For vaginal bleeding at 14 weeks of pregnancy, a basic gynecological examination should be performed first to determine the cause of the bleeding. Under normal circumstances, due to changes in the body's estrogen and progesterone levels, cervical growths will appear, causing vaginal bleeding; or pregnant women with a history of cervical erosion have reduced body resistance and are prone to bleeding. At this time, only symptomatic treatment is needed, and tocolytic treatment is generally not needed. Secondly, a B-ultrasound examination should be performed to observe whether the fetus has initial cardiovascular heartbeat. For those without initial cardiovascular and cerebrovascular disease heart beats, it is more likely that the test tube embryo has terminated growth and development. If there is still no initial cardiovascular and cerebrovascular disease heart beats after a follow-up B-ultrasound one week later, it should be treated immediately. For pregnant women with threatened miscarriage, they should be given tocolytic treatment. Under normal circumstances, vaginal bleeding should not occur during pregnancy. Vaginal bleeding at 14 weeks of pregnancy is not a good thing. If the bleeding is little and stops with a little dripping, it is okay and you need to observe closely. If the bleeding is heavy and accompanied by abdominal pain and discomfort, consider threatened abortion. It is recommended to do blood hcg and progesterone levels, and B-ultrasound examination to determine whether the test tube embryo is alive. If the test tube embryo is alive, give Chinese and Western medicine to maintain the pregnancy. If there is no embryo bud or fetal heartbeat, consider the possibility of test tube embryo termination of development, and if necessary, a uterine curettage may be performed to terminate the pregnancy. If pregnancy is confirmed to be in the early stages, there will be no menstruation and vaginal bleeding is unlikely to occur. If vaginal bleeding occurs during the 14th week of pregnancy, you should be alert to the problem of threatened abortion. You must pay attention to reducing the amount of exercise and observe the bleeding. You need to go to the hospital for a gynecological color ultrasound examination to check the health of the fetus in the uterine cavity. Check the progesterone level. If the progesterone level is too low, inject corpus luteum copper in time to supplement the progesterone level, then rest in bed, take pregnancy-preserving treatment, maintain a stable mood, and avoid stress and anxiety. Vaginal bleeding at 14 weeks of pregnancy is still relatively common and requires immediate medical attention to the hospital. It is necessary to exclude abnormal phenomena such as threatened abortion, embryonic arrest, ectopic pregnancy, and also rare conditions such as cervical polyp bleeding, cervical erosion bleeding, cervical precancerous lesions, and even cervical cancer. Generally, a speculum is needed to expand the vaginal wall and carefully examine the cervix. If there is cervical polyp bleeding, the polyp must be removed. B-ultrasound examination is also required, which is very important. If the B-ultrasound shows that there is no fetal sac in the uterine cavity, blood should be drawn for HCG testing. The combination of the two can determine the possibility of ectopic pregnancy and make a solution. If B-ultrasound indicates that the embryo has stopped developing, medical abortion and uterine cleaning should be performed immediately. If the B-ultrasound shows no abnormalities, threatened abortion is generally diagnosed and medication for tocolysis is given. |
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