Indolent abortion: Also known as premature abortion or stillbirth. It refers to the embryo death but still remains in the uterine cavity.
I. Etiology
1, mental stress.
The causes of this category include excessive tension, anxiety, fear, sadness, etc;
2, genetic defects.
For example, chromosomal abnormalities, chromosomal variants in one of the spouses, blood type incompatibility of the couple;
3, bad habits.
Such as excessive smoking, alcohol abuse, excessive coffee, heroin, etc.;
4, environmental factors.
Frequent exposure to arsenic, lead, formaldehyde, benzene, chloroprene, ethylene oxide and other chemicals, radiation, etc. can easily lead to abortion;
5, reproductive organ abnormalities and uterine tumors;
6, maternal factors.
The mother’s body itself has diseases, such as: herpes simplex virus, cytomegalovirus, etc;
7, endocrine abnormalities.
Such as severe diabetes mellitus is not controlled, luteal insufficiency, hypothyroidism, etc.;
8, epidemic function abnormalities.
Pregnancy is similar to allogeneic transfer, there is a complex and special immunological relationship between the embryo and the mother, so that the embryo is not rejected. If the mother and child immune maladjustment, it can cause maternal rejection of the embryo and result in miscarriage.
II. Symptoms
1. Menopause and early pregnancy reaction.
There may be symptoms of pre-miscarriage in the previous period, but later the uterus no longer increases or shrinks instead. If it has reached the middle of pregnancy, the pregnant woman does not feel the increase of abdomen, there is no fetal movement, the cervical opening of the uterus is closed during gynecological examination, the uterus is smaller than the month of pregnancy for more than 2 months, and the texture is not soft. No fetal heart can be heard.
2, abdominal pain.
Early miscarriage begins to bleed after the uterine cavity with blood, especially blood clots stimulate the uterus contraction is continuous lower abdominal pain late miscarriage is first paroxysmal uterine contraction and then placental abruption, so vaginal bleeding before the abdominal pain
3. Vaginal bleeding.
In miscarriage within the third month of pregnancy, the bleeding starts when the chorion and meconium are separated and the sinuses are opened, and the bleeding stops when all the embryos are removed and the uterus contracts strongly and the sinuses are closed.
III. Treatment
Hospitalization is required. The treatment of indolent miscarriage is the same as abortion, but in indolent miscarriage, the coagulation function of the patient is poorer, and sometimes the placenta ages and adheres to the uterine cavity, so it is not easy to clear the uterus, so hospitalization is safer. The medications associated with scraping for indiscriminate abortion include estradiol, estradiol benzoate, indocin, misoprostol, etc.