What to do if you have spotting during the third and a half months of pregnancy

During the entire pregnancy, what women worry about most is that their momentary negligence will affect the growth and development of the fetus. Spotting in three and a half months of pregnancy is a relatively common phenomenon. However, such a phenomenon always makes people particularly worried, and they are afraid that it may be a precursor and may also cause threatened abortion. So what causes spotting, and how can such symptoms be prevented? Let's find out what to do if spotting in three and a half months of pregnancy.

What to do if you have spotting during the third and a half months of pregnancy

After expectant mothers experience vaginal bleeding, they will basically ask their doctors whether they need to preserve the fetus. This situation usually varies from person to person. Whether the fetus can be successfully preserved is closely related to the patient's physical condition and whether the fetus's own development is abnormal.

If the pregnant mother is bleeding in the early pregnancy and no abnormalities are found in the embryo through B-ultrasound, the patient's blood hormone levels should be referred to. If the progesterone level is reduced, treatment to preserve the pregnancy will be given. If progesterone levels are normal, then other possible causes of bleeding should be sought.

Experts point out that if pregnancy-preserving drugs are used without confirming whether the embryo is located in the uterus, it may delay the treatment of ectopic pregnancy and worsen the pregnant mother's condition. Generally speaking, pregnancy-preserving drugs will be chosen as injections or oral medications depending on the condition of the pregnant mother.

Currently, this type of medicine mainly consists of natural progesterone, which is relatively safe for babies. If you need to use pregnancy-preserving drugs in the middle or late stages of pregnancy, you often have to start with intravenous infusion. Once the condition stabilizes, you can continue taking oral medications.

In addition, many pregnant mothers believe that in order to protect the fetus, they need to stay in bed and cannot get out of bed. In fact, this is not the case. Activities such as daily life and walking can still continue, but you should increase rest time appropriately, reduce strenuous exercise and relieve tension.

Causes of spotting during 3 months of pregnancy

Spontaneous abortion

If the embryo itself has defects, it will be eliminated when it develops to a certain extent, and miscarriage usually occurs around 2 months of pregnancy. Early miscarriage (before 16 weeks of pregnancy) is almost always caused by a defect in the fertilized egg, resulting in abnormal fetal development, and is often unavoidable. When an embryo dies in the womb, it is often accompanied by vaginal bleeding.

If this happens, the pregnant mother should go to the hospital immediately. When a miscarriage is confirmed through B-ultrasound, blood tests, etc., the doctor will take timely measures to clean up the residues in the pregnant mother's uterus. If a pregnant woman is prone to spontaneous abortion, she should take preventive measures to avoid private bleeding.

Subchorionic blood clot

When a pregnant woman has a blood clot under her chorion, the amount of bleeding in her private parts may vary. This is because the blood clot is formed by coagulation in the uterus, so the blood clot is brown in color. Blood clots appear under the chorion of the pregnant mother. This is because the chorion that wraps the fetus (the intrauterine villi that form the placenta) is slightly separated from the uterine wall, and blood clots will form on the outside, causing bleeding in the pregnant mother. At this time, the nutritional supply required by the embryo will also be affected.

Hydatidiform mole

Pregnant women often have heavy intermittent vaginal bleeding. If white, transparent, grape-like blisters are discharged, the diagnosis can be confirmed. Moreover, the early pregnancy reactions are severe, the level of human chorionic gonadotropin is particularly high, and the size of the pregnant mother's uterus is larger than that of a normal pregnancy month.

Hydatidiform mole is caused by the degeneration and abnormal proliferation of the villous tissue that makes up the placenta, forming blisters of varying sizes like a bunch of grapes. Hydatidiform mole is divided into complete hydatidiform mole and partial hydatidiform mole. A complete hydatidiform mole has no embryo, while a partial hydatidiform mole has both embryonic tissue and grape-like tissue. From a clinical perspective, complete hydatidiform mole is more common.

Lack of progesterone

If the pregnant mother lacks progesterone, a small amount of vaginal bleeding will occur. The amount of blood is less than the menstrual volume and the blood is bright red. The early pregnancy reaction still exists, sometimes accompanied by mild lower abdominal pain, back pain and a feeling of falling.

During the three months of pregnancy, the ovaries will form a corpus luteum to maintain the supply of nutrients. After 3 months of pregnancy, the placenta slowly forms. When the corpus luteum of pregnancy slowly shrinks and the placenta has not yet formed, the lack of progesterone can easily lead to a gap in nutrition and inability to meet the fetus's needs.

The above is an introduction to what to do if you see spotting during the third and a half months of pregnancy. After understanding it, we know that there are many reasons for spotting during pregnancy. When spotting occurs, you must observe whether there is abdominal pain. If necessary, you should go to the hospital for examination and treatment in time. In addition, you must not do strenuous exercise during pregnancy, pay attention to nutritional balance in diet, and do regular prenatal examinations.