We know that during pregnancy, it is essential to avoid unnecessary medication as much as possible. As a result, some expectant mothers strictly adhere to a no-medication policy during pregnancy, avoiding hospitals and seeking folk remedies for any issues. On the other hand, some mothers-to-be demand pregnancy-protecting treatments from doctors at the slightest sign of abdominal pain or discharge.

In reality, both approaches are too extreme. The next steps should be determined based on an evaluation of individual test results.

Who Needs Pregnancy Protection:
Expectant mothers undergoing IVF.
Older expectant mothers.
Expectant mothers experiencing fatigue or significant stress.
Expectant mothers with two or more previous adverse pregnancy histories.
Expectant mothers showing symptoms such as abdominal pain and vaginal bleeding.
How to Protect Pregnancy:
If experiencing vaginal bleeding and abdominal pain, the first step is to visit a hospital.
Blood tests should be conducted to check estradiol, progesterone, and hCG levels to determine the success rate of pregnancy protection.
Relevant tests should be performed to assess the fetus’s condition. Only a viable fetus requires pregnancy protection.
Follow the doctor’s prescription for medication.
Caution Against Blindly Protecting Pregnancy
Due to downregulation and egg retrieval causing some degree of luteal phase defect, it is necessary for those undergoing IVF to have appropriate luteal support. Some pregnant women, without indications for pregnancy protection, still hope their doctors will provide it. While their feelings are understandable, pregnancy protection should not be done blindly. From the perspectives of eugenics and genetics, most miscarriages are natural eliminations, with 50% to 60% caused by abnormal embryo development, followed by maternal and other factors. Forcing pregnancy protection has little significance and is often difficult to achieve. Blind pregnancy protection can also lead to a series of harms.

Psychological Trauma

Without identifying the cause of miscarriage, repeated failures in pregnancy protection can burden the woman with significant mental stress.
Missed Miscarriage

Blind pregnancy protection can cause the trophoblast cells/placenta to adhere to the uterine wall. Additionally, some hormones used in pregnancy protection inhibit uterine contractions, making it difficult for the miscarriage tissue to be expelled, leading to a missed miscarriage. Subsequent procedures to remove retained tissue increase the woman’s pain and risk complications such as tissue retention, uterine perforation, or postoperative intrauterine adhesions.
Reproductive System Infections

If infections occur and are not promptly treated, they can develop into chronic inflammation, causing secondary infertility.
Fetal Malformations

Some miscarriages are due to abnormal embryo development. Blindly protecting the pregnancy could result in the birth of a malformed baby.
Maternal Coagulation Disorders

Retained necrotic embryos in the uterine cavity can release prothrombin, interfering with maternal coagulation and leading to bleeding, which can be life-threatening for the mother.