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Threatening abortion: the causes, symptoms and characteristics of treatment

During the entire period of pregnancy, the woman is faced with various issues and problems. Increasingly, doctors can be diagnosed with a "threatening abortion". This condition is quite dangerous if left unchecked. However, most situations end in a positive way. If you contact the doctor in time, do a checkup and prescribe treatment, a threatening abortion will not affect the health and development of the baby's future. The article will tell you about this state. The causes, symptoms and methods of correction will be described later.

What it is?

Threatening abortion is a pathology that occurs during pregnancy. It manifests itself usually in the early stages (up to 8-10 weeks). But there are cases when a threatening miscarriage is detected already in the second trimester. After 22-25 weeks of pregnancy, this picture is called differently: the threat of premature birth.

Threatening abortion is a condition where there is a risk of a fetal egg from the mucous surface of the uterus. This complication of pregnancy must be adjusted. Otherwise, there is every chance of losing it. Treatment is carried out in a hospital or outpatient setting. It all depends on the condition of the woman and the predictions of the doctors.

Manifestations: clinical picture

What are the symptoms that threaten abortion? Manifestations of this condition are divided into two types: the first of them the woman marks herself, the second is discovered by the doctor.

The main symptom of the threat of termination of pregnancy is the pulling sensation in the lower abdomen. If a woman has a small gestation period, then lumbago is marked . Many people compare this condition with premenstrual syndrome. In the second trimester of pregnancy, pain can be accompanied by involuntary petrification of the abdomen: uterine contractions. Threatening abortion is characterized by usual discharge from the vagina without any blood impurities. If you find bleeding, then it is already a second stage of the pathology - a miscarriage that began.

The doctor may note more symptoms of threatening abortion: uterine stress, deformation of the fetal egg, thickening of the walls of the genital organ (tonus). All this is perfectly visible during ultrasound diagnosis. The cervical canal usually remains closed, but in some cases the cervix dilates at its mouth.

Why does this state arise?

Spontaneous abortion has many causes. But all points can be divided into medical and social. In some cases, it is not possible to determine why this state arose.

Let's consider the basic social reasons:

  • Incorrect lifestyle (smoking, drinking alcohol or drugs);
  • Treatment with prohibited drugs, unauthorized use of medicines;
  • Stressful situations, insufficient rest;
  • Heavy physical exertion (including professional ones);
  • The patient's age is up to 20 or after 35 years;
  • A bite of infected animals or snakes;
  • Adverse living conditions (inhalation of chemicals).

All the social causes of a threatening miscarriage can be eliminated. Thus, a woman will protect herself from the occurrence of such a situation.

If we are talking about medical reasons, then everything is somewhat more complicated. Many pathologies are not treatable or it can not be combined with pregnancy. Consider these:

  • Impaired development of the fetus, chromosomal abnormalities;
  • Chronic diseases in women (pathology of the cardiac system, endocrine function);
  • Gynecological pathologies (endometriosis, endometritis, ovarian cysts, uterine fibroids or the presence of a scar on it);
  • Infection of a viral or bacterial nature (influenza, bronchitis, rhinitis, otitis media, pneumonia);
  • Deficiency or excess of some hormones;
  • Weighed down obstetrical anamnesis.

Outpatient or in the hospital?

If a doctor diagnoses a threatening abortion, treatment should begin immediately. Each patient is offered hospital conditions. But most women decide to do correction at home. It's really possible. The future mother must make a decision based on her own well-being.

Please note that the treatment will include not only taking the pill, but also injecting. Also it is necessary to comply with the regime. At home it often does not work. How is threatening abortion corrected? The doctor prescribes drugs aimed at maintaining the pregnancy and normalizing the mother's condition. Let's consider the basic principles of therapy.

The use of sedatives

Threatening abortion requires mandatory use of sedatives. The increased nervous excitability of the patient only provokes the tone of the uterus. Therefore, you need to gain strength and receive exceptionally positive emotions.

Many drugs of this action are prohibited during pregnancy. Valerian and motherwort are considered safe. The form of release of medicines can be different: tablets, infusions, decoctions. Observe the prescribed dose of the drug.

Spasmolytics

Each threatening abortion is treated with drugs that relieve spasm and relax smooth muscle. The most popular medicines are tablets and solutions of "No-shpa", "Drotaverin". Also, prospective mothers are prescribed rectal suppositories "Papaverin". Slightly appointed tablets "Papazol", "Partusisten." Simultaneously, "Magnelis", "Magne B6" and similar means are used. They not only relieve spasm, but also improve the work of the nervous system.

Hormonal correction

Often threatening abortion is triggered by a deficiency of the yellow body. In this case, a woman is diagnosed with a small amount of progesterone for blood analysis. If the treatment is not scheduled in time, the pregnancy will be interrupted.

Preparations used to correct the hormonal background are applied orally, vaginally or intramuscularly. The most popular are "Dyufaston", "Utrozhestan", "Prajisan" and so on. They make up for the lack of progesterone, reducing the contractile capacity of the uterus. The drugs have a relaxing effect. Take these drugs need a long time, and cancel gradually.

Not always threatening abortion is caused by progesterone insufficiency. Women may also have an excess of prolactin. Such a condition requires drug treatment with appropriate drugs, for example, "Dostinex".

Additionally

How is inpatient treatment of patients diagnosed with "threatening abortion"? The medical history is compiled by the doctor from the moment of registration. During the whole period, data on the use of different drugs are recorded in the documentation. In addition to these funds, a special regime is recommended for a woman.

  • A full-fledged dream with a day's rest is supposed for the future mother. We need to lie more. Categorically contraindicated physical activity and stressful situations.
  • A patient with a threatening abortion needs adequate nutrition. It includes vitamins and minerals: fruits, vegetables. A woman needs to spend time outdoors.
  • During treatment, gynecological examinations are excluded. They can only be carried out for exceptional indications. Preference is given to ultrasound examination.
  • Therapy provides for the prevention of constipation.

The patient is discharged from the hospital after 7-14 days. Her condition should improve. The doctor gives the woman recommendations and appointments, which she will observe at home.

Finally

A threatening abortion is a dangerous condition if left untreated. To stay pregnant, consult a doctor. Only a doctor can correctly choose the correction of your pathology. After treatment of a threatening abortion, a woman should be subjected to special supervision by specialists. Watch your health and be healthy!

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