What is the cause of 5% abortion?

Question
Hello doctor,
I am 6 weeks 3 days pregnant with my second child. Last week, I went for an ultrasound and the doctor told me that I had more than 5% dissection and gave me medicine to put and drink. Next week, when I come back, I no longer dissect the upper pole but dissect the lower pole 15%. I have absolutely no symptoms of bleeding or abdominal pain. So the doctor asked me what is the cause of 5% abortion? Two days ago, I felt pain in my left breast, when I touched it, I saw a lump, the ultrasound doctor said that the breast cyst and the cyst were healthy. For a long time, I have not had any symptoms, when I became pregnant for the second time, my breasts were like that. Please advise, thank you.
Anonymous customer
Answer
Answered by Specialist Doctor I Truong Nghia Binh - Department of Obstetrics and Gynecology, Vinmec Danang International General Hospital.
Hello,
With the question “What is the cause of 5% abortion? ”, the doctor would like to answer as follows:
When pregnant, under the influence of pregnancy hormones will make pregnant women feel more tired, possibly nausea, loss of appetite, and a feeling of tension. chest tightness due to edema, increased size of mammary ducts. In addition to the phenomenon in the breast, in the uterus, before implantation, the endometrium will thicken and when the embryo is implanted, it will lead to bleeding.
A gestational sac dissection is a hematoma around the gestational sac, which occurs when the placenta separates from the lining of the uterus instead of attaching as usual.
The gestational sac detaches due to many reasons, possibly because the abnormal pregnancy cannot continue to develop, the fetus dies and is pushed out of the uterus. Some factors that increase the risk of dissection are caused by the mother, such as:
The mother walks and moves a lot. The mother has diseases such as uterine fibroids, uterine adhesions, ovarian cysts, uterine scarring, endometriosis, a history of placental abruption, previous gestational sac separation. The mother has a uterine malformation such as a bicornuate uterus, a septum uterus, etc. The mother has a history of blood clotting disorders, high blood pressure. The mother is addicted to tobacco, alcohol, coffee or strong stimulants. Infection with bacteria, viruses, parasites or toxic metals such as lead, mercury. There is amniotic fluid abnormality, luteal insufficiency, thyroid disease, diabetes,... In the case of ultrasound observation, there is dissection as you say without any other symptoms such as Abdominal pain, vaginal bleeding, ... do not interfere at all, only regular monitoring and antenatal check-ups according to the appointment of a specialist in Obstetrics and Gynecology.
If you still have questions about 5% fetal dissection, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!