Symptoms and type of spontaneous abortion

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The main symptoms of miscarriage is vaginal bleeding and abdominal pain. Vaginal bleeding occurred within 12 weeks of pregnancy abortion, the beginning of separation of villi and decidua; sinuses open, began to hemorrhage.

When the embryo completely separate discharge, due to contraction of the uterus, the bleeding stops. The entire process of early abortion are associated with vaginal bleeding; late abortion, the placenta is formed and the process and the premature birth abortion is similar to the placenta following delivery of the baby after discharge, bleeding generally small, and there is often the first to have abdominal pain and vaginal bleeding. Department of paroxysmal abdominal pain during abortion, like pain, contractions, vaginal bleeding after early abortion; separation and intrauterine fetal blood clot to stimulate uterine contractions, some memory, there paroxysmal abdominal pain and vaginal bleeding are often characterized by abdominal pain before the. Late abortions are first, paroxysmal contraction of the uterus, placenta and then peel, it appears in the abdominal pain after vaginal bleeding. Abortion check uterine size, cervical mouth is and whether the rupture of membrane expansion, according to the process of gestation and abortion vary.

The type of spontaneous abortion

Clinical types of abortion, abortion is actually different stages of development.

1.Threatened abortion: pregnancy 28 weeks before that first appeared a small amount of vaginal bleeding, followed by intermittent lower abdominal pain often occurs or back pain, pelvic examination the cervix is not open mouth, membranes are not broken, pregnancy is not the product of discharge, uterine size and menopausal consistent weeks of pregnancy are those who want to continue. After rest and treatment, if the bleeding stops and lower abdominal pain disappeared, pregnancy can continue, if the increased amount of vaginal bleeding or lower abdominal pain intensified, can develop inevitable abortion.

2.Inevitable abortion: that abortion is inevitable. Evolved by a threatened abortion, then increase the amount of vaginal bleeding, lower abdominal pain increased atrial or vaginal fluid flow (membranes rupture). I have expanded cervical gynecological examination, and sometimes visible embryo or fetal sac, the plug in the cervix in the mouth, uterine size and the stop line or slightly smaller by the number of weeks.

3.Incomplete abortion: that pregnancy has been part of the excreted products, there are some residues in the uterine cavity, evolved from the inevitable abortion. As part of intrauterine pregnancy residual product of uterine contraction, resulting in protracted bleeding, and even bleeding to occur due to hemorrhagic shock. I have expanded cervical gynecological examination, continuous outflow of blood from the cervix in the mouth, there are fashion shows placenta blocking the cervix or part of pregnancy products I have vaginal discharge, but some still remain in the uterine cavity. Menopause generally less than the number of weeks the uterus.

4.Complete abortion: pregnancy products that have all the discharge, vaginal bleeding gradually stopped, abdominal pain gradually disappeared. I have closed gynecological cervix, uterus near normal size.

The three special circumstances abortion

1.Missed abortion: refers to an embryo or fetus is dead stuck in the uterine cavity not natural discharges. Embryonic or fetal death increased but not reduced after the uterus, early pregnancy loss of response. If had to medium term pregnancy, pregnant belly not see increases, fetal movement disappeared. I did not open gynecological cervix, uterus smaller than the number of weeks menopause, texture is not soft. Been heard and fetal heart rate.

2.Habitual abortion: that abortion row has 3 times or more. In recent years the international community to replace commonly used in recurrent spontaneous abortion habitual abortion. Abortion occurred at the same time over the month of pregnancy, the clinical course and the same general abortion. Causes of early abortion often inadequate luteal function, hypothyroidism, chromosomal abnormalities. The most common cause of late abortion for the cervix dilation, uterine malformations, uterine fibroids. Cervix dilation are in pregnancy, often in the second trimester, the fetus grew, increased amniotic fluid, intrauterine pressure increased, prominent fetal sac to the cervical os, cervical canal gradually shortening and expansion. Patients have no symptoms, once the membranes ruptured, the fetus immediately discharged.

3.Abortion infection: abortion process, if vaginal bleeding for too long, organized residue in the uterine cavity or illegal abortions, which may lead to intrauterine infection, severe infection may extend to the pelvic, abdominal and even the whole body, concurrent pelvic inflammatory disease, peritonitis, septicemia and septic shock, said the abortion infection.

2010-04-14