What Is Threatened Abortion?

Aug 19, 2026 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Threatened abortion is an abnormal pregnancy condition occurring in early gestation, primarily characterized by minimal vaginal bleeding and mild abdominal pain, with the embryo not yet expelled and the pregnancy structures remaining largely intact. It is a relatively common condition during early pregnancy, and timely intervention can often sustain the pregnancy. If vaginal bleeding or abdominal pain occurs during pregnancy, seek medical attention promptly for fetal preservation treatment.

Threatened abortion is an abnormal pregnancy condition occurring in early gestation, primarily characterized by light vaginal bleeding and mild abdominal pain, with the embryo not yet expelled and the pregnancy structures remaining largely intact. It is a relatively common condition during early pregnancy, and timely intervention can often sustain the pregnancy. If vaginal bleeding or abdominal pain occurs during pregnancy, seek medical attention promptly for fetal preservation treatment.

Threatened abortion most commonly occurs before 28 weeks of gestation. Contributing factors include maternal hormonal insufficiency, excessive physical exertion, emotional stress, or embryonic developmental instability. Patients typically present only with minimal blood-tinged vaginal discharge and mild, dull lower abdominal pain or a sensation of pelvic pressure, without expulsion of any pregnancy tissue. Clinically, management usually involves bed rest combined with pharmacological fetal preservation therapy, alongside close monitoring of embryonic development; most patients with mild symptoms can successfully continue their pregnancies.

The prognosis for most cases of threatened abortion is favorable following standardized fetal preservation treatment, with normal embryonic growth and development. However, if symptoms progressively worsen—such as increased vaginal bleeding and intensified abdominal pain—the condition may progress to inevitable abortion, rendering continuation of the pregnancy unfeasible. During treatment, continuous observation of clinical symptoms and serial ultrasound examinations to assess embryonic viability are essential, allowing timely adjustment of the therapeutic plan to maximize pregnancy safety.

Maintain a calm and stable mental state throughout pregnancy; avoid strenuous activity and excessive fatigue; ensure adequate rest and optimal nutritional intake; minimize external stressors; and steadily maintain overall physical well-being to support stable embryonic development.