Possible forms of miscarriage

The article was consulted professionally by Specialist Doctor II Nguyen Thi Phuong Loan – Obstetrician and Gynecologist – Obstetrics and Gynecology Department – Share99 Hai Phong International Health Hub.

Miscarriage is a very common phenomenon, accounting for 12% of cases of women knowing they are pregnant. Clinically, miscarriages have a lot of different forms such as the threat of miscarriage, non-complete miscarriage, complete miscarriage,… Distinguishing forms of miscarriage helps medical staff to have appropriate treatment and intervention directions.

1. What is a miscarriage?

According to the World Health Organization (WHO), miscarriage is a condition where a pregnancy is removed from the uterus before week 22 of pregnancy or before the pregnancy weight is 500g.

Miscarriages can be classified into natural abortions and consecutive miscarriages. In particular, spontaneous abortion is a condition where sudden miscarriage occurs in people with normal pregnancies. When spontaneous abortions in a row three or more times called consecutive miscarriages. In women who miscarried in a row, the chances of giving birth to live babies were only 50%, in addition to the risk of premature birth in these women was also 20% higher than in the average person.

It is difficult to determine the actual rate of miscarriage, since there are women who miscarry before knowing they are pregnant. For women who already know they are pregnant, the miscarriage rate is about 12%, of which more than 80% miscarried in the first tri month of pregnancy.

Clinically, miscarriages have a lot of different forms, each of which has its own remedies and interventions.

2. Possible forms of miscarriage

2.1 Threat of miscarriage

The threat of miscarriage is a condition in which the embryo is alive, not yet peeled off from the lining of the uterus.

When threatened with miscarriage,the maternity has symptoms of red or black vaginal blood, the blood is often mixed with mucus, in small amounts, in batches, which can last for days. In addition, the maternity has a feeling of anger, heavier lower abdomen, back pain.

When the doctor examines the vagina, the long uterus closes the glass, the body of the uterus is soft, the size corresponds to gestational age. When the ultrasound sees the phenomenon of peeling off part of the vegetable cake, the banks of the amniotic sac are clear, even, with echoes of the embryo, the pregnant heart yes or no.

2.2 Inevitable miscarriages

The maternity has bright red vaginal bleeding, a lot of blood or not much blood but the bleeding lasts more than 10 days. Women suffer from hypoxia, pain and increasing pain. When the doctor examines the vagina, there is a phenomenon that the cervical is deleting, the segment under the cervical enlargement of the pregnancy drops.

2.3 Non-complete miscarriage

As a phenomenon of miscarriage but part of the pregnancy remains in the uterus, this remable is usually the placenta. Vaginal bleeding in women is still smoldering and continuing, lower abdominal pains are still milder during miscarriage.

The doctor found that the uterus was still open or closed, the body of the uterus was larger than usual, ultrasound saw the image of vegetables in the uterus, the patient may have an infection.

Miscarriage overview

80% miscarriage in the first tri tri month of pregnancy

2.4 Complete miscarriage

The maternity produces a lot of blood, pain in the lower abdomen then from the vagina to a wrap or organization like an embryo. The maternity then runs out of abdominal pain but the smoldering blood flow remains for several days. When the uterus is normally recovered, the cervical is closed or still open. Pregnancy wraps that have been released need an antomical tests to find each other' spines.

2.5 Blood ice miscarriage

M maternity produces a lot of vaginal blood, bright red blood, presenting with stunting due to blood loss. When a vaginal examination finds a lot of fresh blood and blood clots, the fetal part is usually in the cervical or in the vagina.

If the patient is admitted to the hospital late, when the pregnancy has miscarried, there will be no more of this symptom, but only the symptoms of blood loss and stunting.

2.6 Infected miscarriages

Pregnant women who miscarry with prolonged vaginal bleeding symptoms with signs of infection syndrome such as high fever, rapid pulse, increased leukocysis,increased CRP. Infection of the uterus is most common, followed by endometrial, peritoneal infections, sepsis, endoratitis,… Miscarriages with infection are often severe, and women can die.

Miscarriage

When pregnant mothers show abnormal signs that require immediate assistance

3. Differentiate miscarriage forms from other conditions

In addition to distinguishing the clinical bodies of miscarriage, the physician must also distinguish between miscarriage and the false body of the intra-uterus pregnancy, distinguishing it from egg cesareansection , appendicitis,… to avoid confusion.

  • Unacular pregnancy without rupture also has symptoms of vaginal bleeding, the extratriosis of the uterus peels off, so it is easily confused with miscarriage. However, when the ultrasound does not see the fetal sac in the uterus chamber, there is no image of the plaques that organize the vegetables, the lining of the uterus is thick, it is necessary for the patient to have a beta hCG test to reinforce the diagnosis.
  • Incubation of eggs with symptoms of prolonged bleeding, a lot of vomiting. At the examination, the uterus will be larger than the gestational age, can not touch the fetal parts, can not hear the pregnancy heart. Ultrasound sees images of snowfall. Dosing hCG calves in the blood per 100,000 mUI/ml.
  • Appendicitis: Patients with bacterial infection syndrome and gastrointestinal disorders, pain in the pelvic pit.

As such, clinical miscarriage is varied and complex, and easily confused with other medical conditions. Miscarriage is very common and can cause stunting and infection,… has a great impact on health. Therefore, pregnant women with abnormal symptoms such as vaginal bleeding, lower abdominal pain should immediately go to medical facilities for examination, different diagnosis of the health condition that is being encountered and intervened and handled in a timely manner.

If you have abnormal symptoms, you should be examined and consulted with a specialist.

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE

SEE MORE:

  • Does ultrasound detect amniotic fluid leakage?
  • What weeks of gestation are babies born prematurely?
  • What is premature birth? 2 common problems that premature babies face and how to handle them

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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