How long are they at risk of miscarriage? Why and when they put it in storage. How long will you have to stay in the department?

Hospitalization is mandatory

women at risk of miscarriage or premature birth; pregnant women of medium and high risk groups during critical periods. In the first case, a girl can end up in the hospital at any time, most often in the first and last trimesters. She is hospitalized if there are complaints or pathological signs during examination or ultrasound.

If the pregnant woman belongs to a high or medium risk group

, the timing is regulated by observation protocols:

• In the first trimester
  - they are usually put into storage from 10 to 12 weeks, as well as at any time if there were complications in previous pregnancies - abortions, detachments, frozen births.
• In the second trimester it is 16-18 weeks
  . Any deviations can further provoke placental insufficiency, fetal growth retardation and other complications. Hospitalization at this time is especially necessary for women who have episodes of late miscarriages or isthmic-cervical insufficiency.
• In the third trimester it is 32-35 weeks
  . This is a critical period for the onset of labor. After it, the likelihood of having a healthy baby is much higher.

Complaints for hospitalization:

pain in the lower abdomen; bloody discharge from the genital tract of varying intensity; signs of chorionic detachment according to ultrasound; leakage of amniotic fluid (after 22 weeks); false contractions (up to 37 weeks).

Planned hospitalization

carried out under the following factors: habitual miscarriage; isthmic-cervical insufficiency; gestosis and other complications in previous pregnancy; chronic diseases; multiple pregnancy; after IVF; in case of Rh conflict in previous gestations.

Put in storage

or to the gynecological department (up to 22 weeks), or to the pathology of pregnancy in the maternity hospital. Depends on the duration, as well as availability.

After 22 weeks

A pregnant woman is often kept in the pathology department of a maternity hospital. Advantages: it is possible to listen to the fetal heartbeat; the atmosphere of pregnancy - all with common problems and experiences, while in gynecology there are also women after miscarriages, abortions, non-developmental women and often in the same ward; Medical personnel have more experience in dealing with pregnant women than in gynecology.

General mode, semi-bed and bed rest is possible.

In the first case, it is allowed to visit the street and go out to meet relatives. Semi-bed - you need to lie down most of the time, you are allowed to get up to go to the toilet, dining room, or shower. With strict bed rest, a pregnant woman must lie down all the time without getting up. This regimen is usually only prescribed for a few days in the most serious cases, such as bleeding.

There is an option for pregnant women to stay in a day hospital

. It may be at a hospital or clinic. In this case, women are free after lunch.

Length of hospital stay

on average, with planned hospitalization and no complaints, 7-10 days. The same intervals are observed for observation in a day hospital.

Read more in our article about when to put it into storage, its necessity and timing.

Many women know that during pregnancy they have to stay in the hospital several times, even if nothing bothers them. This is usually called "for preservation". Women are required to be hospitalized:

• with the threat of miscarriage or premature birth;
• pregnant women of medium and high risk groups during critical periods.

In the first case, a girl can end up in the hospital at any time, most often in the first and last trimesters. She is hospitalized if there are complaints or pathological signs during examination or ultrasound.

If necessary, pregnant women in the early stages, especially after 14-16 weeks, can also be hospitalized in the pathology department.

Expert opinion

Daria Shirochina (obstetrician-gynecologist)

There is also such an option for pregnant women as a day hospital. It may be at a hospital or clinic. The main difference is that women are free in the afternoon and return home for the night. Before lunch, the necessary procedures are carried out and samples are taken.

How long will you have to stay in the department?

The length of hospital stay depends on the clinical situation. On average, with planned hospitalization and the absence of complaints, a pregnant woman is kept in storage for 7-10 days. The same intervals are observed for observation in a day hospital.

If there are complaints or serious complications (isthmic-cervical insufficiency, bleeding, etc.), the time period can be extended to several months.

To maintain pregnancy, a woman is admitted to the gynecology or pathology department at different stages. Sometimes without complaints, if previous pregnancy occurred with complications or the expectant mother has serious chronic diseases. There are no unjustified hospitalizations, since this stay in the hospital and the provision of medications is costly for the state and the woman if she is observed on a paid basis.

Proper food is a source of health

If we consider the question of how to maintain an early pregnancy, nutrition plays a key role in it. The entire list of products can be divided into groups II. One promotes successful pregnancy, the second negatively affects the woman’s health and, as a result, the condition of the fetus.

In the first trimester of pregnancy, it is necessary to saturate your diet with foods rich in fiber and vitamins, the main sources of which are fresh fruits and vegetables. You can eat carrots, beets, apples, pears, cucumbers, zucchini, eggplants, bananas, tomatoes. Lean boiled meat and white fish, porridge are welcome. Do not get carried away with fatty foods, dishes with flavor enhancers and other chemical additives. How to maintain early pregnancy after miscarriage and other failures? We should not forget about the drinking regime, giving preference to fermented milk drinks, fruit drinks, juices, and weakly brewed teas. Lack of fluid can cause a sharp deterioration in health and increases the chances of an unfavorable outcome.

Useful video

To learn how to carry and give birth to a healthy baby, watch this video:

Who was at risk of miscarriage... How were you treated when you were in conservancy, was it possible to avoid a miscarriage??? and got the best answer

The answer from Yovetik Semitsvetik [guru] was probably for almost everyone... the first one was in bed for 2 weeks and there was bleeding. with the second it’s the same. only on a different date

Answer from Anna Ionova

[newbie] oh, of course. miscarriage will be avoided. In most cases, the threat of miscarriage passes without a hospital. Because now, doctors are insured more. I'm out there. Now I have 3 friends in the process of giving birth, all of them were at risk of miscarriage. Something worked out for everyone. Moreover, at different periods, at 12 weeks, at 25 and at 32, there was a threat of premature birth. As a result, the one who is at risk of premature birth is now 40 weeks and will not give birth. But she didn’t go to the hospital. Due to the tone of the uterus, I was diagnosed at 18 weeks with a threat of miscarriage. Magnelis was prescribed. papaverine in the ass... I did not do anything. Because that's how I found out. that everyone is now being given this tone. Ultrasounds are now super sensitive and the tone shows, even if I was just nervous before the ultrasound. And in general, this is a normal phenomenon. Every pregnant woman has tone at least once in her entire life. Just sometimes. when it happens, she doesn’t get an ultrasound, so they don’t see it)))

Reply from Yoisya

[guru] the threat varies and treatment will depend on the cause, tone is “treated” with bed rest, detachment can occur, hormones can be prescribed

Reply from Girl

[guru] “menstruation” began, but strange, thick and dark-colored discharge ((I thought it was some kind of inflammation, I went to the doctor, it turned out that I was pregnant for 5 weeks already)) but with the threat of miscarriage. I took Vikasol for about 4-5 days and did nothing else. Everything became fine later))

Reply from Tata

[the guru] managed to delay the birth for a month. . upon discharge, in case of contractions that started, they advised a couple of glasses of dry wine and rest. . This is what saved me during my 2nd and 3rd pregnancies..

Reply from Mythbuster

[guru] I was lying with a miscarriage that had begun (this is the next stage after the threat) at approximately 6-7 weeks. Symptoms: bloody discharge, lower back pain, marginal detachment on ultrasound. The advantage in the hospital was that no one got on my nerves (there was a quarantine and no one was allowed into the department), because the treatment that I had there I could have done at home (drink pills, and give injections in the butt myself). ), but since no one at home would let me lie in peace, I gave myself up to the hospital. The pregnancy continued, although the doctors could not believe it for a long time. After that incident, there were no problems with pregnancy at all. She passed normally throughout her term and gave birth. The child is now one year and 4 months old.

Reply from Pretty woman

[guru] There was a threat in the 14th week. They injected papaverine for 10 days, was in the day hospital (came, injected, left), now 33 weeks

Answer from Irina Efremova-Ponomareva

[newbie] During both pregnancies, I had threats in the short term, possibly from hard work. In both cases, the injection of magnesium was very painful. but it all ended well!

Reply from Almost Saint

[guru] I started having a miscarriage at 8 weeks. bleeding every day. . They diagnosed placenta previa and fetal abruption. . I was hospitalized for up to 20 weeks. Saved. . Many thanks to the doctors!! ! Now my tomboy is 9 years old))

Answer from Anna Romanova

[guru] In the evening I returned with my daughter from a walk and discovered that all the underwear was covered in blood. I was very scared. I called the doctor. I came to the hospital. They scared me. They said that I needed to do an ultrasound to check if the embryo was alive, if not, then they would do a cleaning for 20 minutes. I waited for the ultrasound specialist. It was midnight. They did an ultrasound. They said that the heart was beating. I spent three days in the hospital. Injections, bed rest and three months on morning medicine. Now my son is 6 months old)

A miscarriage in medicine is a spontaneous (not artificial) termination of pregnancy by the body itself, which for some reason can no longer bear a fetus. A very tragic ending, because of which families collapse, young parents become depressed and are very worried. Very rarely does this happen unexpectedly. Most often, it is possible to make a timely diagnosis, which sounds like a threat of miscarriage, and begin treatment as quickly as possible, which saves mother and baby.

Everyone wants to avoid this condition, which is why it is so important to know as much information as possible about it in order to prevent, recognize, and treat it in time.

There are a variety of reasons for the threat of miscarriage: they are usually dictated by the characteristics of the fetus, the state of the mother’s health, or some external factors. While carrying a baby, a woman faces many dangers, each of which at a certain moment can provoke termination of pregnancy. The most common are:

• lack of progesterone necessary to continue pregnancy;
• excess androgens (these are male hormones that actively suppress female ones);
• rejection of the fetus by the mother’s body due to incompatibility with a man at the genetic level;
• mismatch of Rh factors: negative - in the mother, positive - in the father;
• abnormal blood clotting (increased);
• pathological structure of the uterus: defects in its development, non-standard shape (saddle-shaped, bicornuate) prevent the implantation of the fertilized egg;
• infectious diseases: rubella, chlamydia, syphilis, pyelonephritis, pneumonia and even;
• gynecological diseases: uterine fibroids, endometritis, inflammation, sutures in the uterus;
• previous abortions and miscarriages with curettage, as it damages the endometrium;
• endocrine diseases: thyroid problems;
• taking certain medications that are contraindicated for bearing a child;
• herbal medicine: for example, active use of parsley, nettle, St. John's wort, tansy in any form - and the threat of miscarriage in the early stages is guaranteed;
• a common cause of threatened miscarriage in the later stages is pathology of the cervix or placenta;
• emotional state of a pregnant woman: constant stress, nervousness, resentment, anxiety, discontent;
• work until the deadline;
• questionable lifestyle: drugs, strong coffee and other harmful products, smoking, alcohol;
• falling, jumping, blows to the stomach, heavy physical activity;
• aging of the egg: according to statistics, in women over 35 years of age, the threat of miscarriage is diagnosed 2 times more often.

There may be only one reason, or a combination of them may work. In this matter, everything happens very individually. It is very important to identify a dangerous factor in time and exclude it from the life of the expectant mother, if possible. In order not to be late with treatment, you need to know the main signs of a threatened miscarriage, which will become an alarm signal notifying you of an urgent visit to the gynecologist.

Stubborn statistics.

According to data, 20% of all pregnancies end in miscarriage.

How to prevent miscarriage and save the baby?

If a woman has no contraindications to pregnancy and childbirth, her task while expecting a baby is to pay full attention to her health and general condition of the body. Regular observation by a doctor and registration of pregnancy at the antenatal clinic are conditions that are strictly mandatory for preserving the fetus. It would not hurt expectant mothers to familiarize themselves in advance with a list of alarming symptoms that indicate that the well-being of the embryo in the womb is at risk.

When should you see a doctor?

In order to preserve and safely carry her baby, every responsible mother should know which of the reactions demonstrated by her body are not the norm for early pregnancy. A woman should be wary and see a doctor as soon as possible if she:

• constantly feels weak in the body;
• periodically experiences bouts of dizziness;
• experiences severe pain in the abdomen (a pulling sensation extending to the lower back);
• suffers from fever or chills in the absence of other signs of a cold or infection;
• notices traces of blood in her vaginal discharge.

It is important to understand that uterine bleeding, although it does not always indicate a threat of miscarriage, is itself a very dangerous pathological condition that requires immediate medical intervention. With this symptom, you should not wait for an appointment with a gynecologist or, moreover, put off complaints until a planned visit to the doctor managing the pregnancy. Traces of blood on the underwear or bedding of a woman carrying a child are a good reason to immediately call an ambulance.

Lifestyle of an expectant mother

In order for pregnancy to proceed easily and without complications, it is very important to maintain a special regime from the first days. Studies have shown that in 50% of cases, doctors have to resort to emergency measures to preserve the fetus precisely because of the negligence of the expectant mother.

How should a woman behave so as not to harm the baby growing in her womb? There are several basic rules:

1. Don't neglect sleep. Rest should be at least 8 hours every night. Ideally, the daily routine should be planned in such a way that the pregnant woman has time to take a nap during the day, if such a desire arises.
2. It is very important to eat right! It is better to eat in small portions, but often (from 5 times a day). You should include more fruits and vegetables in your daily diet. It is better to avoid some foods (processed foods, caffeine, alcohol, etc.) altogether.
3. The expectant mother should avoid any bad habits (addictions). It's not just about fast food and alcohol. Tobacco, as well as narcotic substances (including those included in some medications), are strictly prohibited for pregnant women.
4. We need to prioritize. Continuing to go to work can be very important for the expectant mother (it will help get rid of the feeling of emotional isolation that often arises during pregnancy). Nevertheless, she should not experience severe stress and overexert herself physically. If a woman’s work activity involves such stress, it is better for her to find a new place of work in advance or move to another position.

Treatment at home

How to maintain pregnancy in the early stages if the precautions described above did not help to avoid complications with the health of mother and baby? In each specific case, the treatment strategy will depend on the type of pathology that provoked the threat of miscarriage. Usually it is possible to save a child by resorting to a whole range of therapeutic measures, including:

• taking pills and using other medications;
• use of traditional methods;
• compliance with bed rest or other restrictions.

Medications

One of the most common causes of early miscarriages is considered to be a deficiency in a woman’s body of a special “pregnancy hormone” - progesterone. Having discovered a corresponding disorder in the patient, the doctor can prescribe her special medications. The modern pharmaceutical industry offers a wide selection of products containing progesterone artificially synthesized or obtained from plant raw materials, for example, Duphaston tablets or Utrozhestan suppositories.

Another common cause of miscarriages, uterine hypertonicity, is also treated with medications (intramuscular injections). For injections, pregnant women in the early stages of pregnancy are prescribed clinically tested antispasmodics “No-Shpa”, “Papaverine”, etc.

Treatment with all of the above drugs can be carried out independently, at home. Many of these products are even available in pharmacies without a prescription. However, for the safety of the expectant mother and child, one should not resort to a medicinal method of preserving the fetus until appropriate recommendations have been received from the gynecologist leading the pregnancy.

Folk remedies

Taking nutritional supplements, although not traditional, is a 100% safe method that allows you to maintain pregnancy without harming the baby. Some of the most popular folk recipes to help avoid miscarriage include:

• Apple vinegar. Just 1 teaspoon of this remedy every morning will significantly reduce the risk of spontaneous abortion. For ease of use, it is better to dissolve vinegar in cold water.
• Carrot juice. 100 grams of this natural delicacy, taken half an hour before meals, will help normalize blood pressure and reduce the risk of complications associated with its surges.

Preservation of pregnancy in hospital

Not all diseases can be treated at home. It’s the same with pregnancy - some pathologies of this condition require keeping the expectant mother under constant observation in a hospital. In what cases are women placed in storage? The reasons for hospitalization of a pregnant woman in the early stages may be:

• dizziness, general weakness, vaginal bleeding and other symptoms of a possible miscarriage;
• deviations from the norm (developmental defects) in the embryo identified during a diagnostic examination;
• infection with a bacterial or viral infection;
• multiple births.

It is impossible to predict in advance how long the expectant mother will have to spend in the hospital. For some, a couple of days in the hospital are enough to stabilize their condition. Others have to remain pregnant for the entire 9 months of pregnancy.

How often can you hear from pregnant women that they are, are, or will soon be hospitalized. And there is always a sea of ​​controversy around: is it worth going to bed, what is bad and what is good about it.

Someone strongly discourages the woman: they say, there is an oppressive atmosphere, accompanied by trivial procedures that can easily be repeated at home. Others answer that no one will just force you to the hospital, and since they send you, you need to go to bed.

But what really? In fact, a lot depends on the situation, but, in any case, by refusing hospitalization, you are not risking yourself or your mood, but the life and health of your child. And no matter how simple and insignificant the procedures may seem, their significance is enormous.

To understand what and why doctors do when maintaining a pregnancy, it is necessary to examine in detail the question: in what cases is preservation required, and what is necessary for this.

Symptoms

The complexity of the clinical picture of this diagnosis is that the symptoms of threatened miscarriage are very few - this is the first thing. And secondly, they may indicate completely different processes and pathologies of pregnancy. But in any case, at the first sign you need to immediately go to the doctor or call an ambulance. May be of concern:

• vaginal discharge when there is a threat of miscarriage, which can be different: spotting, copious, long-lasting, transient, bright in color and, conversely, pale; they can stop and then resume again;
• pain, pulling sensations, feeling of heaviness in the lower abdomen and lumbar region;
• the temperature when there is a threat of miscarriage can rise to 38-39°C, but this symptom is not necessary for this pathology.

These are the characteristic signs of a threatened miscarriage in the early stages: the triad of bleeding - pain - temperature should always worry young parents during pregnancy, both in the aggregate and separately from each other. This is a serious reason to go to the hospital.

Note!

In the later stages, there may be a threat of miscarriage even in the absence of bloody discharge, but it will be accompanied by liquid, watery, light-colored discharge. This evidence is due to a violation of the integrity of the amniotic membranes.

Causes of possible complications

No matter how much a woman in anticipation of a miracle would like to do without unpleasant surprises, difficulties can arise at any time. Continuing the pregnancy may be necessary in a number of cases.

In the early stages, the most common reason for hospitalization, unfortunately, is the threat of miscarriage

. Almost every third pregnant woman experiences this phenomenon. And these are just statistics on detected pregnancies. And how many of them are painlessly and asymptomatically interrupted at 4-5 weeks, even before the mother finds out about the existence of the embryo?

Why do miscarriages occur so often in the early stages? About 70% of them are due to the so-called “natural selection”. That is, the woman’s body rejects the non-viable embryo. This happens in the case of genetic disorders, congenital pathologies of the fetus, or abnormal development of certain organs.

The second most common cause of miscarriage is hormonal imbalance.

. In a woman’s body during pregnancy, the level of the hormone progesterone increases sharply. It is he who is largely responsible for maintaining the pregnancy. If its amount in a woman’s blood is insufficient, the endometrium of the uterus will be the first to respond. It begins to thin out and rejects the fruit.

Quite rare, but still there is such a thing as Rh conflict

. This is one of the immunological blood factors. In fact, + and – in this case indicate the presence or absence of a certain protein in the membrane of blood cells.

It is known that the presence of an Rh-positive fetus in an Rh-negative mother can lead to the development of Rh conflict. This means that the negative blood of the mother perceives the positive blood of the child and, accordingly, himself, as a foreign body.

These complications usually await a woman in the first 12 weeks of pregnancy. And all, except the first, are completely treatable. However, even after 12 weeks it is too early to relax. In later stages, miscarriages or premature birth are also quite possible. Most often, the cause of both is isthmic-ecclesiastical insufficiency

, or ICN.

Simply put, we are talking about the inability of the cervix to withstand the pressure of the fetus and amniotic fluid, as a result of which the cervix begins to dilate. The nature of this phenomenon can be both hormonal and traumatic. In any case, the pregnancy will need to be continued.

Chronic or infectious diseases of the mother may play a role

. Even a simple cold is dangerous for the fetus, what can we say about sore throat or syphilis? In addition, during pregnancy the load on all organs increases, and if one or more of them is already unhealthy, the body may decide that the load has become excessive and begin to save the mother by rejecting the child.

Complications related to the mother’s health can await her at any stage. And the life and health of both mother and child will always depend on how timely the help of doctors will be.

It is impossible not to mention one more reason why a pregnant woman will definitely be preserved: multiple pregnancy

. If a woman is carrying 2 or more children, she will be hospitalized at least 3 times:

• in the early stages - to make sure that all embryos are alive and developing normally;
• after 20 weeks - for additional examination;
• a month before the expected birth. In this case, the woman will remain in the maternity hospital until the end, since few people manage to carry a multiple pregnancy to its due date.

Deadlines

The most exciting question for all young mothers is: until what time is there a threat of miscarriage in gynecology? The answer is quite accurate: up to 22 weeks. Modern medicine is capable of delivering a premature baby after this period if it weighs more than 675 grams. So at 22 weeks it will already be called premature birth.

Depending on the period of pregnancy, there are several types of this diagnosis:

1. The threat of miscarriage at the 12th week of pregnancy and before this period is called early.
2. From 12 to 22 weeks - late.

Miscarriages often occur in the first 2 weeks after conception, when a woman is unaware of her pregnancy and perceives bleeding as unscheduled menstruation. This is fraught with serious complications if the remains of the fetus do not come out completely and begin to decompose in the uterus.

So the first trimester of pregnancy is very dangerous in this regard. The main thing is to wait until 22 weeks, when the threat of miscarriage passes and you can give birth to a baby, who can be saved by the innovative technologies of modern medicine. In particular, it successfully solves all issues of accurate diagnosis of pathology.

From a psychological point of view.

It is believed that the early threat of miscarriage is not as painful for young parents as the late one, when they have already gotten used to the baby and have already begun preparing for his birth.

Threat of spontaneous abortion

The question of how to maintain an early pregnancy is relevant for many families. Doctors explain that an early miscarriage is usually called a miscarriage that develops before 12 weeks. They note that about ¼ of all incidents occur in the first few days after actual conception, when the woman herself does not know about her situation.

Statistics say that the first abortion occurs in every tenth case, and a secondary abortion occurs twice as often. The cause of spontaneous miscarriage can be uterine hypertonicity or rejection of the fertilized egg.

• Proper nutrition (detailed instructions will be given below).
• A woman should be protected from stress.
• It is better to refrain from unfavorable working conditions and any overexertion. Strict bed rest is required.
• Unquestioning compliance with medical prescriptions. Usually these are magnesium preparations, “No-shpa”, “Papaverine”; according to indications, hormonal drugs “Utrozhestan”, “Duphaston” are prescribed.
• If necessary, hospitalization is carried out.

Diagnostics

Now let's find out how to determine the threat of early miscarriage using modern diagnostic methods in the hospital. This occurs either after a woman contacts a doctor with complaints about symptoms characteristic of this diagnosis, or after a routine examination by a gynecologist.

1. A gynecological examination allows you to determine the condition of the cervix.
2. An ultrasound is also performed if there is a threat of miscarriage, which shows what is happening to the fetus, placenta, as well as features of the uterine structure.
3. A blood test is taken to determine the level of progesterone, and sometimes thyroid hormones.
4. Analysis for viruses (rubella, toxoplasma, cytomegalovirus).
5. Test for the presence of antibodies for human chorionic gonadotropin (hCG).
6. Urine analysis for the presence of ketosteroids (so-called KS-17).
7. Blood test and smear to detect bacterial sexually transmitted infections (chlamydia, gonorrhea, mycoplasmosis, ureaplasmosis).
8. Coagulogram - determination of the state of blood clotting. It is prescribed if previous pregnancies also ended in the same tragic way (miscarriage).

All these diagnostic measures are aimed at determining the real cause of the threat of miscarriage, according to which treatment is selected.

Medical educational program.

If there is a threat of miscarriage, an analysis is performed to detect 17-ketosteroids (they can be designated as 17-KS) - a product of male hormone metabolism that is excreted in the urine.

Non-developing pregnancy

If a woman has once suffered a similar condition, she automatically falls into the risk group. The more failed pregnancies she had, the more likely she was to experience this problem again. In addition, those who have had an ectopic implantation of the fertilized egg should be wary.

• The patient should undergo an ultrasound examination to rule out the presence of anatomical abnormalities of the uterus. An ultrasound scan looks at the pelvic organs using an internal probe to provide a detailed picture.
• It is equally important to determine hormonal levels and exclude the possibility of developing diabetes. This is necessary after a woman has suffered repeated frozen pregnancies and conceived again. Depending on the results obtained, doctors prescribe correct treatment and drug support aimed at preserving the fetus.
• Before 18-20 weeks of pregnancy, the length of the cervix and the width of its canal should be determined to determine whether the organ is capable of holding a fertilized egg. When the uterus is unable to attach the fetus, a suture is placed on the cervix, which is removed immediately before delivery.
• To preserve the fertilized egg, the doctor may prescribe the installation of special rings with a bactericidal coating, which also support the cervix and help to successfully carry the baby to term.
• It is important to lie down as often as possible, placing a pillow under your feet. They should be at some elevation.
• Accordingly, all stressful situations and loads should be excluded.

Treatment

Sedatives and antispasmodics for threatened miscarriage

Treatment for threatened miscarriage depends on the cause of the condition and the severity of the pregnant woman’s situation. The woman is left in the hospital or sent to be treated at home. The question of how long they stay in the hospital with a threat of miscarriage is decided in each case by the doctor individually - until the fetus is fully consolidated. This could be 5 days, or it could be the entire first trimester.

Medicines

Typically, drug treatment in the early stages when there is a threat of miscarriage comes down to prescribing the following drugs and procedures.

1. Complete peace.
2. Most often - bed rest.
3. Calming medications help normalize a woman’s emotional state when there is a threat of miscarriage, since she should not be nervous or worried at these moments. Usually these are tinctures of motherwort and valerian.
4. Psychotherapy sessions are prescribed for the same purpose.
5. Medicines for uterine bleeding: Dicynon (hemostatic injections), Etamzilat, Tranexam (tablets).
6. For hyperandrogenism, corticosteroids are prescribed: Prednisolone, Dexamethasone, Metipred.
7. Usually, when there is a threat of miscarriage, antispasmodics are prescribed to reduce the tone of the uterus: No-shpa, Drotaverine, Magnesia (magnesium sulfate), Papaverine (suppositories).
8. Treatment of identified infections.
9. Vitamins to strengthen the body: (vitamin E), ascorbic acid (vitamin C).
10. Hormonal drugs Duphaston for the threat of miscarriage or Utrozhestan, containing a synthetic analogue of progesterone. They are prescribed in the first trimester.
11. In case of cervical insufficiency, conservative or surgical therapy is prescribed. Mechanical narrowing of the internal pharynx at the cervix (which is defective) or suturing of its external pharynx is performed.

Sometimes the main therapy, with the permission of the doctor, can be supported by folk remedies. But only if the bleeding situation is not so serious and does not require hospitalization.

ethnoscience

If there is a threat of miscarriage, folk remedies should be used with caution and only after consultation. With this diagnosis, the following recipes are recommended.

• Dandelion

Pour 5 grams of fresh dandelion leaves or root into a glass of water and boil for 5 minutes. Drink 50 ml three times a day.

• Viburnum bark

Pour crushed viburnum bark (1 tsp) into a glass of water and boil for 5 minutes. Drink 15 ml three times a day.

• Viburnum flowers

Pour 30 grams of viburnum flowers into 1.5 liters of boiling water. Infuse (preferably in a thermos) for at least 2 hours. Drink 50 ml three times a day.

• St. John's wort + calendula

Mix fresh St. John's wort and calendula flowers in equal quantities (1 teaspoon each), pour a glass of boiling water. Leave for half an hour (preferably in a thermos). Drink 2 glasses a day, adding honey.

These are the drugs prescribed for the threat of miscarriage in the early stages. In the later stages of this diagnosis, it is suggested to place a ring on the cervix, preventing its premature opening. This is a fairly simple operation with virtually no contraindications or undesirable consequences.

You need to know this!

Many herbs are contraindicated during pregnancy. Therefore, if you are tempted to use herbs to treat the threat of miscarriage, study as much information as possible about this plant. Especially the list of contraindications.

When a pregnancy is suspected of being terminated, women begin to panic, not knowing what to do if there is a threat of miscarriage and how to behave in order to save the child. A few useful tips will help you come to your senses and not make things worse.

First aid

1. Call an ambulance.
2. Move as little as possible.
3. Do not panic.
4. Before the doctor arrives, lie down and try to relax.
5. If there is a threat of miscarriage, sex is contraindicated, as are anal sex, oral sex, orgasm, and self-satisfaction. This leads to contractions of the uterus, causing miscarriage.
6. You cannot perform any physical activity, jumping, lifting weights.
7. Do not drink alcohol or smoke.
8. Try not to be nervous.
9. Do not use the sauna.
10. Many people are interested in whether it is possible to take a bath if there is a threat of miscarriage: of course, following the rules of personal hygiene is mandatory, but beware of hot temperatures. The water should be warm, and the duration of water procedures should not exceed 10 minutes.
11. Do not make sudden movements.
12. Coffee and chocolate are contraindicated.
13. Do not self-medicate.

On home treatment

Following these simple rules will save the life of an unborn baby, who already in the womb has encountered serious difficulties along the way. Sometimes they ask whether the threat of miscarriage can go away on its own: yes, this happens quite often if you follow the above recommendations.

Information for men.

If your wife has been diagnosed with a threatened miscarriage, you must do everything to prevent a tragic ending. This is within your power in most cases: protect your baby’s mother from experiences of any kind and physical exertion.

Isn't it time for us to see a doctor?

As already mentioned, regardless of the situation, it is always very important how quickly the woman receives help. Therefore, it is necessary that pregnant women firmly know in which case it is necessary to immediately call an ambulance.

In general, any negative sensations, any anxiety for a pregnant woman is already a reason to seek advice. However, in some cases, medical assistance is needed not just urgently, but immediately. So, it is necessary to call an ambulance if there is pain in the lower abdomen or lower back, cramping pain, or bleeding from the vagina.

The discharge may have different colors and different intensities, and may also not be accompanied by pain. In any case, you need to call an ambulance and drop everything you are doing. It is very important to move as little as possible while waiting for an ambulance. Ideally, lie down and wait quietly. “Calm” is the key word here. Fear, panic, and nervousness will not help in this situation, but they can do harm.

To save or not?

It would seem such a simple question: there is a pregnancy, there are problems, what should you think about? In fact, modern medicine cannot give a definite answer.

So in civilized and enlightened Europe it is generally not customary to interfere during pregnancy up to 12 weeks. It is believed that during this period Mother Nature reigns completely, and if a miscarriage occurs, then this is how it should be.

In our country, the decision to continue pregnancy in the early stages is made individually. So, if a woman is basically healthy and this is her first pregnancy, they most likely will not save it. The line of reasoning is simple: most likely, the threat of miscarriage is caused by abnormal development of the fetus, and in this case it is better to conceive and bear a new, healthy child.

If a woman has previously had miscarriages, her state of health is in doubt, or she was previously treated for infertility, if the child was desired and suffered, then they will definitely try to save such a pregnancy.

However, women also ask themselves the same question. Although the accents there are somewhat different. Is it worth going to the hospital? Wouldn't this make it worse? Is it possible to do the same thing at home somehow? There can be many reasons for such doubts: from a banal mistrust of our hospitals, to the presence of an older child who has no one to leave with.

In the end, it is always up to the woman to decide. But it is important to remember that a hospital means constant medical supervision, examinations and tests. Specialists monitor the slightest changes and are ready to change treatment at any time. It is impossible to organize such careful monitoring at home.

In addition, a woman on sick leave at home is, as a rule, a top in perpetual motion: ironing, washing, washing the floor, dusting, cooking dinner... But bed rest plays an important role in maintaining pregnancy. In a hospital, it is much easier to keep track of active individuals.

We should not forget that in each specific case complications can be of varying severity. This should also be taken into account when deciding whether to agree or refuse hospitalization.

Preservation of early pregnancy

First of all, it is important to understand that there are no universal methods in this case and cannot be. Preserving pregnancy in the early stages means identifying and eliminating the cause. Nevertheless, some general points can be identified.

First of all, as mentioned above, it is necessary to strictly observe bed rest

. When a woman lies down, all her muscles, including the uterus, relax. This reduces the tone of the uterus, which is detrimental if there is a threat of miscarriage. In addition, during this period any load is harmful.

By the way, about the tone of the uterus. It can be removed not only by lying down, but also with medications. In particular, antispasmodics such as no-spa, papaverine and magnesia are used. Depending on the degree of threat, pills or injections may be prescribed to maintain pregnancy.

But these are not all drugs for maintaining pregnancy. In case of hormonal deficiency, the woman will be prescribed a drug containing artificially synthesized progesterone. As a rule, this is one of two drugs: utrozhestan and dufastan. It is important to remember that hormonal drugs can only be taken in strict accordance with the doctor’s instructions, and in no case should you prescribe them yourself. During pregnancy, you generally need to be careful with medications, and simply starting to take hormones is unacceptable.

Preservation of pregnancy in later stages

Maintaining pregnancy in later stages is not much different from what is described above. However, there are still some differences. Firstly, the drug ginipral is rarely used in later stages. Its purpose is to reduce the tone of the uterus. However, it has a stronger effect than the same no-shpa.

Secondly, in the later stages, a new problem “gives voice” - ICN. And here drug treatment is no longer enough. You may need stitches or a ring to maintain the pregnancy. Both should help the cervix stay closed.

In addition, in some cases, in later stages, it is much more advisable not to continue the pregnancy, but to allow the baby to be born prematurely. Today, medicine makes it possible to care for children born after 28 weeks and weighing more than 600 g.

However, premature birth is still an extreme case when continued pregnancy threatens the life of the mother or fetus. For the most part, the longer the pregnancy can be maintained, the better for the child. Strictly speaking, even a full-term baby is born not fully formed. For many months and years after this, his body continues to develop and adapt. If a child is born prematurely, the adaptation process is much more difficult.

How long will a woman have to remain in confinement during pregnancy? No one can say this in advance. A pregnant woman is usually discharged home after all dangerous symptoms disappear. That is, if nothing hurts you anymore, and the bleeding has disappeared, you can easily go home. But remember that for the rest of the time you need to remain careful, avoid stress, not be sexually active, and so on.

Forecasts

If a threat of miscarriage was diagnosed early in pregnancy, this will not affect subsequent pregnancies in the future. According to doctors, there is only a 1% chance of the situation repeating itself. Although this risk increases with each premature interruption.

It is much more dangerous if there is a threat of miscarriage at 20 weeks: you can lose a child whose birth is not yet possible due to the short term. The consequences may be:

• infection of the uterus;
• abscess in the pelvic cavity;
• septic shock;
• death (extremely rare).
• depression, feeling of constant guilt due to the loss of a child.

These are the complications that can result in the threat of spontaneous miscarriage for a woman. Each of them entails a long course of treatment. Therefore, it is so important to take preventive measures in time, which you need to think about even when planning a pregnancy.

Preservation of pregnancy: indications and contraindications

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The opportunity to give birth to a new life is a gift that every woman should appreciate. So if, based on the results of a diagnostic examination, the doctor advises the expectant mother to take care of herself and the baby, it is better to listen to the specialist’s opinion.

Reasons sufficient for taking measures to maintain pregnancy in the first trimester are considered:

• early toxicosis;
• hypertonicity of the uterus;
• hormonal disorders.

Unfortunately, sometimes doctors' attempts to save a baby can harm his mother. Thus, maintaining pregnancy in the early stages is strictly contraindicated if:

• the embryo has pathologies of internal organs that are incompatible with life;
• a woman carrying a child suffers from cancer or cardiovascular diseases or has problems in the endocrine or genitourinary system;
• the patient is in dire need of treatment with drugs that obviously have a negative effect on the intrauterine development of the fetus.

Prevention

It is much easier to take preventive measures for this diagnosis before pregnancy. If the child is desired and planned in advance, it would be a good idea for parents to learn how to prevent the threat of miscarriage, first - before the moment of conception, and then - during pregnancy.

1. Before conception, both parents must undergo a comprehensive medical examination and tests for genetic compatibility.
2. Treat any infections as soon as they appear.
3. Avoid contact with infected people. Visit places with large crowds of people less often.
4. Do not smoke, do not drink alcohol, do not use drugs.
5. Eat properly.
6. Do not be nervous. If you cannot avoid stressful situations, ask your doctor to prescribe sedatives that are not contraindicated during pregnancy (this could be valerian or motherwort).
7. Avoid excessive physical activity.
8. Avoid falls and blows to the stomach.

These preventive tips will tell young parents how to prevent the threat of miscarriage in the early stages even before conception, at the stage of pregnancy planning. They should not be neglected, since the life and health of the mother and child depend on them.

Source of risk

Before being puzzled by the question of how to maintain an early pregnancy, it is necessary to determine why a tragedy may occur. Doctors classify causative factors as follows:

• The threat of spontaneous abortion is the main reason for miscarriage before 20 weeks.
• A Rh conflict occurs when the mother has a negative Rh factor and the embryo has a positive Rh factor. The body perceives it as a foreign body.
• Hormonal imbalances. Insufficient production of these substances makes successful pregnancy almost impossible.
• Artificial insemination. An embryo is implanted into the female body. Even after hormonal preparation, the risk of miscarriage remains, because the uterus pushes out the fertilized egg.
• Unsuccessful previous pregnancy experience (habitual miscarriages, frozen pregnancy).

A reliable clinical picture emerges after the examination. Based on the diagnostic results, further treatment tactics are developed. All manipulations can be carried out at home or in a hospital setting, depending on the severity of the patient’s condition.