Spontaneous abortion is defined as pregnancy loss that occurs in a natural state and is clinically confirmed. Early abortion is considered to be before 12 weeks of gestation and mid to late abortion is considered to be between 13 and 28 weeks. Its most common symptoms are vaginal bleeding and pain or painful cramping in the abdomen. If the miscarriage is not clean, it may lead to serious consequences such as heavy bleeding, dripping menstruation and infertility. Therefore, it is very important to determine whether a spontaneous abortion is clean, which can generally be judged according to clinical manifestations and auxiliary examinations.
A. Judgment method of clean spontaneous abortion
1. Judgment according to clinical performance
(1) Pregnant material has been expelled.
(2) Vaginal bleeding has stopped: generally bleeding for 3-7 days after miscarriage, not more than 15 days.
(3) Abdominal pain is obviously reduced.
2. Judgment according to auxiliary examination
(1) Gynecological examination: the cervical opening is closed.
(2) Ultrasonography: uterus close to normal size, no residual pregnancy in the uterine cavity.
(3) Urine and blood HCG measurement: HCG level recovered to 0-5U/L.
II. Precautions after successful spontaneous abortion
1.Adequate rest: adjust the physical and mental state, recover energy and avoid straining.
2.Prohibit sexual life: return to the hospital for follow-up within one month, no contraindications before sexual life.
3, pay attention to hygiene: maintain good hygiene habits, strengthen the cleanliness of the perineum.
4.Enhance nutrition: eat more food rich in protein and vitamins, and ensure balanced nutrition.
Third, the prevention of spontaneous abortion
1.Before and during pregnancy, physical examination and obstetric examination should be carried out according to medical advice.
2. bed rest should be paid attention to when keeping the fetus, and avoid heavy physical labor or activities during pregnancy.
3.Sexual intercourse is strictly prohibited in early pregnancy.
4, abnormalities must immediately go to the hospital for examination, the doctor will determine whether it is suitable for fetal preservation treatment.
5, keep a happy mood, eliminate bad psychology.