
What are the signs of miscarriage in early pregnancy with lower back pain?
Hello doctor, my wife is in the early stages of pregnancy and has been complaining of lower back pain recently. We are both very concerned. We heard that back pain during early pregnancy might be a sign of miscarriage. Could you please let us know what other symptoms generally accompany a potential miscarriage caused by back pain? This way, we can be better prepared and come to the hospital promptly if needed.

Lower back pain during early pregnancy can be concerning, but it does not necessarily indicate a miscarriage. The causes of back pain may include non-threatening factors such as ligament relaxation, muscle tension, or changes in posture. If back pain is accompanied by vaginal bleeding, abdominal pain, or worsening back pain, there may be an increased risk of miscarriage.
1. Vaginal bleeding: This is a common sign of miscarriage. The bleeding may appear as spotting or increase to the level of a menstrual flow. Initially, it may be light brown discharge, but as the situation progresses, the color may turn red and the bleeding may increase.
2. Abdominal pain: Often described as a dull or cramping pain in the lower abdomen, its intensity can vary. The pain may be intermittent or progressively worsen. It is typically caused by uterine contractions attempting to expel the embryo.
3. Worsening back pain: If the existing back pain gradually intensifies from mild discomfort to an unbearable level and does not improve significantly with rest, it should be taken seriously.
If any of the above symptoms occur, seek medical attention immediately. Doctors may use ultrasound, blood tests for human chorionic gonadotropin (hCG) and progesterone levels to assess the development of the embryo and take appropriate action. However, it's important to remember that various bodily changes occur during early pregnancy, and experiencing these symptoms does not necessarily mean a miscarriage will occur. Staying calm and seeking prompt medical care is essential. During pregnancy, maintaining healthy lifestyle habits, such as moderate exercise, balanced nutrition, and adequate rest, can help support a healthy pregnancy.