For people who have been preparing for pregnancy for a long time and finally found out that they are pregnant, it is needless to say that they are happy, but a few days after being "overjoyed", sudden bleeding is tantamount to a thunderbolt from the sky, it is a "false pregnancy", ectopic pregnancy, miscarriage...
In the previous article, we talked about biochemical pregnancy, ectopic pregnancy, and today we will talk about threatened miscarriage.
Since it is threatened miscarriage, the difference from miscarriage lies in the time, there will also be bleeding and abdominal pain, threatened miscarriage is the early stage of miscarriage, and the symptoms are relatively mild in comparison. Threatened miscarriage usually disappears with rest or treatment, and the pregnancy can continue, but if the vaginal bleeding increases or the lower abdominal pain worsens, it will develop into a true miscarriage.
Pregnancy can be professionally understood as an allogeneic transfer, then miscarriage can be interpreted as a kind of allogeneic rejection, and the probability of spontaneous abortion occurring accounts for 15% of pregnancy. The reason for this is nothing more than three aspects: the mother and the fetus and the external environment.
Embryonic factors
We always say that pregnancy is the survival of the fittest, from the combination of sperm and egg to the fertilized egg is a process of merit-selection, and the miscarriage of the fertilized egg after implantation is actually the process of the fittest.
In early miscarriage, 50-60% of embryos with chromosomal abnormalities include chromosomal number and structure (breakage, inversion, deletion and translocation). This is also the important screening content and prenatal diagnosis of prenatal examination during pregnancy.
Maternal factors
In fact, the physical and emotional health of the expectant mother itself affects the development of the fetus, such as severe cardiovascular and cerebrovascular problems, serious interference, malformations of reproductive organs (pelvic mass, uterine fibroids, mediastinum, etc.), endocrine and metabolic problems (abnormal thyroid function, hyperprolactin, luteal insufficiency), immune abnormalities, and bad habits.
Other:
Sperm abnormality, which is a problem that is easy to ignore in the clinic, often think that pregnancy is a woman's problem, many miscarriages, fetal abortions, recurrent miscarriages are related to male sperm abnormalities, therefore, in the pregnancy examination should be the same examination of both husband and wife, pregnancy and can not give birth normally must also review whether the male has genetic or systemic factors. In this way, it is convenient for our doctors and patients to work together to help conceive, and medically we can choose artificial insemination, IVF (or even three generations of IVF sperm injection) methods.
environmental factors
Human beings are the primates of all things, not only physically affected by environmental factors, but also mentally and spiritually communicate and communicate with the outside world at any time, so the family and society will also affect the expectant mother, thus indirectly affecting the development of the fetus.
The symptoms of threatened miscarriage are mainly vaginal bleeding and lower abdominal pain, and because some patients have similar symptoms during the implantation of the fertilized egg in the first trimester, the symptoms are severe and develop into miscarriage, so it is not specific. Therefore, it is recommended that when there is any abnormality in the first trimester and you cannot evaluate and confirm it, you should seek medical attention as soon as possible, seek help from a doctor, and give professional advice and treatment plan.
In the treatment of threatened abortion, many doctors prefer to use progesterone. This is mainly because progesterone plays an important role in maintaining pregnancy during the first trimester, while also relieving smooth muscle spasms and reducing the aforementioned maternal allogeneic rejection. Moreover, many women who have symptoms of threatened miscarriage mostly have symptoms of shortened menstrual cycles, premenstrual bleeding, or luteal insufficiency due to unclean menstruation before pregnancy. After 12 weeks, progesterone is secreted by the placenta, and the pregnancy is relatively stable. Well, progesterone supplementation for miscarriage caused by other factors certainly does not change the outcome of miscarriage.
Not all hard work will always lead to good results, but we still need to work hard, don't we?
For families planning pregnancy, miscarriage must be very painful, especially for women, it is a double blow to the psychological and physical body, so once you know that you are pregnant, it is important to adjust your work and life status, actively avoid miscarriage, and prevent it from happening.
If there is no clear reason for spontaneous abortion for 2 consecutive times, it is necessary to pay attention to it, and it is recommended to go to the gynecology department or obstetrics department to systematically investigate the cause of recurrent miscarriage and give prevention and treatment.
From the perspective of traditional Chinese medicine, "menstrual regulation leads to offspring", and women's menstrual regularity is an important sign of physical and mental health. For girls with irregular menstruation, small or excessive menstruation, dysmenorrhea, etc., it is recommended to adjust the treatment as soon as possible to avoid infertility or miscarriage when preparing for pregnancy.