Brown bleeding in early pregnancy

In the early stages of pregnancy, pregnant mothers not only need to supplement a large amount of nutrients to promote the development of the fetus, but also pay attention to appropriate exercise in daily life to improve the body's immunity. If the pregnant mother finds a small amount of brown vaginal discharge or bleeding in the early stages of pregnancy, it is best to go to the hospital for a check-up to avoid threatened abortion. If the fetus is developing normally, there is no need to worry.

Termination of pregnancy before 28 weeks of gestation and with a fetal weight of less than 1000g is called abortion. Abortion that occurs before 12 weeks of pregnancy is called early abortion, and abortion that occurs between 12 weeks and less than 28 weeks of pregnancy is called late abortion. Abortion is divided into spontaneous abortion and induced abortion. The incidence of spontaneous abortion accounts for about 15% of all pregnancies, and most of them are early abortions. There are also two specific types of miscarriage: missed miscarriage and habitual miscarriage.

The main symptoms of miscarriage are vaginal bleeding and abdominal pain. Vaginal bleeding occurs in women who have a miscarriage within 12 weeks of pregnancy. At the beginning, the chorion separates from the decidua, the blood sinuses open, and bleeding begins. When the embryo is completely separated and expelled, the bleeding stops due to uterine contraction. The entire process of early miscarriage is accompanied by vaginal bleeding; in late miscarriage, the placenta has been formed and the miscarriage process is similar to premature birth. The placenta is discharged after the fetus is delivered. Generally, there is not much bleeding. The characteristic is that there is often abdominal pain first, and then vaginal bleeding.

The abdominal pain during miscarriage is paroxysmal uterine contraction-like pain. After vaginal bleeding occurs in early miscarriage, the separation of the embryo and the blood clots in the uterine cavity stimulate uterine contractions, resulting in paroxysmal lower abdominal pain. The characteristic is that vaginal bleeding often occurs before abdominal pain. In late miscarriage, there are paroxysmal uterine contractions first, followed by placental detachment, so vaginal bleeding occurs after abdominal pain. During miscarriage, the size of the uterus, whether the cervix is ​​dilated, and whether the membranes are ruptured are checked, which varies according to the number of weeks of pregnancy and the course of miscarriage.

You should pay attention to rest, avoid sexual intercourse, and vaginal examination should be performed gently. Patients with luteal insufficiency can supplement with progesterone, which has the effect of preserving pregnancy. Secondly, vitamin E and small doses of thyroxine (suitable for patients with hypothyroidism) can also be used. In addition, psychological treatment is also very important for patients with threatened abortion to calm their emotions and enhance their confidence. If symptoms do not improve or even worsen after treatment, it indicates possible abnormal fetal development. B-ultrasound examination and β-HCG measurement should be performed to determine the condition of the fetus and give appropriate treatment, including termination of pregnancy.