Dr. Manasi Thakur | Gynaecologist In Nagpur | Pregnancy, Delivery | Abortion | Cosmetic Gynecology

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Threatened Miscarriages

What is a Threatened Miscarriage?

A threatened miscarriage is a condition where the process of miscarriage has started but has not yet progressed to an irreversible stage. This condition typically occurs before the 20th week of pregnancy.
At Zenith Hospital, Nagpur, Dr. Manasi Thakur provides comprehensive evaluation, monitoring, and management for women facing a threatened miscarriage. With timely intervention, medical support, and personalized care, the chances of continuing a healthy pregnancy are greatly improved.
Threatened Miscarriages

Causes of Threatened Miscarriage

The exact cause is often unclear, but some common factors include:

  • Chromosomal abnormalities in the fetus (most common in the first trimester)

  • Chronic maternal conditions such as diabetes, lupus, high blood pressure, or thyroid disorders

  • Inadequate hormone production

  • Acute infections

  • Uterine abnormalities – fibroids, cervical weakness, abnormal placental growth, or carrying multiples (twins, triplets, etc.)

  • Lifestyle factors – excessive caffeine, alcohol, tobacco, or cocaine use

Signs of Threatened Miscarriage

The symptoms are usually mild, but any pregnant woman experiencing them should seek immediate medical care at Zenith Hospital, Nagpur, under Dr. Manasi Thakur:

  • Vaginal bleeding – usually light, brownish, or bright red. Sometimes heavy, especially in later pregnancy.

  • Bleeding is often painless, but may be associated with backache or lower abdominal pain.

  • Pain often appears when bleeding starts.

Diagnosis of Threatened Miscarriage at Zenith Hospital, Nagpur

Dr. Manasi Thakur performs a detailed medical, surgical, and obstetric history along with a careful clinical examination to identify possible causes.

Investigations include:

  • Blood tests: Hemoglobin, hematocrit, ABO and Rh grouping. Blood transfusion may be required if miscarriage becomes inevitable, and anti-D gamma globulin is given to Rh-negative, non-immunized women.

  • Serum progesterone: A value of 25 ng/mL or more generally indicates a viable pregnancy in about 95% of cases.

  • Serial serum hCG levels: Helpful in assessing fetal well-being.

  • Ultrasonography: To evaluate fetal heartbeat, growth, and viability.

Management of Threatened Miscarriage

  • Rest: Bed rest for a few days until bleeding stops. Prolonged inactivity is not advised.

  • Pain relief: Diazepam 5 mg twice daily may be prescribed.

  • Hormonal support: Progesterone therapy has shown positive outcomes in some cases.

Prognosis of Threatened Miscarriage

  • In about two-thirds of cases, the pregnancy continues beyond 28 weeks.

  • In the remaining cases, miscarriage occurs.

  • Even if pregnancy continues, there may be a higher risk of complications such as:

    • Preterm labor

    • Placenta previa

    • Intrauterine growth restriction (IUGR)

    • Fetal anomalies

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