Causes of bleeding during pregnancy

I believe everyone knows the importance of pregnancy to female friends. We recommend that pregnant friends pay close attention to their bodies during pregnancy. Once they find any abnormalities in their bodies, they should pay attention to it. Some female friends are prone to bleeding symptoms in the second month of pregnancy. This symptom brings great trouble to pregnant women. Below we introduce the reasons for bleeding in the second month of pregnancy.

Cervical lesions

Affected population: those with complicated sexual life, poor hygiene habits, irregular lifestyle, poor body resistance, etc.

When it comes to early pregnancy bleeding, many people tend to ignore the problem of cervix. If the cervix is ​​severely inflamed and eroded, or if there are already cervical polyps, it is easy for the surface capillaries to rupture and bleed due to hormonal changes after pregnancy. In recent years, the age group in which cervical cancer most commonly occurs has quietly dropped to 30 to 40 years old. Being pregnant does not mean that there is no problem with the cervix. Cervical smear tests should be done regularly before and after pregnancy. If there is vaginal bleeding in early pregnancy, the cervix should also be checked for problems.

Ectopic pregnancy

Population at risk: Those who have a history of pelvic inflammation, pelvic adhesions, or have undergone fallopian tube surgery, or had an ectopic pregnancy in the previous pregnancy, etc.

When the fertilized egg implants outside the uterus, it is called an ectopic pregnancy. The incidence rate is about 1%, and 95% of ectopic pregnancies occur in the fallopian tube. Because the wall of the fallopian tube is very thin, it cannot provide enough nutrition to the embryo. The gradually developing fertilized egg causes the wall of the fallopian tube to expand, which can cause the wall to rupture. Abnormal vaginal bleeding will occur at 7 to 8 weeks of pregnancy, and there may even be severe abdominal pain or shock due to massive intra-abdominal bleeding.

In the early stages of pregnancy, if ultrasound examination fails to find any signs of an embryo in the uterus, it is necessary to test the human chorionic gonadotropin (β-HCG) in the blood as soon as possible to diagnose the possibility of ectopic pregnancy and take appropriate measures in a timely manner.

Hydatidiform mole

Population at risk: mothers under 20 years old or over 40 years old, food lacking carotene and animal fat, with a history of miscarriage, a history of hydatidiform mole, smoking, etc.

Hydatidiform mole is a benign chorionic disease with an incidence of approximately 1‰, and the incidence is higher in Asian countries. Because of the abnormal proliferation of trophoblastic cells of the placental villi, the terminal villi turn into blisters, which are connected in clusters and resembling grapes, hence the name "hydatidiform mole". In the early stages of pregnancy, there may be symptoms such as abnormal vaginal bleeding, severe morning sickness and even palpitations.

Usually, the diagnosis can be made by ultrasound and blood test for chorionic gonadotropin. The treatment is to use endometrial vacuum aspiration to remove the hydatidiform mole, and then continue to track the chorionic gonadotropin index until it is normal for 3 consecutive weeks, and then track it again every month until it is normal for 6 consecutive months. If the chorionic gonadotropin index does not decrease as expected, chemotherapy should be considered. Strict contraception must be taken during the follow-up period, and pregnancy can only be planned two years after cure.

In the above article, we introduced something that everyone is very concerned about, that is, the health of pregnant women. We recommend that pregnant friends pay attention to protecting their bodies in their daily lives. The above article introduces in detail the reasons for bleeding in the second month of pregnancy.