What to do if you bleed during the fourth month of pregnancy

Women bear the great responsibility of reproduction. In addition to childbirth, modern women also have the pressure of work. Therefore, the health of pregnant women is particularly important. Although pregnancy is a natural process, it is also accompanied by certain risks. Some pregnant women bleed in the fourth month of pregnancy. Vaginal bleeding in pregnant women is an abnormal phenomenon. If such a phenomenon occurs, you must go to a regular obstetrics and gynecology hospital for examination, find out the cause and then take correct treatment.

reason

Miscarriage: 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.

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

Ectopic pregnancy

▲Symptoms: Bleeding caused by ectopic pregnancy usually occurs around the second month of pregnancy, accompanied by varying degrees of nausea and abdominal pain. Once tubal pregnancy ruptures, massive intra-abdominal bleeding and severe abdominal pain will occur, which may lead to shock.

■Response: If ectopic pregnancy is not treated promptly, it may endanger the life of the expectant mother. Therefore, if vaginal bleeding occurs in early pregnancy and is accompanied by abdominal pain, you should seek medical attention immediately without delay. Expectant mothers who have had a history of ectopic pregnancy should be more careful and undergo careful B-ultrasound examinations in the early stages of pregnancy. Determine whether the pregnancy is intrauterine.

Measures: If vaginal bleeding and lower abdominal pain occur after menopause, you should pay close attention and 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.

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.

Hydatidiform mole

Measures: In early pregnancy, a uterine B-ultrasound should be performed to monitor embryo development and 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.

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

Overwork

Measures: Keep quiet, get enough rest and. Feeling comfortable, and do miscarriage preservation treatment if necessary.

Vaginal and cervical lesions often manifest as irregular vaginal bleeding or bloody discharge, which is prone to occur after vaginal examination or sexual intercourse, but without abdominal pain. Common lesions include vaginal or cervical inflammation, cervical erosion, cervical polyps, subuterine myomas, prolapse of the cervix or cervical cancer. Usually there are also symptoms such as abdominal pain, but this situation will not directly cause miscarriage.

Vaginal and cervical lesions

Measures: Do a good job of pre-pregnancy check-up, cooperate with the doctor's treatment, and take good care of yourself, and you can continue your pregnancy.

The main feature of placenta previa 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.

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: Absolute bed rest, and administration of sedative, hemostatic, and blood-tonifying drugs, such as chlordiazepoxide, vitamin K, ferrous sulfate, etc. After the bleeding stops completely, the patient may be arranged to move around lightly as appropriate. If the pregnant mother experiences dizziness, abdominal pain, uterine contractions, decreased blood pressure or hemoglobin, and fetus. If there are any changes in G, you should contact your doctor in time.

Placental abruption may cause heavy bleeding, or little or no bleeding. There is persistent tenderness in the abdomen and fetal movement decreases or disappears.

Placental abruption

Measures: Immediately admit the baby to the hospital for delivery or cesarean section.

Premature birth occurs in the middle and late stages of pregnancy, with symptoms such as 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. These are all signs of premature birth.

If a pregnant woman experiences abnormal symptoms such as bleeding in the fourth month of pregnancy, the cause should be found in time and treated accordingly to avoid causing unnecessary physical harm to the mother and fetus. At the same time, pregnant women must take good care of themselves during pregnancy, not overwork, and do regular perinatal care; in addition, the husband must also protect the safety of the expectant mother, not have frequent sexual intercourse or rough sexual intercourse, so as to prevent bleeding during pregnancy and cause serious consequences such as miscarriage or premature birth.