You will first experience abdominal pains due to uterine contractions for a late threatened miscarriage (after week 13). Then you may notice some vaginal bleeding.
Before we delve into the medications, let’s briefly go through the steps to take after you experience symptoms of late threatened miscarriage.
- Visit your gynecologist immediately to assess for fetal heartbeat. If the heartbeat is no longer there or undetectable, then it is likely an inevitable miscarriage has occurred, possibly a fetal demise. Depending on situation of the fetal heartbeat, some threatened miscarriages can be managed with medications and completely prevented. Then again, this really depends on your doctors experience and expertise.
- Check for conditions such as fibroids, cysts and cervical insufficiency to see if any medications would suffice or any other procedures are required to save the pregnancy.
Some patients can receive treatment for the primary cause behind their late threatened miscarriage, while some cannot, it really depends on the individual case and situation of each patient which can only determined in the emergency room. No matter the case, certain medications must be prescribed to alleviate the symptoms of a late threatened miscarriage to delay labor and increase the chances of maintaining the pregnancy for fullterm.
We first need to understand the underlying reasons behind the two main symptoms of a threatened late miscarriage before we begin discussing how it can be managed effectively.
- Abdominal Pain: The abdominal pain stems from uterine contractions. Hence, giving pain killers to alleviate the symptom is useless in preventing miscarriages. The patients may no longer be in pain. However, uterine contractions are still happening, and the patients will either end up with a stillborn or extreme to moderate preterm births, depending on how far along the pregnancy is.
- Vaginal Bleeding: With constant uterine contractions, the cervix will start opening, which results in vaginal bleeding.
Hence, suppressing uterine contractions is most crucial to delay labor and increase the chances of maintaining the pregnancy.
Uterine Contraction Suppression Medications
Doctors first have to suppress uterine contractions to prevent preterm births.
- Progestin: Progestin helps to reduce the sensitivity of the uterine smooth muscles. With that, your uterus will not be easily stimulated by any triggers, making it less prone to contractions.
- Atosiban: Atosiban helps to counter oxytocin, the hormone that stimulates your uterine muscles to contract.
- Diazepam: Diazepam is used to treat anxiety. Women facing a threatened miscarriage can be ridden with anxiety, which can trigger labor contractions. It is essential to keep calm during this period.
Oxygen Supplementation
Having abdominal pain can trigger extreme anxiety, stress which can lead to acceleration of uterine contractions. The reason for the occurence of abdominal pains is due to lack of oxygen within the smooth muscles of the uterus. By conducting an oxygen supplementation for the mother, we can aim reduce a significant amount of pain and anxiety, which in turn prevents uterine contractions and an unwanted premature delivery or even worse, a miscarriage.
- Oxygen Therapy. This is an oxygen supplementation treatment where doctors will deliver oxygen gas for you to breathe via tubes or a face mask. Oxygen therapy will increase the amount of oxygen in your uterine blood vessels.
- Hyperbaric Oxygen Therapy (HBOT). This will quickly carry oxygen to your entire body, including your uterus.
Additionally, doctors might prescribe medications such as Glycine to stop vaginal bleeding and antibiotics or disinfectant to prevent infections.
Take Note:
This is not a complete list of all the medications to manage late threatened miscarriages. The medications that a patient requires also depend on her condition and needs.
If you are experiencing a late threatened miscarriage, it is best to be hospitalized because your condition needs close monitoring and timely treatment.
Antai Hospital’s Commitment
Antai Hospital’s full refund policy for the miscarriage prevention treatments we provide should already be the best guarantee for a healthy pregnancy. Patients should rest assured, can and should go about their everyday life, focusing their diet on vegetables, beans, celery, and other fiber-rich foods. Besides that, an active lifestyle of yoga and swimming should also be incorporated to help relieve stress and increase blood circulation, which is beneficial for the fetus’s development and the mother’s health. With our assurance, a healthy lifestyle, and peace of mind, you can go through a healthy pregnancy with no complications.
Recurrent miscarriages are no doubt a heavy blow to the patient’s physical and mental health. All we can do is to help ease the burden and decrease your trauma, to slowly help you overcome the anxiety with the love and care that we provide at Antai Hospital.
Trust in Antai Hospital and trust in yourself, your pregnancy is our priority.