THREATENED MISCARRIAGE
An on-going pregnancy associated with vaginal bleeding is known as a threatened miscarriage. This may be associated with mild cramps.
The bleeding is often noticed in toilet, in the form of a smear of pink, brown or red bleeding. The extent of bleeding varies from spotting to a full gush of clots. In most (75%) cases, the pregnancy continues safely.
The diagnosis of a threatened miscarriage
The diagnosis of a threatened miscarriage is by ultrasound scan. At 6-8 weeks of the pregnancy, the ultrasound can capture the foetus and heartbeat. In the presence of a baby’s heartbeat, there is a high success of pregnancy.
The likely causes of bleeding are:
- Implantation site bleeding
- Polyps
- Infections or trauma
The likely causes of bleeding are:
- Implantation site bleeding
- Polyps
- Infections or trauma
Follow-up consultation after threatened miscarriage
You will be scheduled for a re-scan within 1-2 weeks.
Bed rest after threatened miscarriage
Bed rest is most important. This is simply due to the pooling of blood in the vagina upon standing, as a result of gravity. Thus, reduce your daily activity and do more rest.
Work and exercise after threatened miscarriage
You are advised not to do strenuous work as long as the bleeding continues. Strictly no exercise
Sexual intercourse during pregnancy
Having sexual intercourse during pregnancy does not have any adverse outcomes. However, it is sensible to avoid sex until the bleeding has completely stopped. Best to abstain in first trimester as pregnancy is most fragile.
Medication for threatened miscarriage
Sometimes the doctor may prescribe medication (progesterone) for threatened miscarriage. This is especially useful for women with proven low progesterone level on blood test. Studies show that women with low progesterone level have 70-80% risk of miscarriage even despite treatment.
Blood grouping
Women who are rhesus negative may require an injection of Anti-D immunoglobulin especially after 12 weeks.