Understanding a Threatened Miscarriage: What It Means for You?

Dear Mama,

I know this can be a very uncertain and scary time for you. A threatened miscarriage is when you experience symptoms such as bleeding or cramping during early pregnancy, but it doesn’t necessarily mean the pregnancy will end in loss. Many women go on to have healthy pregnancies after being diagnosed with a threatened miscarriage, so there is hope.

What Is a Threatened Miscarriage?

A threatened miscarriage refers to any signs of miscarriage, such as vaginal bleeding or cramping, that occur before 20 weeks of pregnancy. However, a threatened miscarriage doesn’t always result in the pregnancy ending. Many women who experience these symptoms go on to carry their babies to full term.

Even though it can be concerning to experience bleeding or cramping, it’s important to note that light bleeding can occur in healthy pregnancies as well. The key is seeking the care of a healthcare provider who can assess the situation properly.

How Is It Diagnosed?

A threatened miscarriage is diagnosed by:

• Light vaginal bleeding and/or cramping in early pregnancy
• An ultrasound to assess the pregnancy and rule out other issues
• Blood tests to check hormone levels (especially hCG) and ensure that the pregnancy is progressing

Your provider will use these assessments to monitor the pregnancy and recommend the best course of action for your individual situation.

How to Care for Yourself

While you’re managing a threatened miscarriage, it’s important to prioritize your emotional and physical well-being:

• Rest and avoid stress or overexertion.
• Follow any guidance your provider offers, such as pelvic rest (avoiding heavy activity and sex).
• Take time to process your emotions and consider connecting with a therapist, doula, or a support group to help guide you through your feelings.

You may be anxious, but please know that many women recover from this and go on to have healthy pregnancies. Take one day at a time.