During the entire period of pregnancy, a woman faces various questions and problems. Increasingly, doctors can hear the diagnosis of "threatened abortion." This condition is quite dangerous if left unchecked. However, most situations end positively. If you turn to the doctor in time, conduct an examination and prescribe treatment, a threatening abortion will not affect the he alth and development of the unborn baby in any way. The article will talk about this state. Causes, symptoms and remedies will be described below.
What is this?
Threatened abortion is a pathology that occurs during pregnancy. It usually manifests itself in the early stages (up to 8-10 weeks). But there are cases when a threatened miscarriage is detected already in the second trimester. After 22-25 weeks of pregnancy, this picture is called differently: the threat of premature birth.
Threatened abortion isa condition when there is a risk of the fetal egg moving away from the mucous surface of the uterus. This complication of pregnancy must be corrected. 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 doctors' forecasts.
Manifestations: clinical picture
What are the symptoms of a threatened abortion? The manifestations of this condition are divided into two types: the first of them the woman notes on her own, the second is detected by the doctor.
The main symptom of a threatened miscarriage is a pulling sensation in the lower abdomen. If a woman has a short gestation period, then backaches are noted. Many compare this condition with premenstrual syndrome. In the second trimester of pregnancy, pain may be accompanied by an involuntary calculus of the abdomen: uterine contractions. Threatened abortion is characterized by normal vaginal discharge without blood. If you detect bleeding, then we are talking about the second stage of the pathology - the miscarriage that has begun.
The doctor may note more symptoms of threatened abortion: tension of the uterus, deformation of the ovum, thickening of the walls of the reproductive organ (tonus). All this is perfectly visible during ultrasound diagnostics. The cervical canal usually remains closed, but in some cases there is dilatation of the cervix at its mouth.
Why does this condition occur?
Spontaneous menacingAbortion has many reasons. But all points can be divided into medical and social. In some cases, it is not possible to determine why this condition arose.
Consider the main social causes:
- wrong lifestyle (smoking, drinking alcohol or drugs);
- treatment with illicit drugs, unauthorized use of medicines;
- stress situations, insufficient rest;
- heavy physical activity (including professional);
- patient age under 20 or over 35;
- bitten by infected animals or snakes;
- bad living conditions (inhalation of chemicals).
All social causes of threatened miscarriage can be eliminated. Thus, the woman will protect herself from the occurrence of such a situation.
If we talk about medical reasons, then everything is somewhat more complicated. Many pathologies are not subject to treatment or it cannot be combined with pregnancy. Consider them:
- violation of fetal development, chromosomal abnormalities;
- chronic diseases in women (pathologies of the cardiac system, endocrine function);
- gynecological pathologies (endometriosis, endometritis, ovarian cysts, uterine fibroids or the presence of a scar on it);
- viral or bacterial infections (flu, bronchitis, rhinitis, otitis media, pneumonia);
- lack or excess of certain hormones;
- burdened obstetric history.
Outpatient or inpatient?
If a threatened abortion is diagnosed by a doctor, treatmentshould start immediately. Each patient is offered hospital conditions. But most women decide to carry out the correction at home. It's really possible. The expectant mother must make a decision based on her own well-being.
Please note that treatment will include not only taking pills, but also administering injections. You also need to follow the rules. At home, this is often not possible. How is threatened abortion corrected? The doctor prescribes drugs aimed at maintaining the pregnancy and normalizing the mother's condition. Consider the basic principles of therapy.
Using sedatives
Threatened 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 only positive emotions.
Many drugs of this effect are prohibited during pregnancy. Valerian and motherwort are considered safe. The form of release of medicines is different: tablets, infusions, decoctions. Follow the prescribed dose of the drug.
Anspasmodics
Every threatened abortion is treated with drugs that relieve spasms and relax smooth muscles. The most popular drugs are tablets and solutions "No-shpa", "Drotaverine". Also, expectant mothers are prescribed rectal suppositories "Papaverine". Less commonly prescribed tablets "Papazol", "Partusisten". Simultaneously used "Magnelis", "Magne B6" andsimilar funds. They not only relieve spasm, but also improve the functioning of the nervous system.
Hormonal correction
Often threatening abortion is provoked by insufficiency of the corpus luteum. At the same time, a woman is diagnosed with a small amount of progesterone by a blood test. If treatment is not prescribed in time, the pregnancy will be terminated.
Medicines used to correct hormonal levels are administered orally, vaginally or intramuscularly. The most popular are "Duphaston", "Utrozhestan", "Prajisan" and so on. They make up for the lack of progesterone, reducing the contractility of the uterus. The funds have a relaxing effect. You need to take such drugs for a long time, and cancel gradually.
Not always threatening abortion is caused by progesterone deficiency. In women, an excess of prolactin can also be determined. This condition requires medical treatment with appropriate drugs, such as Dostinex.
Extra
How is inpatient treatment of patients diagnosed with "threatened abortion"? The medical history is compiled by the doctor from the moment of registration. During the entire period, data on the use of different drugs are recorded in the documentation. In addition to these funds, a special treatment is recommended for a woman.
- Expectant mother is supposed to have a good sleep with daytime rest. Need to lie down more. Physical activity and stress are strictly contraindicatedsituation.
- Abortion threatening patient needs good nutrition. It includes vitamins and minerals: fruits, vegetables. A woman should regularly spend time outdoors.
- Gynecological examinations are excluded during treatment. They can be carried out only on exceptional indications. Preference should be given to ultrasound examination.
- Therapy involves the prevention of constipation.
The patient is discharged from the hospital after 7-14 days. However, her condition should improve. The doctor gives the woman recommendations and prescriptions that she will follow at home.
In closing
Threatened abortion is a dangerous condition if left untreated. To save your pregnancy, see your doctor. Only a doctor will be able to choose the right correction for your pathology. After treatment for threatened abortion, a woman should be subjected to special supervision by specialists. Watch your well-being and be he althy!
