Bleeding at 3 weeks of pregnancy

Bleeding during the third week of pregnancy is the most common condition. This is a problem that many female friends will encounter. Once it occurs, there will be a risk of miscarriage, so you should pay more attention to fetal protection. During this period, do not let your emotions fluctuate too much. After all, the most critical factor causing threatened miscarriage is emotion. You must stabilize your emotions and maintain an optimistic mentality.

(1) The causes of threatened abortion are generally abnormal embryo development or placental abnormalities;

(2) The causes of threatened abortion are generally maternal factors, such as endocrine dysfunction (mostly due to corpus luteum dysfunction, and significant thyroid hormone deficiency can also affect embryonic development), reproductive organ diseases (uterine malformation, uterine hypoplasia, deep cervical lacerations), and systemic diseases (influenza, pneumonia, typhoid fever or high fever during pregnancy, severe anemia, heart failure, severe nephritis, etc.);

(3) The causes of threatened abortion are generally adverse external influences (such as trauma, overwork, radiation, noise, etc.);

(4) The causes of threatened abortion are generally genetic defects (abnormal chromosome number or structure);

(5) The causes of threatened abortion are generally paternal factors (such as asymptomatic bacteriospermia, etc.).

Gynecological experts remind that abortion not only affects women’s health, but may even cause heavy uterine bleeding or serious infection, affecting the life safety of pregnant women. Therefore, preventing and treating abortion is of great significance. Your situation may be related to your illness and excessive stress in life. If the illness is cured, it generally will not affect your future fertility. If it is convenient, you can come for a follow-up visit.

The goal of treatment for threatened abortion is to continue the pregnancy as much as possible. Generally, the following treatments should be done:

(1) General treatment: relieve mental concerns, rest in bed, adequate nutrition, avoid stimuli that cause uterine contractions, such as sexual intercourse, constipation, diarrhea, and repeated vaginal examinations.

(2) Drug treatment: 20 mg of progesterone acetate can be injected intramuscularly once a day for 3 to 5 days; 0.03 mg of luminal can be taken orally 3 times a day; 30 to 50 mg of vitamin E can be taken orally 3 times a day. (Treatment varies from person to person, and the medicine must be prescribed by a doctor, not taken privately. Taking it on your own is dangerous.) Progesterone, as a progestin, is only effective for threatened abortion caused by insufficient corpus luteum secretion and progesterone deficiency. Threatened abortion is caused by chromosomal abnormalities, so taking progesterone will naturally not work.

Of course, if the threatened miscarriage is only caused by excessive fatigue, physical labor, abdominal trauma, etc., the fetus can be preserved after the doctor diagnoses that the embryo is developing healthily. Some pregnant women, after discovering threatened miscarriage, simply give up on preserving the fetus because they are worried that the drugs will affect the quality of the fetus. This is also unscientific.

Pregnant women who find signs of threatened miscarriage should go to the hospital for examination as soon as possible instead of choosing miscarriage-preserving drugs at will. Because there are many causes of threatened abortion and the treatment methods vary from person to person, if you fail to choose the right medication to preserve the pregnancy based on the cause, it will be very dangerous to the fetus.