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Threatened Miscarriage

WHAT YOU SHOULD KNOW

Bleeding during the first 20 weeks of pregnancy is called a threatened miscarriage or threatened abortion. Although there is a chance you could lose the pregnancy, it is not certain to happen. Most women who have vaginal bleeding or spotting during early pregnancy have healthy babies.

Causes

Some pregnant women bleed around the usual time of their monthly period. Bleeding after having sex could be the result of an irritation on the cervix (bottom part of uterus). Often, no reason for spotting or bleeding can be discovered.

Signs/Symptoms

Bleeding is the most common sign of a threatened miscarriage. A low backache or cramps in the belly are other signs.

Care

Your cervix will be checked to see if it is closed, starting to open, or open. Your doctor will do a pelvic exam (also called an ""internal'') to check the size and shape of your uterus (womb). You may have an ultrasound. It is a painless test done while lying down. A dab of a jelly-like lotion is placed on your belly. The person doing the test will gently move a small handle through the lotion and across the skin, viewing a TV-like screen attached to the handle. You will need to rest and avoid sex for several days. This will not prevent a miscarriage, but it may reduce your bleeding and pain. There are no medicines that will stop the bleeding and cramping.

WHAT YOU SHOULD DO

Call Your doctor If...

  • Your bleeding and cramping get worse. You should not have to use more than one pad each hour.
  • You feel weak or faint.
  • You have chills or a high temperature.

Seek Care Immediately If...

  • You pass large clots or other material that looks like tissue. Save the tissue in a clean container or plastic bag. Bring it with you when you come to be checked.



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