once the bleeding stops, the woman can resume normal activities. It has been estimated that 50% of women continue their pregnancy after the treatment of threatened miscarriage and others, who ignore tend to suffer from imminent miscarriage, which confirms the occurrence of miscarriage.
Threatened miscarriage does not always have to be a sure sign of miscarriage. It is important for pregnant women to know that slight spotting is natural in the first trimester, but if they observe that the bleeding is way more than what it should be, immediate medical help must be sought.
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