During the entire period of pregnancy, a woman is faced with various questions and problems. Increasingly, doctors can hear the diagnosis of “threatening 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 health and development of the unborn baby. The article will talk about this condition. The causes, symptoms and correction methods will be described later.
What it is?
Threatening abortion is a pathology that occurs during pregnancy. She usually manifests itself 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.
A threatening abortion is a condition where 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 on an outpatient basis. It all depends on the condition of the woman and the forecasts of the doctors.
Manifestations: the clinical picture
What are the menacing abortion symptoms? Manifestations of this condition are divided into two types: the first of them a woman notes on her own, the second is discovered by a doctor.
The main symptom of abortion is pulling sensations in the lower abdomen. If a woman has a short gestation period, then there are backache. Many people compare this condition with premenstrual syndrome. In the second trimester of pregnancy, pain can be accompanied by involuntary fossilization of the abdomen: uterine contractions. Threatening abortion is characterized by normal vaginal discharge without blood impurities. If you detect bleeding, then we are talking about the second stage of the pathology - the onset of miscarriage.
The doctor may note more symptoms of threatening abortion: uterine tension, deformation of the ovum, thickening of the walls of the genital organ (tone). All this is clearly visible during ultrasound diagnostics. The cervical canal usually remains closed, but in some cases there is an enlargement of the cervix at its mouth.
Why does this condition occur?
Spontaneous threatening abortion 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 reasons:
- improper lifestyle (smoking, drinking alcohol or drugs);
- treatment with illegal drugs, unauthorized use of medicines;
- stressful situations, lack of rest;
- heavy physical exertion (including professional);
- patient age before 20 or after 35 years;
- bite of infected animals or snakes;
- adverse living conditions (inhalation of chemicals).
All social causes of a threatened miscarriage can be eliminated. Thus, a 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 cannot be treated or it cannot be combined with pregnancy. Consider them:
- impaired 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);
- infections of a viral or bacterial nature (influenza, bronchitis, rhinitis, otitis media, pneumonia);
- lack or excess of certain hormones;
- burdened obstetric history.
Outpatient or inpatient?
If a doctor has diagnosed a threatening abortion, treatment should begin immediately. Each patient is offered hospital conditions. But most women decide to make corrections at home. It is really possible. The expectant mother must make a decision, starting from her own well-being.
Please note that the treatment will include not only taking pills, but also setting injections. It is also necessary to observe the regime. At home, one often fails to do this. How is threatening abortion adjusted? The doctor prescribes drugs aimed at maintaining pregnancy and normalizing the condition of the mother. Consider the basic principles of therapy.
The use of sedatives
Threatening abortion requires the use of sedatives. The increased nervous irritability of the patient only provokes the tone of the uterus. Therefore, you need to gain strength and receive exclusively positive emotions.
Many drugs with this effect are prohibited during pregnancy. Safe are considered valerian and motherwort. The form of release of medicines can be different: tablets, infusions, decoctions. Observe the prescribed dose of the drug.
Antispasmodics
Each threatening abortion is treated with medications that relieve spasm and relax smooth muscle. The most popular medicines are tablets and No-Shpa, Drotaverin solutions. Also, expectant mothers are prescribed rectal suppositories "Papaverine". Less commonly prescribed tablets are "Papazol", "Partusisten." At the same time, Magnelis, Magne B6 and similar products are used. They not only relieve spasm, but also improve the functioning of the nervous system.
Hormonal correction
Often, threatening abortion is provoked by corpus luteum insufficiency. In this case, a woman is diagnosed with a small amount of progesterone by a blood test. If treatment is not scheduled in time, the pregnancy will end.
Drugs used to correct hormonal levels are used orally, vaginally or intramuscularly. The most popular are Dufaston, Utrozhestan, Prajisan and so on. They make up for the lack of progesterone, reducing the contractility of the uterus. Means have a relaxing effect. Take such drugs for a long time, and cancel gradually.
Not always a threatening abortion is caused by progesterone deficiency. In women, excess prolactin can also be determined. This condition requires medical treatment with appropriate drugs, for example, Dostinex.
Additionally
How is inpatient treatment for patients diagnosed with menacing abortion performed? The medical history is compiled by a doctor from the time of registration. Throughout the period, data on the use of different drugs are recorded in the documentation. In addition to these funds, a special regimen is recommended for a woman.
- The expectant mother is supposed to have a full sleep with a day's rest. Need to lie more. Exercise and stressful situations are strictly contraindicated.
- A patient with a threatening abortion needs good nutrition. It includes vitamins and minerals: fruits, vegetables. A woman needs to regularly spend time outdoors.
- During treatment, gynecological examinations are excluded. They can only be carried out for exceptional indications. Preference should be given to ultrasound examination.
- Therapy includes the prevention of constipation.
The patient is discharged from the hospital after 7-14 days. In this case, her condition should improve. The doctor gives the woman recommendations and appointments that she will follow at home.
Finally
A threatening abortion is a dangerous condition if left untreated. To save your pregnancy, see your doctor. Only a doctor can correctly choose the correction of your pathology. After treatment for a threatening abortion, a woman should undergo special supervision by specialists. Watch your health and be healthy!