How to deal with bleeding at 70 days of pregnancy

Pregnant mothers are usually quite nervous during their first pregnancy because they have no experience in many areas and have to accumulate relevant experience through constant trial and error. Many people feel that bleeding during pregnancy is quite severe and suspect that it is a sign of miscarriage. In fact, bleeding during pregnancy is a relatively normal phenomenon. Let's take a closer look at what happens during pregnancy.

How should we deal with bleeding?

"The fragrance of flowers" may cause miscarriage in pregnant women

Overwork

If the pregnant mother is too tired or under great work pressure in the early stages of pregnancy, it may also cause a small amount of vaginal bleeding.

Take appropriate measures, get enough rest and be in a good mood, and do pregnancy preservation treatment if necessary.

Physiological bleeding

After conception, some pregnant mothers will still have a small amount of menstrual-like bleeding during their menstrual period, generally without other accompanying symptoms (such as abdominal pain, menstrual discomfort). This may just be a physiological reaction to the implantation of the fertilized egg.

Measures, just keep the vulva clean.

abortion

The placenta separates from the uterine wall and stimulates the uterus, causing it to contract, the cervix to dilate, and blood to flow out of the uterus. This type of bleeding is often accompanied by lower abdominal pain. The amount of bleeding increases from a small amount to a large amount, the color changes from dark to red, and the abdominal pain gradually develops from dull pain to more severe pain.

If the amount of menstrual blood is less than that of menstruation and threatened abortion is confirmed, treatment to preserve the pregnancy is recommended. Principles: Use sedatives; Endocrine therapy with progesterone; Vitamin E treatment, close observation.

However, if there is heavy vaginal bleeding (exceeding the menstrual volume), contractions become more severe, there is severe abdominal pain and a mass is passed, and bleeding does not stop, it is diagnosed as inevitable miscarriage or indeterminate miscarriage with retained mass, and the patient should be admitted to the hospital immediately for treatment to prevent shock caused by heavy bleeding, which is life-threatening.

Ectopic pregnancy

When the fertilized egg develops to a certain extent, it will cause the fallopian tube wall to rupture and cause bleeding. Because this type of bleeding occurs in the abdominal cavity, vaginal bleeding may not be excessive, but it is often accompanied by severe cramping.

Measures should be taken seriously and you must go to the hospital to rule out ectopic pregnancy. If you experience severe lower abdominal pain at home, call 120. Before the ambulance arrives, you should keep your head down, feet high, and stay quiet to prevent bleeding, as bleeding can cause anemia and shock. It is also important to keep warm with blankets and other items.

Hydatidiform mole

Molar pregnancy miscarriage usually begins 2-3 months after menopause. Most of the bleeding is intermittent and small, but some people may bleed heavily and repeatedly.

Measures: B-ultrasound monitoring of embryo development can detect hydatidiform mole early. If the early pregnancy reactions are severe, timely checks should be carried out to rule out hydatidiform mole. If there is heavy bleeding, the patient should be rushed to the hospital for emergency treatment. A short-term delay may cause more blood loss and endanger the pregnant mother.

Vaginal and cervical lesions

It often manifests as irregular vaginal bleeding or bloody discharge, which is prone to occur after vaginal examination or sexual intercourse, but there is no abdominal pain. Common lesions include vaginal or cervical inflammation, cervical erosion, cervical polyps, submucosal uterine myomas protruding from the cervical os or cervical cancer. Usually there are also symptoms such as abdominal pain, but this situation will not directly cause miscarriage.

Take measures, cooperate with the doctor's treatment, and take good care of yourself, and you can continue your pregnancy.

Placenta previa

The main feature is painless, recurrent vaginal bleeding in late pregnancy (28-38 weeks of gestation), which often occurs suddenly without any cause. The timing of vaginal bleeding, the number of recurrences, and the amount of bleeding are related to the type of placenta previa.

Complete placenta previa will cause bleeding around 28 weeks of pregnancy, and occasionally at 20 weeks. The bleeding is frequent and the amount is large. Sometimes a large amount of bleeding can put the patient into shock. The first bleeding of marginal placenta previa occurs later, and there may even be bleeding during labor, but the amount is less. The bleeding situation of partial placenta previa is somewhere in between.

Measures include giving sedatives, hemostatics, and blood tonics, such as chlordiazepoxide, vitamin K, ferrous sulfate, etc. After the bleeding stops completely, arrange for the patient to get up and do some light activities as appropriate. If the pregnant mother experiences dizziness, abdominal pain, uterine contractions, decreased blood pressure or hemoglobin, changes in fetal heart rate, etc., she should contact a doctor in time.

Placental abruption

The bleeding may be heavy, light or even nonexistent. There is persistent tenderness in the abdomen and fetal movement decreases or disappears.

Preterm birth

In the middle and late stages of pregnancy, vaginal spotting, abdominal distension and pain, membrane rupture, strong contractions of the uterus causing a feeling of falling, and a noticeable hardening of the abdomen are all signs of premature birth.

If irregular uterine contractions or a small amount of vaginal bleeding has occurred, the doctor will instruct the pregnant mother to take medication to suppress uterine contractions and maintain the pregnancy as much as possible. If uterine contractions become regular and examination reveals that the cervix is ​​dilated, premature birth is inevitable and the doctor will take measures to increase the survival rate of premature babies.

Through the above introduction, we know that bleeding during pregnancy is caused by many different factors. The physical constitution of pregnant mothers is different, so the bleeding conditions are also different. Severe conditions can lead to miscarriage. Therefore, it is best to ensure that you are in a good mood during pregnancy and not put too much pressure on yourself.