Abortus imminens is the threat of miscarriage before 20 weeks of gestation. This condition is characterized by vaginal bleeding that is not accompanied by dilatation of the cervix. A pregnancy in imminent abortion can be saved, but if it is not treated quickly, the sufferer can experience a miscarriage.
Imminent abortion, also called threatened abortion, occurs in 20–30% of all pregnancies. Some pregnancies with an imminent abortion miscarry, while others can be saved.
Quick treatment can prevent miscarriage due to imminent abortion. Therefore, it is necessary to see a doctor as soon as possible if the expectant mother experiences symptoms of an imminent abortion.
Causes of Imminent Abortion
- had a bacterial or viral infection, such as rubella, while pregnant
- had an abdominal injury
- Suffer from certain diseases that are not treated properly, such as diabetes or thyroid disease.
- Suffering from disorders of the uterus, such as uterine polyps or uterine cysts
- having a difference in rhesus blood group between mother and fetus (rhesus incompatibility)
- Taking certain drugs, such as diclofenac or misoprostol,
- Excessive consumption of alcoholic beverages
- Exposure to certain chemicals, such as heavy metals or cleaning solvents
- Be over 35 years old when pregnant.
- suffer from obesity
- experiencing a deficiency in levels of the hormone progesterone, because this hormone plays a role in preparing and strengthening the uterine wall during pregnancy.
symptoms of imminent abortion
- Bleeding from the vagina in the first 20 weeks of pregnancy
- stomach cramps
- Low back pain
- feeling of pressure in the waist
- back pain
When to see a doctor
Imminent abortion diagnosis
During a pelvic examination, the doctor will check whether there is an opening of the birth canal (opening of the cervix) or rupture of the membranes. The doctor will also do a pregnancy ultrasound to check the heart rate and fetal development.
The doctor can also carry out further examinations, such as:
- Complete a blood test to check hemoglobin levels, which can decrease due to bleeding, as well as check blood type and rhesus in the mother and fetus.
- urine test to detect urinary tract infection
- hCG beta test to determine gestational age and detect incomplete miscarriage or fetal death
Imminent Abortion Treatment
- Doing bed rest
- Not having sex
- No exercise
- Don't use tampons.
- Don't travel far.
Imminent Abortion Complications
- Severe bleeding
- Infection of the lining of the endometrium (endometritis)
- Miscarriage accompanied by infection (septic abortion)
- Depression and anxiety disorders
Prevention of Imminent Abortion
- Undergo a TORCH examination before planning a pregnancy.
- Treating bacterial or viral infections before planning a pregnancy
- Take folic acid supplements according to the doctor's advice.
- Stop smoking or consuming alcoholic beverages.
- Reduce consumption of caffeinated drinks.
- Avoid exposure to chemicals.
- Exercise at least two times a week.
- Do not abuse NAPZA.
- Avoid foods that can harm the mother and fetus, such as raw foods.
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