What medications are taken to prevent threatened abortion?

Question

Hi doctor,

I have been pregnant for 23 weeks with signs of threatened abortion and am currently on bed rest without any medication or fluid administered. What should I do?

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

You are right to reach out, especially as a first-time mother. At 23 weeks pregnant, with signs of threatened abortion, and being on bed rest without medication or fluids, it is essential to take this seriously. Here’s what you should do immediately:

1. Seek medical attention immediately:

Threatened abortion means there is vaginal bleeding, but the cervix is still closed, and the pregnancy can continue. But no treatment (not even fluids or medications) while you are symptomatic is not ideal. You should:

Go directly to a hospital or clinic with a gynecologist or obstetrician.
Insist on an ultrasound to check on the baby’s heartbeat, placental position, and cervical length.
Ask to check for infections, dehydration, or anemia, all of which can increase the risk.

2. Monitor these symptoms:

Contact a doctor immediately if you experience:

Increased bleeding or clots.
Cramping or abdominal pain.
Fluid leakage (possible sign of ruptured membranes).
Fever or foul-smelling discharge.

3. About Progesterone or Cerclage:

If your cervix is shortening or you are at risk of early labor, doctors sometimes recommend:

Progesterone supplements.
Cervical cerclage (a stitch to keep the cervix closed). These are time-sensitive and should be decided before 24 weeks in most cases.

4. Hydration and nutrition:

Even without IV (intravenous) fluids, you need to stay hydrated and eat well. Ask someone to help you prepare meals rich in:

Iron and folate (leafy greens, beans, and eggs).
Protein (fish, meat, and soy).
Drink at least two to three liters of water per day.

I hope this information will help you.

Thanks.