Miscarriage is very harmful to women’s body and can endanger the life of pregnant women. Once the symptoms of miscarriage occur, appropriate treatment should be carried out in a timely manner according to different types of miscarriage.
I. Pre-eclampsia miscarriage
Pre-emergent miscarriage is a major killer of the pregnancy process. According to reported statistics, about 35-40% of pregnant mothers experience pre-emergent miscarriage during the pregnancy process, although it may be safe in the end, but it also reminds pregnant mothers must pay more attention to their own bodies.
When a pregnant mother finds herself with signs of preterm miscarriage, she should go to the hospital as soon as possible to check the cause and the condition of the fetus, but minimize unnecessary vaginal examinations to reduce the irritation to the uterus.
If it is necessary, it should be done gently and, if necessary, with less harmful sedatives for the fetus. If the pregnancy reaction is positive, the doctor will most likely recommend fetal preservation treatment in combination with a physical and ultrasound examination;
If the amount of vaginal bleeding is more than the amount of menstruation, or if other diagnoses indicate that the fetus is dead or inevitably aborted, the pregnancy should be terminated as soon as possible to prevent hemorrhage and infection, which can be harmful to the pregnant mother’s body. In case of signs of pre-eclampsia miscarriage, the following aspects should be noted
1, pay attention to more rest
When there is a pre-eclampsia miscarriage, the pregnant mother should first of all rest more in bed and try to reduce her activities, except for appropriate light activities. However, sexual intercourse must be forbidden and stimulation of the breasts should also be avoided because stimulation of the breasts can also cause contractions and lead to the occurrence of preterm miscarriage.
2. Pay attention to the amount and nature of bleeding
Observe at all times whether there is any tissue discharge in the vaginal discharge, and it is best to keep the discharge for the doctor’s observation. If there is an increase in the amount of bleeding, you should go to the hospital promptly.
3.Pay attention to abdominal pain
If, after taking birth control measures, the pregnant mother continues to experience back pain and lower abdominal cramping, which cannot be relieved after resting, or even if the lower abdominal pain increases, accompanied by vaginal bleeding and discharge of tissue-like material. You should be alert and report to the doctor in time.
4.Follow the doctor’s instruction to take medicine to protect the fetus
If luteal insufficiency is confirmed after examination, progesterone can be given as prescribed by the doctor, 20 mg each time, once a day. Secondly, small doses of thyroid powder can be applied (for patients with low thyroid function), and 100 mg of vitamin E liquid taken orally daily also has a fetal preservation effect.
5.Ensure sufficient sleep
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6, avoid contact with pets
The actual fact that cats, dogs and other pets usually have a lot of pathogenic bacteria in their bodies can cause uterine amnionitis during pregnancy, which not only can cause pre-eclampsia, but also can cause congenital malformations or birth defects when the fetus is infected with these pathogens. Therefore, pregnant mothers must stay away from pets when pregnant, and thoroughly clean up the living environment to give the baby a clean and healthy growing environment.
7, pay attention to pregnancy hygiene
The hormone levels in the pregnant mother’s body have changed dramatically after pregnancy, which usually makes the resistance of the pregnant mother also become weaker, and very easy to infect germs. Therefore, you must pay attention to hygiene during pregnancy, change your clothes and pants often, and also avoid getting cold and go to public places as little as possible to reduce the chances of infection.
8.Create a good family atmosphere
The psychological treatment for patients with pre-eclampsia miscarriage is also important. The father-to-be and family members should be more caring and considerate of the pregnant mom, so that she can be emotionally stable and cheerful to provide a loving growth environment for the fetus.
Inevitable miscarriage
In case of inevitable miscarriage, abdominal pain will increase and vaginal bleeding will increase. During gynecological examination, it can be found that the opening of the cervix is 2-3 cm wide, the fetal membranes rupture prematurely, and the fetus, placenta and other tissues block the opening of the uterus, causing miscarriage. Once the diagnosis of refractory miscarriage is confirmed, measures should be taken to terminate the pregnancy as soon as possible to completely expel the embryo and placental tissue.
Early refractory miscarriage should be promptly examined by negative pressure aspiration, and what is removed from the uterine cavity should be carefully examined and sent for pathological examination. When the fetal placenta is expelled it needs to be checked for completeness and scraped if necessary to remove the residual pregnancy products in the uterine cavity.
Incomplete miscarriage
Because incomplete miscarriage only part of the embryonic tissue flows out from the uterine cavity, the residual in the uterine cavity may occur in hemorrhagic shock if not treated in time, which may endanger the life of the pregnant mother.
Therefore, once an incomplete miscarriage is diagnosed, emergency measures should be taken immediately to terminate the pregnancy and remove the residual tissue in the uterine cavity by scraping or scraping to avoid hemorrhage or infection in the pregnant mother’s body, which may lead to complications such as uterine infection, hollowitis, peritonitis and even sepsis. At the same time, antibiotics should be used to prevent infection before and after the surgical treatment, and hemostatic measures should be used to stop bleeding, and blood and fluids should be transfused at the same time if there is a lot of bleeding and shock.
Complete miscarriage
Complete miscarriage mostly occurs in the fourth to sixth month of pregnancy, when the fetus and its placenta and other tissues are completely expelled from the uterine cavity to the outside of the body, vaginal bleeding is obviously reduced, and abdominal pain is improved or disappears. Gynecological examination may reveal that the uterus is close to normal size and the uterine opening has closed or is gradually closing.
For a complete miscarriage, no special treatment is usually needed and a good recuperation is sufficient. However, if the pregnant mother still has vaginal bleeding, she can take some medicine to stop the bleeding under the guidance of the doctor and take antibiotics for two days to prevent infection.
V. Habitual miscarriage
Pregnant mothers with a history of habitual miscarriage should first undergo a comprehensive physical examination and genetic examination, as well as a special examination for miscarriage before preparing for pregnancy. These include ovarian function tests for women, semen tests for men, chromosome tests and blood typing for both partners.
In addition, pregnant mothers should have a detailed examination of the reproductive tract, including the presence of fibroids and uterine adhesions, as well as hysterosalpingography and hysteroscopy to determine whether there are any abnormalities and lesions in the uterus, and to check whether there is looseness of the cervical opening, etc., so that the causes can be identified and corrected and treated in time before pregnancy.
In cases of loose endocervical opening, endocervical repair can be performed before pregnancy. If you are already pregnant, it is better to do endocervical ring ligation at 14-16 weeks of gestation, follow up regularly after the operation, stay in hospital in advance and remove the sutures before delivery. If symptoms of miscarriage still appear after ring ligation and treatment fails, the sutures should be removed in time to avoid cervical tearing.
Women with unexplained habitual miscarriage, when there are signs of pregnancy, can be treated with progesterone according to luteal insufficiency by injecting 10-20 mg intramuscularly daily or 3000 U of chorionic gonadotropin (HCG) intramuscularly every other day. the medication should also be continued after the diagnosis of pregnancy until 10 weeks of gestation or beyond the month in which the miscarriage occurred in the past.
At the same time, bed rest, sexual intercourse, vitamin E supplementation, keeping away from all harmful factors, and psychological treatment should be given to relieve the mental tension and calm the emotions of the patient and to calm the fetus.
Miscarriage infection
Modern people are increasingly choosing painless abortion after an unplanned pregnancy. As a remedy for contraceptive failure, painless abortion is much less harmful than traditional abortion, and painless and safe, but it is not harmless. If there is a history of sexual intercourse before the procedure, or if the sterilization is not strict during the procedure, abortion infection may develop.
To treat abortion infection, the first step should be to actively control the degree of infection. If there is not much vaginal bleeding, apply broad-spectrum antibiotics for 2-3 days, and then scrape the uterus to remove residual tissue in the uterine cavity to stop bleeding after the infection is controlled. The infection should also continue to be controlled with antibiotics after the operation, and thorough scraping should be performed after the infection is controlled.