Threat of miscarriage - the main causes, symptoms and treatment

The causes of the threat of miscarriage can be very diverse. According to statistics, up to 20% of pregnancies end in miscarriage.

Miscarriages are early - up to 12 weeks and late - from 12 to 22 weeks of pregnancy. In the case of spontaneous termination of pregnancy from 23 to 37 weeks, this process is called premature birth.

Causes of a threat of miscarriage

Distinguish the following reasons, threatening miscarriage in the early stages of pregnancy : 

1. Genetic defects in the embryo, which are not compatible with life. According to statistics, about 70% of this reason is the threat of miscarriage. Genetic disorders are not hereditary, but arise as a result of certain mutations in the sex cells of a man and a woman due to the action of exogenous factors (viruses, alcohol, drugs). To prevent miscarriage associated with genetic mutations is not possible, it is possible only in advance, before pregnancy, to reduce the risk of genetic defects in the fetus, eliminating mutagenic factors. 
2. Hormonal disorders in women associated with an inadequate production of the hormone progesterone necessary for the emergence, maintenance and progression of pregnancy. To prevent miscarriage associated with a deficiency of progesterone is possible, if the causative factor is determined in time and eliminated. 
   • Also, a high level of androgens in the body of a pregnant woman can contribute to the threat of miscarriage. These hormones inhibit the secretion of female hormones - progesterone and estrogen, necessary for pregnancy. 
   • Imbalance of adrenal and thyroid hormones in the pregnant body also contributes to the threat of miscarriage. 
3. Rhesus-conflict, resulting from the rejection by the body of the Rh-negative female organism of the Rh-positive fetus. With this problem, progesterone is often prescribed to prevent miscarriage. 
4. Infectious diseases in a woman caused by nonspecific and specific infections. 
   • To nonspecific diseases carry - influenza, hepatitis, pneumonia, pyelonephritis, appendicitis, etc. 
   • To specific infections belong - gonorrhea, chlamydia, trichomoniasis, toxoplasmosis, herpes - and cytomegalovirus infection.
5. Given the high risk of miscarriage due to infectious causes, it is recommended, before pregnancy, to be examined and, if necessary, to undergo the necessary course of therapy, so that the subsequent pregnancy can proceed without complications. 
6. Prior abortion can be the cause of miscarriage, because abortion is a manipulation that is stressful for the woman's organism and disrupts the work of her genitals. 
7. Taking medicines and herbs can cause a threat of miscarriage. For example, taking hormonal drugs, narcotic analgesics, antibiotics, etc. Of herbs, the threat of miscarriage in the early period can provoke - St. John's wort, nettle, tansy, parsley, etc. 
8. Frequent emotional overstrain provokes a threat of miscarriage. 
9. Management of an incorrect way of life, which consists in the reception of narcotic substances, alcoholic beverages, including smoking and taking caffeine containing drinks. 
10. The threat of miscarriage is also facilitated by sexual intercourse, physically heavy loads, falls, bumps in the stomach.

The causative factors of the threat of miscarriage in late pregnancy, other than those described above, may be:

• bleeding disorders, 
• pathology of the placenta - detachment or presentation, 
• the presence of late gestosis in pregnant women - increased blood pressure, impaired renal function, which is accompanied by the presence of protein in the urine and the appearance of puffiness, 
• polyhydramnios, 
• the presence of ischemic-cervical insufficiency, which occurs after previous traumatic births or abortions, which is accompanied by trauma to the cervix or isthmus of the uterus, 
• various kinds of trauma - in the form of bruises of the abdomen and / or head.

Given the huge number of reasons that contribute to the emergence of a threat of miscarriage, both in early and late pregnancy, it is necessary to carefully prepare for pregnancy.

[1], [2], [3], [4], [5], [6], [7], [8]

The first signs of a threat of miscarriage

The first signs of a threat of miscarriage are, first of all, any change in the state of health of a pregnant woman. The first signs of a threat of miscarriage can be: 

• Feeling of heaviness and pain in the lower abdomen and lower back. 
• The appearance or change in the color of the discharge is from scarlet to dark brown. The volume of excreta does not matter - smearing or copious spotting is the reason for an urgent call to a doctor. 
• The change in the tone of the uterus, which the woman feels - the tension of the uterus and cramping pain, especially in later terms, require immediate help from the doctor.

Sometimes, in the absence of complaints, during a routine examination of the doctor, ultrasound may determine the threat of miscarriage: increased uterus tone, palpitations in the fetus, inconsistency of the size of the uterus during pregnancy, etc.

Pain in case of threat of miscarriage

The pain in the threat of miscarriage can be very diverse and be the first and only sign. Pain in the threat of miscarriage is most often localized in the lower abdomen, above the bosom, near the waist and sacrum. Pain can be permanent or periodic, not stopping for several days and increasing in intensity and duration. The pain may be traumatic, cramping or acute. The presence of pain, which is growing and accompanied by bloody discharge, are signs of a threat of miscarriage and require urgent help from an obstetrician-gynecologist.

Temperature at threat of miscarriage

The temperature at the threat of miscarriage can be normal or elevated (up to 37.4 ° C), especially in the early stages of pregnancy, which is explained by the hyperthermic action of the hormone progesterone and is a variant of the norm. 

• If there is a high fever, and signs of any infection in the body, it can provoke a threat of miscarriage or if it already exists, then aggravate the process. 
• Also, in the case of an unreasonable rise in temperature to 38 ° C or higher, in the absence of other symptoms, this is an alarming sign and a reason to call on the doctor.

Allocations in case of threat of miscarriage

Allocations with a threat of miscarriage change their character and can be one of its first signs. Allocations become bloody in nature, their color varies from bright red to dark brown. Bloody discharge can be meager, smearing or plentiful. In addition, in late pregnancy, the threat of miscarriage can be suspected even in the absence of bloody discharge, and liquid discharge of light color. Such watery discharge indicates the leakage of amniotic fluid, as a result of the violation of the integrity of the amniotic membranes. Allocations in case of threat of miscarriage are almost always accompanied by pain in the lower abdomen and / or lower back.

[9], [10], [11]

Symptoms of a threat of miscarriage

Symptoms of a threat of miscarriage are characterized by: 

1. Pain in the lower abdomen and / or lumbar region. Pains, pulling, standing or cramping, gradually increase. 
2. The appearance of bloody discharge. 
   • In the early stages of pregnancy, the color of the discharge varies from scarlet (which can speak of detachment of the fetal egg) to dark, dark brown (which may indicate that the detachment of the fetal egg has occurred and a hematoma has formed, which is leaking). 
   • In later pregnancies of pregnancy (in the second and third trimesters), bleeding is caused by placental abruption from the endometrium of the uterus, and their color can also be from light to dark. As a result of detachment of the placenta, the fetus does not receive oxygen and nutrients, and if a total detachment occurs, the child may die.
3. Bloody discharge can be minor, smearing or plentiful. 
4. The manifestation of the threat of interruption in late pregnancy can be watery discharge, due to leakage of amniotic fluid. As a result of the violation of the integrity of the amniotic membranes, fluid flows out, a colorless color that surrounds the fetus. This process is accompanied by an increase in the tension of the muscles of the uterus - hypertension, which is also a threat of miscarriage. 
5. The presence of hypertension of the uterus, which must be divided. Those. There is a hypertonus of the uterus, which is determined with the help of ultrasound and hypertension of the uterus, which feels itself pregnant. The increased tone of the uterus can be local, which captures a certain area of it, and total, when the entire uterus is strained. The local tone of the uterus, usually determined by ultrasound, it is not very dangerous, but it requires considerable attention. The total tone of the uterus is felt pregnant as expressed by its condensation and is accompanied by painful sensations in the abdomen.

The threat of miscarriage in the first trimester (from the 1st to the 12th week)

The threat of a miscarriage in the first trimester (from the 1st to the 12th week) often occurs during the first critical period, which occurs at the 2nd and 3rd week of pregnancy. At this time, a woman may not know that she is pregnant, but it is very important, as a fertilized egg penetrates into the uterine cavity and is implanted into the endometrium. This process can disrupt various exogenous and endogenous factors. Endogenous factors include genetic disorders in the embryo that are incompatible with life.

To exogenous - a woman's way of life, in particular taking alcohol, drugs, drugs, smoking and stress can cause a threat of miscarriage. Also, the pathology of the genital organs in a woman can cause a violation of the penetration of the fetal egg into the uterus and its further implantation. Such pathologies include: 

• disorders in the structure of the uterus (saddle or bicornic uterus, the presence of partitions in it, infantilism genital), 
• traumatic injury of the endometrium after abortion, 
• presence of uterine fibroids, 
• presence of scars after caesarean section.

The next critical period, when there may be a threat of miscarriage in the first trimester - this is the 8th - 12th week of pregnancy. The main cause of the threat in this period is hormonal disorders in women, for example, inadequate production of the hormone progesterone.

The threat of a miscarriage in the second trimester (from 13th to 26th week)

The threat of a miscarriage in the second trimester (from the 13th to the 26th week) may occur at a critical period, which is observed from the 18th to the 22nd week of pregnancy, when there is intensive growth of the uterus. In this period, a different type of presentation of the placenta is especially dangerous - low, incomplete or complete. If a woman has a pathology of internal organs and / or some infection, the placenta is sensitive and its abnormal location may be accompanied by detachment and bleeding, which is a threat of miscarriage.

It is necessary to know that all trimesters of pregnancy are considered critical on the days in which menstrual periods were to be made, if pregnancy occurred, and also in those periods when there was a spontaneous or artificial interruption of previous pregnancies, it is believed that the woman's organism preserves the memory of the necessary hormonal reorganization.

Analyzes in case of threat of miscarriage

Analyzes when threatened with miscarriage are appointed immediately, as soon as a woman seeks medical help. If there is a suspicion of a threat of miscarriage, a comprehensive examination is carried out, including: 

• determination of the level of sex hormones in the blood - progesterone, estrogen, testosterone, 
• Urine is being studied for 17-CS (ketosteroids), 
• a blood test for the content of antibodies to hCG, 
• a blood test for the presence of intrauterine infection (rubella virus, herpes, toxoplasma, cytomegalovirus), 
• the study of blood and smear for the presence of bacterial sexual infection (gonorrhea, chlamydia, mycoplasmosis, ureaplasmosis), 
• if necessary, appoint a blood test to the level of thyroid hormones, as well as a lupus anticoagulant. 
• a coagulogram is prescribed - the determination of the state of the blood coagulation system in a woman, this study is important in the case when previous pregnancies ended with miscarriage.

Conducting a comprehensive survey when a threat of miscarriage is necessary to determine or clarify its cause.

[12], [13], [14], [15], [16], [17]

Smear on threat of miscarriage

A smear on the threat of miscarriage is performed in order to identify possible hormonal disorders or bacterial sexual infections. The smear is taken with a sterile spatula from the lateral walls of the vagina and the microflora is examined, and colpositology is performed, where, above all, the karyopicnotic index (KPI) is determined. KPI is an indicator of the degree of saturation of the female body with estrogen hormones. 

• In the first trimester of pregnancy, the smear shows predominance of intermediate and superficial cells, and the presence of navicular cells is noted in isolated cases. CPI is normal from 0 to 15-18% in the first trimester. When a threat of miscarriage, this indicator increases to 20% or more. 
• In the second trimester of pregnancy there is a predominance of scaphoid and intermediate cells, and surface cells are almost not found. CPI is normal in the second trimester from 0 to 10%. When the threat of miscarriage, CRPI is more than 10%.

KPI increases due to decreased estrogen production, which contributes to the threat of miscarriage. In addition, the colpositology study evaluates the eosinophilic index (EI) and the maturation index (IP), to understand the general picture of the hormonal atmosphere of a woman.

Ultrasound in case of threat of miscarriage

Ultrasound with a threat of miscarriage is one of the main and important methods of diagnosis.

When performing ultrasound, one can see the earliest symptoms of a miscarriage threat, which are manifested by a local thickening of the myometrium on one of the walls of the uterus, as well as an increase in the diameter of the internal pharynx. Also with the help of ultrasound in the threat of miscarriage, the viability of the fetus (its heart rate, motor activity), placenta and uterus as a whole (its tone, condition of the cervix) is assessed.

What to do in case of threat of miscarriage?

Many pregnant women care about what to do if there is a threat of miscarriage. First of all, calm down and assess the severity of clinical symptoms (pain, bleeding) - whether a woman can go to an obstetrician-gynecologist herself or there is a need to call an ambulance home. If the symptoms of a threat of miscarriage are expressed, you need to call an ambulance, and before her arrival you need absolute bed rest. If the symptoms are not significant and the pregnant woman decided to get to the doctor herself, then it should be done as soon as possible. Self-medication and advice from outside, especially incompetent individuals, is not recommended.

Treatment for a threat of miscarriage

Treatment in case of a threat of miscarriage is overwhelmingly performed in a hospital, and in rare situations it can be performed on an outpatient basis. Drug therapy is appointed by the attending physician, depending on the causative factor that caused the threat of miscarriage, from the gestational age and the individual characteristics of the pregnant woman, taking into account the data of a comprehensive survey. The sooner the treatment of the threat of miscarriage begins, the higher the percentage of maintaining the pregnancy. Miscarriage threat therapy is complex and includes the following activities: 

• complete bed rest, 
• use of sessions of psychotherapy, 
• the appointment of sedatives (tincture of valerian, motherwort), 
• use of antispasmodic drugs (no-shpa, papaverine, drotaverin, magnesium sulfate), 
• the appointment of vitamins (E, C), 
• Usually, in the first trimester of pregnancy, hormones are used that ensure a normal course of pregnancy. These drugs include progesterone preparations (Dufaston, Utrozhestan), 
• if in the first trimester there is hyperandrogenism and / or immune factors of the threat of termination of pregnancy, corticosteroids (dexamethasone, metipred), 
• when cervical insufficiency is detected, conservative or surgical therapy is performed. Surgical treatment can be performed by mechanical narrowing of the inferior internal throat of the cervix or by sewing the external throat. 
• In the case of bloody discharge, hemostatic agents can be used (Dicinon, Etamsilat, Tranexam), 
• if necessary, conduct therapy for identified infections.

You should know that the hormones of a pregnant woman should be prescribed strictly according to the indications and after a preliminary examination. Rules for prescribing hormonal drugs during pregnancy: 

• the appointment of hormonal drugs should be strictly justified, 
• important constant monitoring of the effectiveness of hormone therapy, 
• hormonal agents should be administered in minimal dosages, 
• estrogens (estrogel) are appointed from the fifth week of pregnancy, and gestagens after eight weeks and up to 14 to 16 weeks, and from this period the function of the formation of hormones will begin to perform formed placenta.

No less important role in the therapy of the threat of miscarriage is played not by medication methods - electroanalgesia, electretlaxation of the uterus, acupuncture, magnesium electrophoresis.

[18], [19], [20], [21]

Dyufaston in case of threat of miscarriage

Dyufaston with a threat of miscarriage is one of the drugs of choice. Indication for its purpose is the lack of progesterone in the body of a woman, confirmed by a laboratory method. Duphaston is a synthetic analog of progesterone, and structurally fairly close to the natural progesterone of a woman. When taking Duphaston tablets inside, its selective effect on specific receptors of the uterus is sensitive to it. When a threat of miscarriage, Dyufaston is highly effective, especially in the early stages of pregnancy, and safe, which is confirmed by its long-term use. Positive aspects of Dufaston: 

• does not affect blood coagulability, 
• does not interfere with liver function, 
• does not cause the development of the viril syndrome (male-type haemorrhage) in both the woman and the embryo, which is characteristic of some other progestogens.

Duphaston therapy and dosage regimens are selected by the physician in each individual case, taking into account his clinical experience, and following the recommendations of the instruction.

Dosage

Duphaston dosage with a threat of miscarriage is 40 mg at one time, and then 10 mg every 8 hours until the symptoms disappear completely. If there is no positive dynamics, then every 8 hours you can increase the dosage by 10 mg. After eliminating the symptoms of the threat of miscarriage, the therapy is optimally matched, the dosage is continued for seven days, after which the dose is gradually reduced. If, however, when the dose is reduced, the symptoms of the threat resumed, then it is necessary to return to the optimal dosage at which they disappeared. Duphaston, usually used in the first trimester of pregnancy - up to 16 weeks, i.e. Until the placenta is formed, which then takes on the function of producing hormones.

With the usual miscarriage, dyufaston can be used up to the 20th week of pregnancy, 10 mg twice a day, with a gradual decrease in the dose.

[22], [23], [24], [25], [26]

Morning in the threat of miscarriage

Morning in the threat of miscarriage is also a drug of choice. His appointment is resorted to inadequate production of the hormone progesterone in the body of a pregnant woman, which increases the contractile activity of the uterus and contributes to the threat of miscarriage. Utrozhestan is a natural, natural progesterone. It reduces the contractile activity of the uterus and its excitability, which ensures a favorable course of pregnancy. There are two forms of release of Utrozhestan - tablets and suppositories, which has some advantages, since, in the presence of toxicosis with the presence of vomiting, the tablets will not be absorbed, which makes it possible to apply candles. Utrozhestan can be used not only for the threat of miscarriage, but also for preventive purposes - before pregnancy and in its early periods with the usual miscarriages.

Dosage

The dose of Utrozhestan at a threat of miscarriage is selected by a gynecologist in each case individually and according to the instructions. In case of threat of miscarriage or for the purpose of prophylaxis of habitual miscarriages in case of progesterone deficiency, the dose of Utrozhestan is 200-400 mg per day - one hundred hundred and two mg at a time every 12 hours to twelve weeks of pregnancy. In case of threat of premature delivery, 400 mg every six to eight hours before the symptoms are eliminated. Effective dosage and the number of receptions are selected individually, depending on the symptoms of the threat of interruption and their severity. After eliminating the symptoms of the threat of termination of pregnancy, the dose of Utrozhestan is gradually reduced to maintenance dose - two hundred mg three times a day. In this dosage it can be consumed up to 36 weeks of pregnancy.

[27], [28], [29]

Papaverin in case of threat of miscarriage

Papaverine, when threatened with miscarriage, is used quite often both in complex therapy and in the form of monotherapy. Papaverin is a myotropic antispasmodic drug that is produced in tablets, injections and candles. Effects of papaverine: 

• a decrease in the tone of smooth muscles of internal organs, including uterus, 
• improvement of blood flow, 
• has a mild soothing effect, 
• lowering of blood pressure.

Usually during pregnancy with an increased tone of the uterus a suppository with papaverine is used, since very well absorbed by the intestinal mucosa. But there are cases when there is a need for an injection of papaverine, especially when there is a threat of miscarriage. Injections of papaverine can be administered subcutaneously, intramuscularly and intravenously. 

• In the case of intravenous papaverine, it must first be diluted in physiological saline at the rate of 1 ml (20 mg) of papaverine hydrochloride and 10-20 ml of fiz. Solution. Enter slowly in 3-5 ml / min, with intervals of at least 4 hours. The maximum single dose of papaverine is one milliliter. 
• Suppositories of papaverine are applied rectally one to two times a day.

There was no negative effect of papaverine on the fetus. Its use without consulting a doctor is not recommended.

Dicycin (Etamsilate) in case of threat of miscarriage

Ditsinon (Etamsilat) in case of threat of miscarriage can be prescribed in any trimester of pregnancy, even at the earliest, in case of bleeding, spotting or placental abruption. In such situations, its use is combined with antispasmodics and sedatives. Dicinone is a hemostatic agent that makes stronger the walls of capillaries, improves their permeability and microcirculation, stimulates the production of platelets, which improves coagulability of the blood. Dicycin is available in injectable and tablet form. As a rule, it is prescribed to pregnant women in the form of 250 mg Etamylate tablets three times a day for three days, but it can be used and intramuscularly 2 ml, followed by switching to tablets. Instead of Dicinone (Etamsylate) Tranexam can also be used, also in tablets and in a dose of 250 mg. Self-use of Dicycin (Etamsilate), Tranexam during pregnancy in case of threat of miscarriage is contraindicated, before using them it is necessary to consult a doctor.

[30], [31], [32]

Magnesia in case of threat of miscarriage

Magnesia in the threat of miscarriage is often used by doctors. Magnesia or magnesium sulfate can be administered both intramuscularly and intravenously, but under the mandatory supervision of medical personnel. Magnesia has a number of properties that help to avoid miscarriage in a threat, namely: 

• relaxes the musculature, which reduces the tone of the uterus, 
• eliminates cramps, 
• has a relaxing effect on the walls of blood vessels, 
• lowers blood pressure, 
• reduces puffiness, due to the diuretic effect, 
• has a calming effect, 
• is prescribed in the case of an identified acute shortage of magnesium in the body of a pregnant woman, 
• strengthens cell membranes

Magnesium sulfate is involved in the metabolic processes of a variety of substances, including calcium. Relaxing effects of magnesium are associated with its ability to reduce the activity of substances that transmit impulses from the central nervous system to the peripheral and back.

Usually, when a threat of miscarriage is prescribed 25% solution of 10-20 ml of magnesium sulfate dissolved in isotonic sodium chloride solution and is administered intravenously drip or without dilution intramuscularly. But dosages can vary, depending on each case. Taking magnesia inside when a threat of miscarriage is not advisable, because in this form, magnesium is poorly absorbed and practically does not enter the blood, but has only a lax effect.

But-shpa at a threat of miscarriage

But-shpa at a threat of miscarriage is appointed often enough, especially in the early stages of pregnancy. But-shpa reduces the tone of smooth-muscular internal organs, including the muscles of the uterus, reduces their motor activity, promotes the expansion of blood vessels. One should be careful with the use of No-shpa in the second and third trimesters of pregnancy, as it causes relaxation of the cervix, which facilitates its opening. Usually, No-shpu is prescribed in the form of tablets, in individually selected doses, although it is also possible to intramuscularly administer it.

[33], [34], [35], [36], [37], [38]

Progesterone in case of threat of miscarriage

Progesterone in the threat of miscarriage is appointed very often, because it is its deficiency in the body can be one of the causes of the threat. Progesterone promotes the normal course and development of pregnancy, reduces the contractile activity of the uterus. It can be administered both in the form of tablets and suppositories (Dufaston, Utrozhestan). The duration of therapy and dosage of progesterone is selected by the doctor individually.

HCG in case of threat of miscarriage

HCG with a threat of miscarriage grows much slower, does not change, or vice versa begins to decline. In this case, with the threat of miscarriage, supporting doses of hCG (pregnola) may be administered to support the normal development of pregnancy. Its initial dose is 5,000 - 10,000 IU once, no later than 8 weeks, then 5,000 IU twice, seven days before the 14th week of pregnancy.

Vitamins in case of threat of miscarriage

Vitamins in the threat of miscarriage play an important role. Because both their deficiency and overabundance can contribute, or enhance the threat of miscarriage. It is not recommended to take vitamins unintentionally and independently. It is advisable to consult the doctor before using them. Often balanced and rational nutrition with a content in the diet of fruits and vegetables, lactic acid products, lean meat and fish is sufficient.

Vitamin E in case of threat of miscarriage

Vitamin E with the threat of miscarriage helps to maintain pregnancy and promotes the proper development of the child, and also has an antioxidant effect. Vitamin E (tocopherol) contains nuts, seeds, vegetable and butter, sprouted wheat, etc. During pregnancy, an average of 25 mg of vitamin E per day is needed. But dosages of it are individual for each pregnant woman and are selected by the doctor taking into account recommendations of the instruction.

Ring in case of threat of miscarriage

Ring in the threat of miscarriage can offer, especially to those women who have a short cervix, istrmico-cervical insufficiency. Such a gynecological ring or pessary keeps the cervix in a stable state and prevents its premature opening. At first, when wearing a ring, there may be a slight discomfort that quickly passes. Usually the ring is put after 20 weeks of pregnancy and is taken no earlier than 38 weeks, but all individually. 

• Putting the ring on the neck is practically painless. 
• After the pessary, the tests for a bacteriological flora are submitted every two to three weeks. 
• After installing the ring is not recommended sex life.
• After removing the ring, the cervix relaxes, and labor can begin for a week.

Earlier, the ring can be removed in case of premature discharge of amniotic fluid, the onset of premature birth or as a result of inflammation in the uterus.

Alternative means for threatening miscarriage

Alternative means for threatening miscarriage should be used with caution and after consulting a doctor. In case of threat of miscarriage, you can apply: 

• Decoction of dandelion grass. To make it, you need to pour five grams of grass with 200 grams of water and boil for about five minutes. Cooked broth is used on a quarter of a glass three to four times a day. In addition, the broth is prepared from the root of a dandelion in the same dosages. 
• Application of the viburnum. The crushed bark of a guelder-rose (one teaspoon) needs to be poured with 200 grams of boiling water and boiled for about five minutes. Use a decoction of one - two tablespoon three to four times throughout the day. Can be used and flowers of viburnum. To do this, 30 grams of color should be poured into 1.5 liters of boiling water and insist in a thermos for 2 hours. Use an infusion of a quarter of a glass three or four times a day. 
• Infusion of herb St. John's wort and marigold flowers, easy to prepare. For this, it is necessary to take in equal amounts the data of the herb and pour a glass of boiling water. Insist in the thermos for 30 minutes. Eat two or three glasses throughout the day with honey.

What can not be done in case of threat of miscarriage?

What is impossible when a threat of miscarriage is of concern to all pregnant women who have encountered this problem? Pregnant with the threat of miscarriage can not: 

• exercise, including jumping, lifting the gravity, 
• drink alcohol and smoke, 
• experience, be exposed to stress, 
• having sex, 
• take a bath, especially hot, 
• go to the sauna, 
• make sudden movements, 
• drink coffee and eat a lot of chocolate, 
• take any medications yourself.

Prayer in case of threat of miscarriage

Prayer when threatened with miscarriage can help even in the most difficult situations.

You can pray in your own words, because the power of prayer is sincerity.

You can use already composed prayers, namely, prayers: 

To the Lord God, 
to the Most Holy Theotokos, 
to read the akathists to the icons of the Mother of God "Unexpected joy", "Assistant in childbirth", "Kazan", 
to pray to the holy and righteous Joachim and Anna.

Also, when threatening to miscarry, you must ask for help from your Guardian Angel, and pray for forgiveness of sins, you can read Psalm 50.

How to prevent a threat of miscarriage?

How to prevent a threat of miscarriage, a large number of pregnant women are questioning? To prevent its occurrence, it is necessary, first of all, to plan pregnancy - to be examined and in case of diseases, to undergo the necessary course of therapy. If the pregnancy is not planned, then immediately you need to abandon the bad habits - smoking and alcohol, timely become registered and regularly visit the obstetrician-gynecologist, balanced and fully eat, often stay in the open air, do not be nervous and take care about taking medication .

Sex with a threat of miscarriage

Sex with a threat of miscarriage is contraindicated, especially in the first trimester of pregnancy in the presence of bleeding and isthmic-cervical insufficiency. It is not recommended also anal sex, the use of oral caresses and self-gratification. Since the most minimal contractions of the uterus in case of threat can provoke miscarriage or premature birth. At pregnancy the woman should be defined or determined itself, that for it or her more important - sex or the child, especially at threat of a miscarriage.

Sex after the threat of miscarriage

Sex after the threat of miscarriage is possible only after passing a critical period, after the examination and permission of the doctor. Terms for having sex after the threat of miscarriage are individual in each case. In some cases, for example, with habitual miscarriages, it is not recommended to have sex until the end of pregnancy.

Orgasm when threatened with miscarriage

Orgasm with a threat of miscarriage is extremely not desirable, because an additional reduction in the uterus can cause a miscarriage, especially if there is already a threat. In the process of orgasm, detachment of the fetal egg in the early periods and premature birth in the late stages of pregnancy can occur. When a threat of miscarriage, in general, it is strictly contraindicated to have sex both traditional and anal. Moreover, orgasm and can cause a threat of miscarriage.

What is the threat of a miscarriage?

Why dream of the threat of miscarriage of anxiety for some women who dream about such a plan? If the threat of miscarriage is dreaming of a pregnant woman, then this can be a reflection of the real fears of women. But, it should be noted that if the dream was very realistic, with a kind of blood, a pain and dreamed in the second half of pregnancy, then one must be more careful, have more rest, balance eating and not visiting places with a large crowd of people. Not pregnant and not giving birth to women, such a dream can indicate the destruction of plans, especially in personal relationships.